{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T16:28:16Z","timestamp":1648657696357},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Bras Endocrinol Metab"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:p>OBJETIVO: Avaliar a sintomatologia de pacientes obesos com diagn\u00f3stico polissonogr\u00e1fico de S\u00edndrome da Apn\u00e9ia\/Hipopn\u00e9ia Obstrutiva do Sono (SAHOS). M\u00c9TODOS: Foram avaliados todos os pacientes obesos (IMC &gt; 30 kg\/m\u00b2) que realizaram polissonografia em dois laborat\u00f3rios de sono da cidade de Salvador, BA, no per\u00edodo de julho a dezembro de 2004 e apresentaram \u00cdndice de Apn\u00e9ia\/Hipopn\u00e9ia (IAH) &gt; 5 ev\/h\/sono. Os sintomas considerados foram sonol\u00eancia excessiva diurna, despertares noturnos, sensa\u00e7\u00e3o de engasgos e\/ou sufocamentos durante o sono. RESULTADOS: Foram inclu\u00eddos 73 pacientes, sendo 57,5% do sexo masculino com m\u00e9dia de idade e IMC de, respectivamente, 45,2 anos e 38,0 kg\/m\u00b2. A maioria (49,3%) foi classificada como SAHOS grave (IAH &gt; 30). Os dados revelaram que 19,2% destes pacientes n\u00e3o apresentavam nenhum dos sintomas pesquisados, 28,8%, apenas um sintoma, 30,1%, dois e 21,9%, tr\u00eas. N\u00e3o houve diferen\u00e7a estatisticamente significante em rela\u00e7\u00e3o \u00e0 gravidade da doen\u00e7a entre os indiv\u00edduos com e sem sintomas. Houve uma maior freq\u00fc\u00eancia de pacientes assintom\u00e1ticos entre os pacientes com obesidade severa (30,8% versus 5,9%; p = 0,007). CONCLUS\u00d5ES: A polissonografia parece ser um exame fundamental na avalia\u00e7\u00e3o de pacientes obesos devido \u00e0 alta taxa de indiv\u00edduos assintom\u00e1ticos com \u00edndices polissonogr\u00e1ficos alterados neste grupo, em especial nos obesos graves.<\/jats:p>","DOI":"10.1590\/s0004-27302007000700007","type":"journal-article","created":{"date-parts":[[2007,12,18]],"date-time":"2007-12-18T20:38:29Z","timestamp":1198010309000},"page":"1064-1068","source":"Crossref","is-referenced-by-count":4,"title":["Apresenta\u00e7\u00e3o cl\u00ednica de pacientes obesos com diagn\u00f3stico polissonogr\u00e1fico de apn\u00e9ia obstrutiva do sono"],"prefix":"10.1590","volume":"51","author":[{"given":"Paloma B.","family":"Greg\u00f3rio","sequence":"first","affiliation":[{"name":"Hospital Portugu\u00eas da Bahia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo A.","family":"Athanazio","sequence":"additional","affiliation":[{"name":"Hospital Portugu\u00eas da Bahia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Almir G.V.","family":"Bitencourt","sequence":"additional","affiliation":[{"name":"Hospital Portugu\u00eas da Bahia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1via B.C. 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Med","ISSN":"http:\/\/id.crossref.org\/issn\/1073-449X","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1056\/NEJM199908053410607","article-title":"Guidelines for healthy weight","volume":"341","author":"Willett WC","year":"1999","journal-title":"N Engl J Med","ISSN":"http:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1590\/S0004-27302006000100011","article-title":"S\u00edndrome da apn\u00e9ia e hipopn\u00e9ia obstrutiva do sono: associa\u00e7\u00e3o com obesidade, g\u00eanero e idade","volume":"50","author":"Daltro CHC","year":"2006","journal-title":"Arq Bras Endocrinol Metab"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/S0889-8529(03)00069-0","article-title":"Obesity and obstructive sleep apnea","volume":"32","author":"Gami AS","year":"2003","journal-title":"Endocrinol Metab Clin North 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