Sleep apnea may raise risk of diabetes

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Sleep apnea may raise risk of diabetes

  1. 1. ٘‫انسكش‬ ‫ٔانذاء‬ ‫انُٕو‬ ‫أثُبء‬ ‫انخُفس‬ ‫اَقطبع‬ Sleep Apnea May Raise Risk of Diabetes ‫الشرٌك‬ ‫ٌوسف‬ ‫دكتور‬ Dr. Yousef Elshrek
  2. 2. • Sleep Apnea May Raise Risk of Diabetes • Up to 30 percent higher chance of developing blood sugar disease seen in study, but findings aren't conclusive. •‫ٚسبب‬‫حذٔد‬‫اَقطبع‬ ‫انخُفس‬‫أثُبء‬‫انُٕو‬‫يخبطش‬ ‫انذاء‬٘‫انسكش‬ •‫حقخشح‬‫دساست‬‫كُذٚت‬‫إيكبَٛت‬ ‫اإلصببت‬‫ٔحطٕس‬‫انذاء‬٘‫انسكش‬ ٗ‫إن‬30%ٔ‫أ‬‫أكثش‬‫بسبب‬ ‫حذٔد‬‫انشخٛش‬ٔ‫أ‬ٍ‫ي‬‫اَقطبع‬ ‫انخُفس‬‫أثُبء‬‫انُٕو‬‫خالل‬‫فخشة‬ ‫انُٕو‬ٍ‫ٔنك‬‫نى‬ِ‫حؤكذ‬‫قطؼٛب‬.
  3. 3. •‫نشر‬‫تقرٌر‬‫عن‬‫دراسة‬‫كندٌة‬ ً‫الت‬‫شملت‬‫أكثر‬‫من‬8600 ‫شخص‬‫ٌعانون‬‫من‬‫مشكلة‬ ‫انقطاع‬‫التنفس‬‫أثناء‬‫النوم‬‫عن‬ ‫احتمال‬‫اإلصابة‬‫بداء‬‫السكري‬ ‫ومخاطره‬. •‫وقد‬‫دلت‬‫نتائج‬‫هذه‬‫الدراسة‬ ‫بحدوث‬‫تقطع‬‫التنفس‬‫أثناء‬ ‫النوم‬‫ٌسبب‬‫قلة‬‫الحصول‬‫على‬ ‫األكسجٌن‬‫وزٌادة‬‫معدل‬ ‫ضربات‬‫القلب‬‫وربط‬‫هذه‬ ‫المشكلة‬‫بٌولوجٌا‬‫بمرض‬ ‫السكري‬ A study of more than 8,600 people suffering from sleep apnea suggests a possible increased risk for developing diabetes, Canadian researchers report. They noted that sleep apnea results in less oxygen reaching cells in the body, less sleep and an increased heart rate, all of which are associated with a biological link to diabetes.
  4. 4. ‫انشخٛش‬ ‫حذٔد‬ ‫آنٛت‬‫ٔاَقطبع‬ ‫أثُبء‬ ‫انخُفس‬‫انُٕو‬ The mechanism of snoring And sleep apnea
  5. 5. •‫التحكم‬ً‫ف‬‫عوامل‬‫أخطار‬‫الداء‬ ‫السكري‬ً‫الت‬‫تشمل‬‫التالٌة‬:- .1‫العمر‬. .2‫الجنس‬. .3‫وزن‬‫الجسم‬(‫السمنة‬)ً‫الت‬‫تعتبر‬ ‫من‬‫أهم‬‫عوامل‬‫األخطار‬‫المسببة‬ ‫للداء‬‫السكري‬. .4‫التدخٌن‬. .5‫والدخل‬. .6‫مشاكل‬‫صحٌة‬‫أخرى‬‫ومنها‬‫انقطاع‬ ‫التنفس‬‫أثناء‬‫النوم‬ً‫الت‬‫قد‬‫ٌسبب‬ ‫الداء‬‫السكري‬‫بمقدار‬‫أعلى‬‫من‬ 30%‫عن‬‫اللذٌن‬‫لٌس‬‫لدهم‬ ‫مشكلة‬‫انقطاع‬‫التنفس‬‫أثناء‬‫النوم‬. •"Controlling for known risk factors for diabetes -- including age, sex, weight, smoking, other medical problems and income status -- patients with severe sleep apnea had a 30 percent higher risk of developing diabetes than those without sleep apnea," said lead researcher Dr. Tetyana Kendzerska. •She's with the University of Toronto's Institute of Health Policy, Management and Evaluation. •Obesity, an important risk factor or both diabetes and sleep apnea, was taken into account.
  6. 6. •‫انخحكى‬ٙ‫ف‬‫يؤشش‬‫كخهت‬‫انجسى‬ [ْٕٔ‫يقٛبس‬ٌ‫انٕص‬‫ٔانطٕل‬ ٘‫انز‬‫ٚحذد‬‫انسًُت‬]،ٍ‫ي‬‫أحذ‬ ‫انؼٕايم‬ٙ‫انخ‬‫ٚخفض‬‫اإلصببت‬ ‫ٔيخبطش‬‫انذاء‬٘‫انسكش‬ ‫ٔاحخًبل‬‫غٛش‬‫يؤكذ‬ٍ‫ي‬‫اَقطبع‬ ‫انخُفس‬‫أثُبء‬‫انُٕو‬ •‫ٔانؼبيم‬‫األخٛش‬‫ٚؼخبش‬‫يجشد‬ ‫يالحظت‬‫ٚحخبج‬ٗ‫إن‬‫أبحبد‬ ٖ‫أخش‬ِ‫نخأكٛذ‬ •‫يغ‬‫أخز‬‫انحٛطت‬ٍ‫ي‬‫انًشكهت‬ ‫اَقطبع‬‫انخُفس‬‫أثُبء‬‫انُٕو‬ ‫ٔانقٛبو‬‫بؼالجٓب‬. •"We controlled for body-mass index [a measure of weight and height that defines obesity], and severe sleep apnea was found to be independently associated with diabetes," she said. •Kendzerska cautioned, however, that this was an observational study, and cannot prove that sleep apnea causes diabetes. "We are not able to investigate causality, just an association," she explained •The report was published online June 6 in the American Journal of Respiratory and Critical Care Medicine. .
  7. 7. •ٙ‫ٔف‬‫دساست‬ٖ‫أخش‬‫حٕل‬‫َفس‬ ‫انًٕضٕع‬ٙ‫ٔانخ‬‫شًهج‬ٗ‫ػه‬ 8678‫شخصب‬‫ببنغب‬‫يصببب‬‫ببَقطبع‬ ‫انخُفس‬‫أثُبء‬‫انُٕو‬‫ٔغٛش‬ٍٛ‫انًصبب‬ ّ‫ب‬‫خالل‬‫انفخشة‬‫يب‬ٍٛ‫ب‬1994 ٔ2010 •‫ٔقذ‬‫قبو‬ٌٕ‫انببحث‬‫بًخببؼت‬10% ٍ‫ي‬‫أفشاد‬‫انذساست‬ٙ‫انخ‬‫ركشث‬ ِ‫أػال‬‫خالل‬ٕٚ‫يب‬2011،‫ٔٔجذٔا‬ ٌ‫أ‬‫أٔنئك‬ٌٕ‫انًصبب‬‫يُٓى‬‫أصال‬ ‫ببَقطبع‬‫انخُفس‬‫أثُبء‬‫انُٕو‬ٙ‫ف‬ ‫حبنت‬‫شذٚذة‬‫حؼشضٕا‬‫اإلصببت‬ ‫بًخبطش‬‫داء‬٘‫انسكش‬ٙ‫بحٕان‬30% ‫يقبسَت‬‫بأٔنئك‬ٍٛ‫انًصبب‬‫بحبنت‬ٍ‫ي‬ ‫خفٛفت‬ٗ‫إن‬‫يؼخذنت‬‫انًؼخذنت‬ٍ‫ي‬ ‫اَقطبع‬‫انخُفس‬‫فقذ‬‫كبَج‬‫َسبت‬ ‫إصببخٓى‬‫ببنذاء‬٘‫انسكش‬ٙ‫بحٕان‬ 23%. For the study, Kendzerska and her colleagues collected data on 8,678 adults who were diagnosed with sleep apnea between 1994 and 2010 and didn't have diabetes. The participants were followed through May 2011. During that time 1,017 (11.7 percent) of the patients developed diabetes. The researchers found that those with the most severe sleep apnea had a 30 percent increased risk of developing diabetes compared to those with the least severe sleep apnea. Patients suffering from mild to moderate sleep apnea had a 23 percent higher risk of developing diabetes. The study, however, had some limitations, most notably that there was no