Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus

Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in sever...

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Autores principales: Rajan P, Greenberg H
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:a55750ab71bc4518922579836c8478522021-12-02T02:42:44ZObstructive sleep apnea as a risk factor for type 2 diabetes mellitus1179-1608https://doaj.org/article/a55750ab71bc4518922579836c8478522015-10-01T00:00:00Zhttps://www.dovepress.com/obstructive-sleep-apnea-as-a-risk-factor-for-type-2-diabetes-mellitus-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiologic studies. OSA leads to several physiologic disturbances such as intermittent hypoxia, sleep fragmentation, and increase in autonomic tone. These disturbances have been associated with insulin resistance and type 2 diabetes mellitus (T2DM) in animal and human studies. Studies also suggest a bidirectional relationship between OSA and T2DM whereby T2DM itself might contribute to the features of OSA. Moreover, successful treatment of OSA may reduce these risks, although this is controversial. The purpose of this article is to review 1) the links and bidirectional associations between OSA and T2DM; 2) the pathogenic mechanisms that might link these two disease states; 3) the role of continuous positive airway pressure therapy in improving glucose tolerance, sensitivity, and resistance; and 4) the implications for clinical practice. Keywords: Insulin resistance, metabolic syndrome, sleep disordered breathing, intermittent hypoxiaRajan PGreenberg HDove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2015, Iss default, Pp 113-125 (2015)
institution DOAJ
collection DOAJ
language EN
topic Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
Rajan P
Greenberg H
Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
description Preethi Rajan, Harly Greenberg Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY, USA Abstract: Obstructive sleep apnea (OSA) is independently associated with cardiovascular and cardiometabolic risk in several large epidemiologic studies. OSA leads to several physiologic disturbances such as intermittent hypoxia, sleep fragmentation, and increase in autonomic tone. These disturbances have been associated with insulin resistance and type 2 diabetes mellitus (T2DM) in animal and human studies. Studies also suggest a bidirectional relationship between OSA and T2DM whereby T2DM itself might contribute to the features of OSA. Moreover, successful treatment of OSA may reduce these risks, although this is controversial. The purpose of this article is to review 1) the links and bidirectional associations between OSA and T2DM; 2) the pathogenic mechanisms that might link these two disease states; 3) the role of continuous positive airway pressure therapy in improving glucose tolerance, sensitivity, and resistance; and 4) the implications for clinical practice. Keywords: Insulin resistance, metabolic syndrome, sleep disordered breathing, intermittent hypoxia
format article
author Rajan P
Greenberg H
author_facet Rajan P
Greenberg H
author_sort Rajan P
title Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
title_short Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
title_full Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
title_fullStr Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
title_full_unstemmed Obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
title_sort obstructive sleep apnea as a risk factor for type 2 diabetes mellitus
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/a55750ab71bc4518922579836c847852
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AT greenbergh obstructivesleepapneaasariskfactorfortype2diabetesmellitus
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