Plasma visfatin levels in severe obstructive sleep apnea—hypopnea syndrome

Background Obstructive sleep apnea syndrome (OSAS) is associated with obesity and insulin resistance. Visfatin is an insulin-mimicking adipokine, which is considered a link between obesity and insulin resistance. Aim of this study was to evaluate levels of plasma visfatin in patients with severe OSA...

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Veröffentlicht in:Sleep & breathing 2009-11, Vol.13 (4), p.349-355
Hauptverfasser: Trakada, Georgia, Steiropoulos, Paschalis, Nena, Evangelia, Gkioka, Theodora, Kouliatsis, Georgios, Pataka, Athanasia, Sotiriou, Ioannis, Anevlavis, Stavros, Papanas, Nikolaos, Bouros, Demosthenes
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container_title Sleep & breathing
container_volume 13
creator Trakada, Georgia
Steiropoulos, Paschalis
Nena, Evangelia
Gkioka, Theodora
Kouliatsis, Georgios
Pataka, Athanasia
Sotiriou, Ioannis
Anevlavis, Stavros
Papanas, Nikolaos
Bouros, Demosthenes
description Background Obstructive sleep apnea syndrome (OSAS) is associated with obesity and insulin resistance. Visfatin is an insulin-mimicking adipokine, which is considered a link between obesity and insulin resistance. Aim of this study was to evaluate levels of plasma visfatin in patients with severe OSAS and examine their potential correlation with sleep characteristics and several biochemical parameters. Methods Nondiabetic patients with severe OSAS (Apnea Hypopnea Index > 30/h, n  = 32) and healthy controls (Apnea Hypopnea Index 
doi_str_mv 10.1007/s11325-009-0254-6
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Visfatin is an insulin-mimicking adipokine, which is considered a link between obesity and insulin resistance. Aim of this study was to evaluate levels of plasma visfatin in patients with severe OSAS and examine their potential correlation with sleep characteristics and several biochemical parameters. Methods Nondiabetic patients with severe OSAS (Apnea Hypopnea Index &gt; 30/h, n  = 32) and healthy controls (Apnea Hypopnea Index &lt; 5/h, n  = 12), examined with polysomnography, underwent a biochemical analysis to estimate fasting levels of visfatin, glucose, insulin, C-peptide, and lipid profile. Results The two groups were matched for age and body mass index (BMI). OSAS patients had significantly higher fasting insulin levels ( p  = 0.045), but no difference was shown in visfatin between patients and controls ( p  = 0.585). In OSAS patients, visfatin levels correlated positively with sleep latency ( r  = 0.539, p  = 0.01) and triglyceride levels ( r  = 0.584, p  = 0.036) and negatively with total sleep time, percentage of stage 2 and REM sleep, and LDL-cholesterol levels ( r  = −0.659 and p  = 0.001; r  = −0.496 and p  = 0.019; r  = −0.577 and p  = 0.005; r  = −0.804 and p  = 0.003, respectively). No association was found, however, between visfatin levels and HOMA index or indices of nocturnal hypoxia. Conclusions In patients with severe OSAS, visfatin levels are associated with characteristics of sleep architecture. However, there is no correlation between visfatin and insulin resistance or nocturnal hypoxia.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-009-0254-6</identifier><identifier>PMID: 19360446</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Biological and medical sciences ; Blood Glucose - metabolism ; Body Mass Index ; C-Peptide - blood ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; Dentistry ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Female ; Fundamental and applied biological sciences. Psychology ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Hypoxia ; Insulin resistance ; Insulin Resistance - physiology ; Internal Medicine ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Nicotinamide Phosphoribosyltransferase - blood ; Original Article ; Otorhinolaryngology ; Pediatrics ; Plasma ; Pneumology/Respiratory System ; Polysomnography ; Sleep apnea ; Sleep Apnea, Obstructive - blood ; Sleep disorders ; Sleep Stages - physiology ; Sleep, REM - physiology ; Sleep. Vigilance ; Statistics as Topic ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Triglycerides - blood ; Vertebrates: nervous system and sense organs</subject><ispartof>Sleep &amp; breathing, 2009-11, Vol.13 (4), p.349-355</ispartof><rights>Springer-Verlag 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-cef931a3d522f61546d482948a775fad5f215c75603b460493fa27fa1d652d773</citedby><cites>FETCH-LOGICAL-c400t-cef931a3d522f61546d482948a775fad5f215c75603b460493fa27fa1d652d773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-009-0254-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-009-0254-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22113955$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19360446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trakada, Georgia</creatorcontrib><creatorcontrib>Steiropoulos, Paschalis</creatorcontrib><creatorcontrib>Nena, Evangelia</creatorcontrib><creatorcontrib>Gkioka, Theodora</creatorcontrib><creatorcontrib>Kouliatsis, Georgios</creatorcontrib><creatorcontrib>Pataka, Athanasia</creatorcontrib><creatorcontrib>Sotiriou, Ioannis</creatorcontrib><creatorcontrib>Anevlavis, Stavros</creatorcontrib><creatorcontrib>Papanas, Nikolaos</creatorcontrib><creatorcontrib>Bouros, Demosthenes</creatorcontrib><title>Plasma visfatin levels in severe obstructive sleep apnea—hypopnea syndrome</title><title>Sleep &amp; breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Background Obstructive sleep apnea syndrome (OSAS) is associated with obesity and insulin resistance. Visfatin is an insulin-mimicking adipokine, which is considered a link between obesity and insulin resistance. Aim of this study was to evaluate levels of plasma visfatin in patients with severe OSAS and examine their potential correlation with sleep characteristics and several biochemical parameters. Methods Nondiabetic patients with severe OSAS (Apnea Hypopnea Index &gt; 30/h, n  = 32) and healthy controls (Apnea Hypopnea Index &lt; 5/h, n  = 12), examined with polysomnography, underwent a biochemical analysis to estimate fasting levels of visfatin, glucose, insulin, C-peptide, and lipid profile. Results The two groups were matched for age and body mass index (BMI). OSAS patients had significantly higher fasting insulin levels ( p  = 0.045), but no difference was shown in visfatin between patients and controls ( p  = 0.585). In OSAS patients, visfatin levels correlated positively with sleep latency ( r  = 0.539, p  = 0.01) and triglyceride levels ( r  = 0.584, p  = 0.036) and negatively with total sleep time, percentage of stage 2 and REM sleep, and LDL-cholesterol levels ( r  = −0.659 and p  = 0.001; r  = −0.496 and p  = 0.019; r  = −0.577 and p  = 0.005; r  = −0.804 and p  = 0.003, respectively). No association was found, however, between visfatin levels and HOMA index or indices of nocturnal hypoxia. Conclusions In patients with severe OSAS, visfatin levels are associated with characteristics of sleep architecture. However, there is no correlation between visfatin and insulin resistance or nocturnal hypoxia.</description><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Body Mass Index</subject><subject>C-Peptide - blood</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Dentistry</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Insulin resistance</subject><subject>Insulin Resistance - physiology</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Nicotinamide Phosphoribosyltransferase - blood</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Plasma</subject><subject>Pneumology/Respiratory System</subject><subject>Polysomnography</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - blood</subject><subject>Sleep disorders</subject><subject>Sleep Stages - physiology</subject><subject>Sleep, REM - physiology</subject><subject>Sleep. Vigilance</subject><subject>Statistics as Topic</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Triglycerides - blood</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE1qG0EQhRtjY9myD5BNGAzBq7G7-le9DMKxA4J44ayb1kx3MmL-0jUj0C6H8AlzEvdEIoKAV_Wgvnr1eIR8AHoHlOp7BOBM5pSanDIpcnVCLkAyloOm5vSvprmRwGbkEnFDKYiFgXMyA8MVFUJdkNVz7bBx2bbC4IaqzWq_9TVmSWFS0WfdGoc4FkO19RnW3veZ61vv_vx-_bnru0lmuGvL2DX-ipwFV6O_Psw5-f7l4WX5lK--PX5dfl7lhaB0yAsfDAfHyxQ1KJBClWLBjFg4rWVwpQwMZKGlonwtUk7Dg2M6OCiVZKXWfE5u97597H6NHgfbVFj4unat70a0mnMFTBqVyJv_yE03xjaFswstQBgBMkGwh4rYIUYfbB-rxsWdBWqnou2-aJuKtlPRdjL-eDAe140vjxeHZhPw6QA4LFwdomuLCv9xjCVLI6fnbM9hWrU_fDwmfP_7G0STlV8</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Trakada, Georgia</creator><creator>Steiropoulos, Paschalis</creator><creator>Nena, Evangelia</creator><creator>Gkioka, Theodora</creator><creator>Kouliatsis, Georgios</creator><creator>Pataka, Athanasia</creator><creator>Sotiriou, Ioannis</creator><creator>Anevlavis, Stavros</creator><creator>Papanas, Nikolaos</creator><creator>Bouros, Demosthenes</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Plasma visfatin levels in severe obstructive sleep apnea—hypopnea syndrome</title><author>Trakada, Georgia ; Steiropoulos, Paschalis ; Nena, Evangelia ; Gkioka, Theodora ; Kouliatsis, Georgios ; Pataka, Athanasia ; Sotiriou, Ioannis ; Anevlavis, Stavros ; Papanas, Nikolaos ; Bouros, Demosthenes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-cef931a3d522f61546d482948a775fad5f215c75603b460493fa27fa1d652d773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Body Mass Index</topic><topic>C-Peptide - blood</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Dentistry</topic><topic>Disorders of higher nervous function. 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Visfatin is an insulin-mimicking adipokine, which is considered a link between obesity and insulin resistance. Aim of this study was to evaluate levels of plasma visfatin in patients with severe OSAS and examine their potential correlation with sleep characteristics and several biochemical parameters. Methods Nondiabetic patients with severe OSAS (Apnea Hypopnea Index &gt; 30/h, n  = 32) and healthy controls (Apnea Hypopnea Index &lt; 5/h, n  = 12), examined with polysomnography, underwent a biochemical analysis to estimate fasting levels of visfatin, glucose, insulin, C-peptide, and lipid profile. Results The two groups were matched for age and body mass index (BMI). OSAS patients had significantly higher fasting insulin levels ( p  = 0.045), but no difference was shown in visfatin between patients and controls ( p  = 0.585). In OSAS patients, visfatin levels correlated positively with sleep latency ( r  = 0.539, p  = 0.01) and triglyceride levels ( r  = 0.584, p  = 0.036) and negatively with total sleep time, percentage of stage 2 and REM sleep, and LDL-cholesterol levels ( r  = −0.659 and p  = 0.001; r  = −0.496 and p  = 0.019; r  = −0.577 and p  = 0.005; r  = −0.804 and p  = 0.003, respectively). No association was found, however, between visfatin levels and HOMA index or indices of nocturnal hypoxia. Conclusions In patients with severe OSAS, visfatin levels are associated with characteristics of sleep architecture. However, there is no correlation between visfatin and insulin resistance or nocturnal hypoxia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19360446</pmid><doi>10.1007/s11325-009-0254-6</doi><tpages>7</tpages></addata></record>
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subjects Biological and medical sciences
Blood Glucose - metabolism
Body Mass Index
C-Peptide - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Dentistry
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Female
Fundamental and applied biological sciences. Psychology
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Hypoxia
Insulin resistance
Insulin Resistance - physiology
Internal Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Nicotinamide Phosphoribosyltransferase - blood
Original Article
Otorhinolaryngology
Pediatrics
Plasma
Pneumology/Respiratory System
Polysomnography
Sleep apnea
Sleep Apnea, Obstructive - blood
Sleep disorders
Sleep Stages - physiology
Sleep, REM - physiology
Sleep. Vigilance
Statistics as Topic
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Triglycerides - blood
Vertebrates: nervous system and sense organs
title Plasma visfatin levels in severe obstructive sleep apnea—hypopnea syndrome
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