1. ٘‫انسكش‬ ‫ٔانذاء‬ ‫انُٕو‬ ‫أثُبء‬ ‫انخُفس‬ ‫اَقطبع‬
Sleep Apnea May Raise Risk of
Diabetes
‫الشرٌك‬ ‫ٌوسف‬ ‫دكتور‬
Dr. Yousef Elshrek

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. •‫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. ‫انشخٛش‬ ‫حذٔد‬ ‫آنٛت‬‫ٔاَقطبع‬
‫أثُبء‬ ‫انخُفس‬‫انُٕو‬
The mechanism of snoring
And sleep apnea

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. •‫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. •ٙ‫ٔ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. •‫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. •‫ٌ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