» Articles » PMID: 26115005

The Association Between Obstructive Sleep Apnea and Metabolic Markers and Lipid Profiles

Overview
Journal PLoS One
Date 2015 Jun 27
PMID 26115005
Citations 18
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: The purpose of this study was to investigate the association between apnea-hypopnea index (AHI) and metabolic markers and whether the elevated risk of Metabolic Syndrome (MetS) is related to Obstructive Sleep Apnea (OSA).

Methods: This cross-sectional study recruited 246 male bus drivers from one transportation company in Taiwan. Each participant was evaluated by a polysomnography (PSG) test and by blood lipids examination. Severity of OSA was categorized according to the apnea-hypopnea index (AHI).

Results: The results showed that a 73.3% prevalence of MetS in OSA (AHI > 15) and a 80.0% prevalence of MetS in severe OSA (AHI > 30) were found. After adjusting for confounding variables, an increased level of Body-Mass Index (BMI) and two non-MetS cardiovascular risk factors, total cholesterol/HDL-C ratio and TG/HDL-C ratio was significantly associated with AHI in subjects with severe OSA. MetS was about three times to be present in subjects with severe OSA, even adjusted for BMI.

Conclusions: The findings showed a high prevalence of MetS in OSA among professional drivers, especially in the severe group category. BMI was the major contributing factor to OSA. However, the present study did not find a sensitive clinical marker of a detrimental metabolic profile in OSA patients.

Citing Articles

Risk factors for collisions attributed to microsleep-related behaviors while driving in professional truck drivers.

Sawatari H, Kumagai H, Kawaguchi K, Kiyohara Y, Konishi N, Arita A Sci Rep. 2024; 14(1):6378.

PMID: 38493230 PMC: 10944504. DOI: 10.1038/s41598-024-57021-1.


Composite lipid indices in patients with obstructive sleep apnea: a systematic review and meta-analysis.

Behnoush A, Bahiraie P, Shokri Varniab Z, Foroutani L, Khalaji A Lipids Health Dis. 2023; 22(1):84.

PMID: 37386562 PMC: 10308736. DOI: 10.1186/s12944-023-01859-3.


Positive correlation between snoring and dyslipidemia in adults: results from NHANES.

Tian Y, Li D, Mu H, Wei S, Guo D Lipids Health Dis. 2023; 22(1):73.

PMID: 37328831 PMC: 10276450. DOI: 10.1186/s12944-023-01839-7.


Obstructive Sleep Apnea and Stroke: Determining the Mechanisms Behind their Association and Treatment Options.

Mohamed B, Yarlagadda K, Self Z, Simon A, Rigueiro F, Sohooli M Transl Stroke Res. 2023; 15(2):239-332.

PMID: 36922470 DOI: 10.1007/s12975-023-01123-x.


Obstructive Sleep Apnoea and Lipid Metabolism: The Summary of Evidence and Future Perspectives in the Pathophysiology of OSA-Associated Dyslipidaemia.

Meszaros M, Bikov A Biomedicines. 2022; 10(11).

PMID: 36359273 PMC: 9687681. DOI: 10.3390/biomedicines10112754.


References
1.
Li J, Thorne L, Punjabi N, Sun C, Schwartz A, Smith P . Intermittent hypoxia induces hyperlipidemia in lean mice. Circ Res. 2005; 97(7):698-706. DOI: 10.1161/01.RES.0000183879.60089.a9. View

2.
Li J, Grigoryev D, Qing Ye S, Thorne L, Schwartz A, Smith P . Chronic intermittent hypoxia upregulates genes of lipid biosynthesis in obese mice. J Appl Physiol (1985). 2005; 99(5):1643-8. DOI: 10.1152/japplphysiol.00522.2005. View

3.
Bonsignore M, Esquinas C, Barcelo A, Sanchez-de-la-Torre M, Paterno A, Duran-Cantolla J . Metabolic syndrome, insulin resistance and sleepiness in real-life obstructive sleep apnoea. Eur Respir J. 2011; 39(5):1136-43. DOI: 10.1183/09031936.00151110. View

4.
Ambrosetti M, Lucioni A, Conti S, Pedretti R, Neri M . Metabolic syndrome in obstructive sleep apnea and related cardiovascular risk. J Cardiovasc Med (Hagerstown). 2006; 7(11):826-9. DOI: 10.2459/01.JCM.0000250873.01649.41. View

5.
Ruehland W, Rochford P, ODonoghue F, Pierce R, Singh P, Thornton A . The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep. 2009; 32(2):150-7. PMC: 2635578. DOI: 10.1093/sleep/32.2.150. View