Endocrine Abstracts

Introduction: Obstructive sleep apnea-hypopnea syndrome (OSAHS) and obesity are two pathologies increasingly prevalent in population related to each other. Obesity is present in between 60-90% of patients diagnosed with OSAHS being the most important modifiable risk factor. Obesity influences the risk factor for OSAHS degree of severity, increasing its severity by up to 30%. The degree of relation between both pathologies, we created a protocol Endocrinology and Pneumology services, searching the effect on weight loss in our patients.

Material and Methods: Descriptive, retrospective, cross-sectional study. We incluided 70 patients diagnosed with severe OSAHS (apnea-hypopnea index -AHI- greater than 30) and with obesity (BMI greater than 25 kg/m²). 35 patients received a basic intervention in nutrition and dietetics and another 35 received the recommendations included in the weight loss protocol created by the Endocrinology service. We compared weight loss one year after the nutritional intervention.

Results: Between the patients who received a basic intervention in nutrition and diet, 79.4% were men and 20.6% were women. 44.1% (p 0.033) of these patients had been diagnosed with Type 2 Diabetes Mellitus; 17.6% of the patients had previously presented an ischemic cardiovascular event and had an average BMI of 34 kg/m². 11.8% of the patients (P: 0.045) had lost weight one year later with an average of 34 kg. The patients who received the protocol guideline created by the Endocrinology Service, 90.3% were men and 9.7% women. 19.4% (P 0.033) had been diagnosed with Type 2 Diabetes Mellitus and they had an average BMI of 35 kg/m². 32.3% of the patients (P 0.045) had lost weight one year later with an average of 31 kg.

Conclusions: The weight loss applying the Endocrinology service protocol was statistically significant (P 0.045) in our study, observed in 32.3% of the patients to whom said protocol was applied, compared to the application of a basic intervention, where a weight loss of 11.8% (P: 0.045) is observed.