Shared genetic basis for obstructive sleep apnea and adiposity measures

Introduction: Obesity and obstructive sleep apnea each have a substantial genetic basis and commonly coexist in individuals. The degree to which the genetic underpinnings for these disorders overlap has not been previously quantified. Methods: A total of 1802 individuals from 310 families in the Cle...

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Veröffentlicht in:International Journal of Obesity 2008-05, Vol.32 (5), p.795-800
Hauptverfasser: Patel, S.R, Larkin, E.K, Redline, S
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creator Patel, S.R
Larkin, E.K
Redline, S
description Introduction: Obesity and obstructive sleep apnea each have a substantial genetic basis and commonly coexist in individuals. The degree to which the genetic underpinnings for these disorders overlap has not been previously quantified. Methods: A total of 1802 individuals from 310 families in the Cleveland Family Study underwent home sleep studies as well as standardized assessment of body mass index (BMI) and circumferences at the waist, hip and neck. In 713 participants with laboratory sleep studies, fasting blood samples were assayed for leptin, adiponectin and resistin. Variance component models were used to estimate heritability and genetic correlations. Results: The heritability of the apnea hypopnea index (AHI) was 0.370.04 and 0.330.07 for home and laboratory sleep studies, respectively. The genetic correlations between AHI and anthropomorphic adiposity measures ranged from 0.57 to 0.61, suggesting that obesity can explain nearly 40% of the genetic variance in sleep apnea. The magnitude of the genetic correlations between apnea severity and adipokine levels was substantially less than those with anthropomorphic measures, ranging from 0.11 to 0.46. After adjusting for BMI, no significant genetic correlation with apnea severity was observed for any of the other adiposity measures. Conclusions: Substantial but not complete overlap in genetic bases exists between sleep apnea and anthropomorphic indices of adiposity, and this overlap accounts for more than one-third of the genetic variance in apnea severity. These findings suggest that genetic polymorphisms exist that importantly influence sleep apnea susceptibility through both obesity-dependent and -independent pathways.
doi_str_mv 10.1038/sj.ijo.0803803
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The degree to which the genetic underpinnings for these disorders overlap has not been previously quantified. Methods: A total of 1802 individuals from 310 families in the Cleveland Family Study underwent home sleep studies as well as standardized assessment of body mass index (BMI) and circumferences at the waist, hip and neck. In 713 participants with laboratory sleep studies, fasting blood samples were assayed for leptin, adiponectin and resistin. Variance component models were used to estimate heritability and genetic correlations. Results: The heritability of the apnea hypopnea index (AHI) was 0.370.04 and 0.330.07 for home and laboratory sleep studies, respectively. The genetic correlations between AHI and anthropomorphic adiposity measures ranged from 0.57 to 0.61, suggesting that obesity can explain nearly 40% of the genetic variance in sleep apnea. The magnitude of the genetic correlations between apnea severity and adipokine levels was substantially less than those with anthropomorphic measures, ranging from 0.11 to 0.46. After adjusting for BMI, no significant genetic correlation with apnea severity was observed for any of the other adiposity measures. Conclusions: Substantial but not complete overlap in genetic bases exists between sleep apnea and anthropomorphic indices of adiposity, and this overlap accounts for more than one-third of the genetic variance in apnea severity. These findings suggest that genetic polymorphisms exist that importantly influence sleep apnea susceptibility through both obesity-dependent and -independent pathways.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0803803</identifier><identifier>PMID: 18209735</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>abdominal fat ; adipokines ; Adipose tissues ; Adiposity - genetics ; Adult ; Anthropomorphism ; Biological and medical sciences ; Blood ; body composition ; Body Mass Index ; Care and treatment ; complications ; Critical care ; Diagnosis ; disease severity ; Epidemiologic Methods ; epidemiological studies ; Epidemiology ; Family studies ; Female ; Genetic aspects ; genetic correlation ; genetic polymorphism ; Genetic Predisposition to Disease - epidemiology ; Genetic variance ; genetic variation ; Genetics ; Genotype ; Health Promotion and Disease Prevention ; heritability ; hormone secretion ; Humans ; inheritance (genetics) ; Internal Medicine ; Laboratories ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity - genetics ; obesity-related diseases ; original-article ; Phenotype ; Physiological aspects ; Pneumology ; Polysomnography - methods ; Public Health ; Respiratory system : syndromes and miscellaneous diseases ; risk assessment ; Risk factors ; Sleep