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The association of diabetes with progression of sleep-disordered breathing based on a prospective cohort.
Zhang, Xiujian; Su, Yingying; Zhu, Xuanfeng.
Afiliación
  • Zhang X; Department of Respiratory Medicine, Nanjing Meishan Hospital, Nanjing, China.
  • Su Y; Department of Clinical Medicine, Nanjing Medical University, Nanjing, China.
  • Zhu X; Department of Respiratory Medicine, Jiangsu Province Official Hospital, Nanjing, China.
Diabetes Obes Metab ; 26(9): 3935-3939, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38951866
ABSTRACT

AIM:

Prospective studies suggest that sleep-disordered breathing enhances the risk of diabetes. However, it remains unclear whether diabetes could worsen sleep-disordered breathing.

METHODS:

The participants from Sleep Heart Health Study underwent two polysomnograms at a 5-year interval. The relationship of baseline diabetes to change in the apnoea-hypopnoea index (AHI) was examined based on general linear models, adjusting for demographics, lifestyles, history of hypertension, pulmonary function, length of follow-up and baseline AHI.

RESULTS:

In total, 161 of the 2603 participants were diagnosed with diabetes at the first polysomnograms. Compared with participants without diabetes, those with diabetes had a higher baseline and larger increases in follow-up AHI and obstructive apnoea index (oAI). Diabetes increased 2.52 events per hour (95% confidence interval 0.45-4.59; p = .017) for AHI change and 1.13 events per hour (95% confidence interval 0.04-2.23; p = .042) for oAI change, respectively. In addition, subgroup analysis suggested that the association was consistent across baseline obstructive sleep apnoea severity and body mass index groups.

CONCLUSIONS:

Baseline diabetes was associated with worsening sleep-disordered breathing over 5 years, which mainly increased the change in AHI and oAI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndromes de la Apnea del Sueño / Polisomnografía / Progresión de la Enfermedad Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Diabetes Obes Metab Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndromes de la Apnea del Sueño / Polisomnografía / Progresión de la Enfermedad Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Diabetes Obes Metab Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido