Neuropeptide Y and Leptin in Patients with Obstructive Sleep Apnea Syndrome: Role of Obesity

Neuropeptide Y (NPY) and leptin are two peptides involved in the regulation of body weight, energy balance, and sympathetic tone. This study investigates the independent role of apneas and obesity on NPY and leptin plasma levels in patients with obstructive sleep apnea syndrome (OSAS). To this end w...

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Veröffentlicht in:American journal of respiratory and critical care medicine 2005-01, Vol.171 (2), p.183-187
Hauptverfasser: Barcelo, Antonia, Barbe, Ferran, Llompart, Elena, de la Pena, Monica, Duran-Cantolla, Joaquin, Ladaria, Antoni, Bosch, Margalida, Guerra, Lourdes, Agusti, Alvar G. N
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container_title American journal of respiratory and critical care medicine
container_volume 171
creator Barcelo, Antonia
Barbe, Ferran
Llompart, Elena
de la Pena, Monica
Duran-Cantolla, Joaquin
Ladaria, Antoni
Bosch, Margalida
Guerra, Lourdes
Agusti, Alvar G. N
description Neuropeptide Y (NPY) and leptin are two peptides involved in the regulation of body weight, energy balance, and sympathetic tone. This study investigates the independent role of apneas and obesity on NPY and leptin plasma levels in patients with obstructive sleep apnea syndrome (OSAS). To this end we compared their values in 23 obese (body mass index > 30 kg/m2) and 24 nonobese (body mass index < 27 kg/m2) patients with OSAS, and in 19 obese and 18 nonobese control subjects without OSAS. Patients who used continuous positive airway pressure for more than 4 hours/night were reexamined 3 and 12 months later. We found that NPY levels were increased (p < 0.01) in patients with OSAS independently of obesity. Leptin levels were also increased in OSAS but this was mostly associated to obesity. Continuous positive airway pressure treatment reduced NPY levels in all patients and leptin levels only in nonobese patients (p < 0.01). We concluded that NPY and leptin plasma levels are increased in patients with OSAS. Yet, whereas the former appear independent of obesity, the latter are mostly associated with obesity.
doi_str_mv 10.1164/rccm.200405-579OC
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source MEDLINE; Journals@Ovid Ovid Autoload; American Thoracic Society (ATS) Journals Online; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Airway management
Analysis of Variance
Biomarkers
Blood pressure
Body mass index
Case-Control Studies
Chronic illnesses
Chronic obstructive pulmonary disease
Consent
Continuous Positive Airway Pressure
Diabetes
Humans
Leptin - blood
Liver cirrhosis
Male
Middle Aged
Neuropeptide Y - blood
Neuropeptides
Obesity
Obesity - blood
Peptides
Plasma
Prospective Studies
Sleep apnea
Sleep Apnea, Obstructive - blood
Sleep Apnea, Obstructive - therapy
Statistics, Nonparametric
title Neuropeptide Y and Leptin in Patients with Obstructive Sleep Apnea Syndrome: Role of Obesity
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