apnea ; Sleep apnea syndromes ; Sleep Apnea, Obstructive - epidemiology ; Sleep Apnea, Obstructive - genetics ; Treatment Outcome ; Waist-Hip Ratio</subject><ispartof>International Journal of Obesity, 2008-05, Vol.32 (5), p.795-800</ispartof><rights>Springer Nature Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group May 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c726t-c6c7e66e8ac8d697d6bed17ebc24fd1b61cb31bf618413a30afdcd6286ad2ad53</citedby><cites>FETCH-LOGICAL-c726t-c6c7e66e8ac8d697d6bed17ebc24fd1b61cb31bf618413a30afdcd6286ad2ad53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20315998$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18209735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel, S.R</creatorcontrib><creatorcontrib>Larkin, E.K</creatorcontrib><creatorcontrib>Redline, S</creatorcontrib><title>Shared genetic basis for obstructive sleep apnea and adiposity measures</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Introduction: Obesity and obstructive sleep apnea each have a substantial genetic basis and commonly coexist in individuals. The degree to which the genetic underpinnings for these disorders overlap has not been previously quantified. Methods: A total of 1802 individuals from 310 families in the Cleveland Family Study underwent home sleep studies as well as standardized assessment of body mass index (BMI) and circumferences at the waist, hip and neck. In 713 participants with laboratory sleep studies, fasting blood samples were assayed for leptin, adiponectin and resistin. Variance component models were used to estimate heritability and genetic correlations. Results: The heritability of the apnea hypopnea index (AHI) was 0.370.04 and 0.330.07 for home and laboratory sleep studies, respectively. The genetic correlations between AHI and anthropomorphic adiposity measures ranged from 0.57 to 0.61, suggesting that obesity can explain nearly 40% of the genetic variance in sleep apnea. The magnitude of the genetic correlations between apnea severity and adipokine levels was substantially less than those with anthropomorphic measures, ranging from 0.11 to 0.46. After adjusting for BMI, no significant genetic correlation with apnea severity was observed for any of the other adiposity measures. Conclusions: Substantial but not complete overlap in genetic bases exists between sleep apnea and anthropomorphic indices of adiposity, and this overlap accounts for more than one-third of the genetic variance in apnea severity. These findings suggest that genetic polymorphisms exist that importantly influence sleep apnea susceptibility through both obesity-dependent and -independent pathways.</description><subject>abdominal fat</subject><subject>adipokines</subject><subject>Adipose tissues</subject><subject>Adiposity - genetics</subject><subject>Adult</subject><subject>Anthropomorphism</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>body composition</subject><subject>Body Mass Index</subject><subject>Care and treatment</subject><subject>complications</subject><subject>Critical care</subject><subject>Diagnosis</subject><subject>disease severity</subject><subject>Epidemiologic Methods</subject><subject>epidemiological studies</subject><subject>Epidemiology</subject><subject>Family studies</subject><subject>Female</subject><subject>Genetic aspects</subject><subject>genetic correlation</subject><subject>genetic polymorphism</subject><subject>Genetic Predisposition to Disease - epidemiology</subject><subject>Genetic variance</subject><subject>genetic variation</subject><subject>Genetics</subject><subject>Genotype</subject><subject>Health Promotion and Disease Prevention</subject><subject>heritability</subject><subject>hormone secretion</subject><subject>Humans</subject><subject>inheritance (genetics)</subject><subject>Internal Medicine</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; 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subjects abdominal fat
adipokines
Adipose tissues
Adiposity - genetics
Adult
Anthropomorphism
Biological and medical sciences
Blood
body composition
Body Mass Index
Care and treatment
complications
Critical care
Diagnosis
disease severity
Epidemiologic Methods
epidemiological studies
Epidemiology
Family studies
Female
Genetic aspects
genetic correlation
genetic polymorphism
Genetic Predisposition to Disease - epidemiology
Genetic variance
genetic variation
Genetics
Genotype
Health Promotion and Disease Prevention
heritability
hormone secretion
Humans
inheritance (genetics)
Internal Medicine
Laboratories
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Obesity
Obesity - complications
Obesity - epidemiology
Obesity - genetics
obesity-related diseases
original-article
Phenotype
Physiological aspects
Pneumology
Polysomnography - methods
Public Health
Respiratory system : syndromes and miscellaneous diseases
risk assessment
Risk factors
Sleep apnea
Sleep apnea syndromes
Sleep Apnea, Obstructive - epidemiology
Sleep Apnea, Obstructive - genetics
Treatment Outcome
Waist-Hip Ratio
title Shared genetic basis for obstructive sleep apnea and adiposity measures
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