Association between obesity and obstructive sleep apnoea

Arias, Miguel Á.; Alonso-Fernández, Alberto; García‐Río, Francisco; Pagola, Carlos

doi:10.1093/eurheartj/ehi608

Cited by 11 publications

(5 citation statements)

References 8 publications

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“…An emerging literature has documented a link between obesity and excessive sleepiness. Obesity exacerbate sleep disordered breathing 20,21 and sleep-related respiratory events might disturbed or shorten sleep, leading to fatigue and daytime sleepiness. 22,23 Presently, there was a positive relationship between the severity of obesity and the development of EDS, whereas there was no significant difference between cases and control subjects in AHI, which serves as a predictor of sleep-related breathing disorders.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Risk Factors, and Impact of Excessive Daytime Sleepiness in an Elderly Korean Population

Lee

Kim

et al. 2014

Sleep Med Res

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Background and ObjectiveaaExcessive daytime sleepiness (EDS) is commonly reported by the elderly, but has not been well-described in older adults in Korea. This study aimed to estimate the prevalence and risk factors of EDS, and investigated the relationship between EDS and cognitive impairment in an older Korean population. MethodsaaThe cross-sectional and community-based study recruited 333 people ≥ 60 years of age. All participants underwent fulltime nocturnal polysomnography and completed questionnaires assessing sociodemographic factors. EDS was defined as Epworth Sleepiness Scale score > 10. Cognitive functions were estimated using the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease neuropsychological assessment battery and subjective memory complaint questionnaire. ResultsaaThe overall prevalence of EDS was 18.9% with no significant difference between genders. In multivariate analysis using a multiple logistic regression model, obesity [odds ratio (OR) = 2.379, p = 0.022], educational attainment (OR = 0.929, p = 0.019) and total arousal (OR = 2.785, p = 0.008) were identified as the risk factors for EDS. Subjective memory impairment was related to EDS after controlling for confounding variables (p < 0.001). ConclusionsaaKorean elderly have a high prevalence and risk factors of EDS, which has modest effects on cognitive functioning. EDS in older adults should be adequately addressed and treated, instead of being considered as a normal aging process.

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Section: Discussionmentioning

confidence: 99%

Prevalence, Risk Factors, and Impact of Excessive Daytime Sleepiness in an Elderly Korean Population

Lee

Kim

et al. 2014

Sleep Med Res

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“…Even beyond the age of 70, when there is no appreciable effect of obesity on life-expectancy, obese subjects are much more likely to become disabled, and to spend their remaining life in a disabled condition, than lean ones [17]. The complications of obesity are multiple, and include type 2 diabetes, hypertension, coronary heart disease, stroke, heart failure, venous thromboembolism, atrial fibrillation, osteoarthritis, cancer (breast, endometrium, colon, kidney), cholelithiasis, infertility, polycystic ovary syndrome and sleep apnoea [24][25][26][27]. The association of obesity with risk for diabetes is most notable.…”

Section: Medical Complications Of Prolonged Obesitymentioning

confidence: 99%

Metabolic syndrome: a fata morgana?

Bakker

Gansevoort

Zeeuw

2006

Nephrology Dialysis Transplantation

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“…Nonalcoholic fatty liver disease (NAFLD) is a common cause of chronic liver disease and is associated with obesity and insulin resistance (1, 2). Obstructive sleep apnoea (OSA) is also a very common condition, affecting up to 4% of adult males and 2% of adult females and up to 35% of obese individuals (3–5). OSA is independently associated with insulin resistance (6–10).…”

mentioning

confidence: 99%