Is Metabolic Syndrome Associated with Obstructive Sleep Apnea in Obese Adolescents?

Erdim, İbrahim; Akçay, Teoman; Yilmazer, Rasim; Erdur, Ömer; Kayhan, Fatma Tülin

doi:10.5664/jcsm.5266

Cited by 19 publications

(19 citation statements)

References 32 publications

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“…7,12 Studies have found that poor SE is associated with obesity, metabolic syndrome, and hypertension. [13][14][15] Besides, SE was also found to be a significant contributor for the insulin sensitivity in overweight and obese adolescents. 14 However, there is no evidence on the association between SE and DM based on PSG records.…”

mentioning

confidence: 95%

“…SE, which is usually the measure used to evaluate individuals for sleep fragmentation, is defined as the ratio of time spent asleep to total time in bed multiplied by 100 . Studies have found that poor SE is associated with obesity, metabolic syndrome, and hypertension . Besides, SE was also found to be a significant contributor for the insulin sensitivity in overweight and obese adolescents .…”

Section: Introductionmentioning

confidence: 99%

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The association between sleep efficiency and diabetes mellitus in community‐dwelling individuals with or without sleep‐disordered breathing

Yan

Zhao

Fan

et al. 2019

Journal of Diabetes

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Background Sleeping habits have been reported to be associated with diabetes mellitus. This study aimed to explore the relationship of sleep efficiency with diabetes mellitus in individuals with or without sleep‐disordered breathing based on polysomnography records. Methods We enrolled participants from the Sleep Heart Health Study. Objective indicators of sleep characteristics including sleep efficiency, sleep latency, slow‐wave sleep, wake after sleep onset, and total arousal index were monitored via in‐home polysomnography. Sleep efficiency was divided into grade 1 (≥85%), grade 2 (80%‐84.9%), and grade 3 (<80%). Multivariate logistic regression models were utilized to investigate the association between sleep quality and diabetes mellitus. Results The present study comprised 4737 participants with a mean age of 63.6 ± 11.0 years. The prevalence of diabetes mellitus was higher in those with grade 3 sleep efficiency than that in those with grade 1 and grade 2 sleep efficiency in participants with (10.9% vs 8.5% vs 8.3%, respectively; P =.134) or without (9.5% vs 5.6% vs 3.5%, respectively; P <.001) sleep‐disordered breathing. After adjusting for potential confounding factors, sleep efficiency <80% was associated with the prevalence of diabetes mellitus only in participants without sleep‐disordered breathing (odds ratio, 1.894; 95% confidence interval, 1.187‐3.022, P =.007). Conclusion Poor sleep efficiency is associated with diabetes mellitus in those without sleep‐disordered breathing. Therefore, the relationship between sleep efficiency and diabetes mellitus is worth further investigation.

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confidence: 95%

Section: Introductionmentioning

confidence: 99%

The association between sleep efficiency and diabetes mellitus in community‐dwelling individuals with or without sleep‐disordered breathing

Yan

Zhao

Fan

et al. 2019

Journal of Diabetes

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“…But a multivariate logistic regression analysis showed that OSHAS and sleep in stage R had an independent association with MS [19]. However, other authors found no differences between obese adolescents with and without MS in AHI index [20]. More research is needed to search for natural history of the disease in lifetime and influence of obesity.…”

Section: Comparison With Other Studies and Explanationsmentioning

confidence: 99%

Sleep and Polysomnographic Alterations in Patients with Syndrome Z

et al. 2017

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Purpose Syndrome Z is the association of obstructive sleep apnea/hypopnea syndrome (OSAHS), vascular and metabolic risk factors. Our objective was to describe if there are sleep architecture (SA) alterations in polysomnography (PSG) recordings in patients with syndrome Z. Methods We performed PSG recordings in subjects with syndrome Z, a group of patients with OSAHS only, and a healthy control group. Comparison of SA parameters between groups controlling for confounding variables was performed. Results We observed no difference in mean of age, but a higher male percentage was observed in the OSAHS group. Body mass index and Epworth sleepiness scale means were significantly higher in patients with syndrome Z than of the other groups. Patients with syndrome Z exhibited lower scores of: total sleep time, sleep efficiency, oxygen saturation, maximum oxygen desaturation; and higher scores in: awake time, sleep in stage N1, apnea-hypopnea index, number of obstructive and snore events, heart rate, and electroencephalographic activations. Conclusion Patients with syndrome Z presented higher amount of SA alterations when compared with patients with OSAHS and control subjects.

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“…They found that OSAS severity was associated with increased fasting insulin, blood glucose, and insulin resistance. Conversely, Erdim et al did not find any association between the presence of metabolic syndrome and anomalies in PSG sleep or respiratory indices in a prospective study of 104 obese adolescents.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Pulmonologyyear in review 2015: Part 2

Praud

2016

Pediatr Pulmonol.

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Pediatric Pulmonology covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review (Part 2) covers articles on sleep-disordered breathing. Pediatr Pulmonol. 2016;51:740-746. © 2016 Wiley Periodicals, Inc.

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Is Metabolic Syndrome Associated with Obstructive Sleep Apnea in Obese Adolescents?

Abstract: In our study, we did not find an association between MS and sleep apnea in obese adolescents.

Cited by 19 publications

References 32 publications

The association between sleep efficiency and diabetes mellitus in community‐dwelling individuals with or without sleep‐disordered breathing

The association between sleep efficiency and diabetes mellitus in community‐dwelling individuals with or without sleep‐disordered breathing

Sleep and Polysomnographic Alterations in Patients with Syndrome Z

Pediatric Pulmonologyyear in review 2015: Part 2

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