P345 Prevalence of sleep disordered breathing in subjects with metabolic syndrome

2006 ◽  
Vol 7 ◽  
pp. S63-S64
Author(s):  
Maree Barnes ◽  
George Jerums ◽  
David Hare ◽  
Allison Collins ◽  
Sianna Panagiotopoulos ◽  
...  
2007 ◽  
Vol 176 (4) ◽  
pp. 401-408 ◽  
Author(s):  
Susan Redline ◽  
Amy Storfer-Isser ◽  
Carol L. Rosen ◽  
Nathan L. Johnson ◽  
H. Lester Kirchner ◽  
...  

2014 ◽  
Vol 11 (4) ◽  
pp. 257-275 ◽  
Author(s):  
Ian W Seetho ◽  
John PH Wilding

Sleep-disordered breathing (SDB) encompasses a spectrum of conditions that can lead to altered sleep homeostasis. In particular, obstructive sleep apnoea (OSA) is the most common form of SDB and is associated with adverse cardiometabolic manifestations including hypertension, metabolic syndrome and type 2 diabetes, ultimately increasing the risk of cardiovascular disease. The pathophysiological basis of these associations may relate to repeated intermittent hypoxia and fragmented sleep episodes that characterize OSA which drive further mechanisms with adverse metabolic and cardiovascular consequences. The associations of OSA with type 2 diabetes and the metabolic syndrome have been described in studies ranging from epidemiological and observational studies to controlled trials investigating the effects of OSA therapy with continuous positive airway pressure (CPAP). In recent years, there have been rising prevalence rates of diabetes and obesity worldwide. Given the established links between SDB (in particular OSA) with both conditions, understanding the potential influence of OSA on the components of the metabolic syndrome and diabetes and the underlying mechanisms by which such interactions may contribute to metabolic dysregulation are important in order to effectively and holistically manage patients with SDB, type 2 diabetes or the metabolic syndrome. In this article, we review the literature describing the associations, the possible underlying pathophysiological mechanisms linking these conditions and the effects of interventions including CPAP treatment and weight loss.


SLEEP ◽  
2014 ◽  
Vol 37 (10) ◽  
pp. 1707-1713 ◽  
Author(s):  
Claudia E. Korcarz ◽  
James H. Stein ◽  
Paul E. Peppard ◽  
Terry B. Young ◽  
Jodi H. Barnet ◽  
...  

2007 ◽  
Vol 150 (6) ◽  
pp. 608-612 ◽  
Author(s):  
S.L. Verhulst ◽  
N. Schrauwen ◽  
D. Haentjens ◽  
R.P. Rooman ◽  
L. Van Gaal ◽  
...  

2020 ◽  
Vol 105 (4) ◽  
pp. e1827-e1834 ◽  
Author(s):  
Stacey Simon ◽  
Haseeb Rahat ◽  
Anne-Marie Carreau ◽  
Yesenia Garcia-Reyes ◽  
Ann Halbower ◽  
...  

Abstract Context Polycystic ovary syndrome (PCOS) is a common endocrine disorder and is associated with metabolic syndrome (MS). Development of MS in PCOS is likely multifactorial and may relate to poor sleep. Objective The objective of this research is to investigate differences in objective markers of sleep in adolescents with obesity and PCOS with and without MS. We also aimed to examine the relationships between markers of sleep with MS markers. Design A cross-sectional study was conducted. Participants Participants included adolescents with PCOS and obesity with MS (N = 30) or without MS (N = 36). Outcome Measures Hormone and metabolic measurements, abdominal magnetic resonance imaging for hepatic fat fraction, actigraphy to estimate sleep, and overnight polysomnography (PSG). Results Adolescents with obesity and PCOS who also had MS had significantly worse sleep-disordered breathing including higher apnea-hypopnea index (AHI, P = .02) and arousal index (P = .01) compared to those without MS. Actigraphy showed no differences in habitual patterns of sleep behaviors including duration, timing, or efficiency between groups. However, a greater number of poor sleep health behaviors was associated with greater number of MS components (P = .04). Higher AHI correlated with higher triglycerides (TG) (r = 0.49, P = .02), and poorer sleep efficiency correlated with higher percentage of liver fat (r = –0.40, P = .01), waist circumference (r = –0.46, P < .01) and higher TG (r = –0.34, P = .04). Conclusions Among girls with PCOS and obesity, sleep-disordered breathing was more prevalent in those with MS, and poor sleep behaviors were associated with metabolic dysfunction and more MS symptoms. Sleep health should be included in the assessment of adolescents with PCOS and obesity.


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