information about family history of diabetes, the researchers acknowledged. Sleep apnea is a common problem in which people have one or more pauses in breathing or shallow breaths during sleep. These pauses can last from a few seconds to minutes and can occur 30 times or more an hour. Typically, normal breathing starts again, sometimes with a loud snort or choking sound.
  8. 8. •‫وكان‬‫هناك‬‫بعض‬‫العٌوب‬ً‫ف‬‫هذه‬ ‫الدراسة‬‫وكان‬‫أهمها‬:-‫عدم‬ ‫وجود‬‫معلومات‬‫حول‬‫تارٌخ‬ ً‫العائل‬‫عن‬‫مرض‬‫السكري‬ •‫هذا‬‫فقد‬‫اعترف‬‫الباحثون‬‫بأن‬ ‫مشكلة‬‫انقطاع‬‫التنفس‬‫الخفٌفة‬ ‫أثناء‬‫النوم‬‫شائعة‬‫بٌن‬،‫الناس‬ ‫وهذا‬‫االنقطاع‬‫قد‬‫ٌكون‬‫لبضع‬ ً‫ثوان‬‫أو‬‫لبضع‬،‫دقائق‬‫وربما‬‫قد‬ ‫ٌحدث‬30‫مرة‬‫أو‬‫أكثر‬ً‫ف‬ ‫الساعة‬،‫الواحدة‬‫وبعدها‬‫ٌبدأ‬ ‫التنفس‬‫طبٌعٌا‬‫أو‬‫قد‬‫ٌكون‬‫بعدها‬ ‫شخٌرا‬‫أو‬‫اختناقا‬ً‫ف‬‫الصوت‬ The study, however, had some limitations, most notably that there was no information about family history of diabetes, the researchers acknowledged. Sleep apnea is a common problem in which people have one or more pauses in breathing or shallow breaths during sleep. These pauses can last from a few seconds to minutes and can occur 30 times or more an hour. Typically, normal breathing starts again, sometimes with a loud snort or choking
  9. 9. •‫ٌنتج‬‫من‬‫انقطاع‬‫التنفس‬ ‫أثناء‬‫النوم‬‫رداءة‬‫النوم‬‫لٌال‬ ،‫مع‬‫حدوث‬‫التعب‬ ‫والنعاس‬‫خالل‬‫فترة‬ ‫النهار‬. Sleep apnea results in poor quality of sleep, making sufferers tired during the day, and is the leading cause of daytime sleepiness, according to the U.S. National Heart, Lung, and Blood Institute. SOURCES: Tetyana Kendzerska, M.D., Ph.D., Institute of Health Policy, Management and Evaluation, University of Toronto; Shelby Freedman Harris, Psy.D., director, Behavioral Sleep Medicine Program and Sleep-Wake Disorders Center, Montefiore Medical Center, and assistant professor, neurology and psychiatry, Albert Einstein College of Medicine, New York City; June 6, 2014, American Journal of Respiratory and Critical Care Medicine, online

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