Association of Obstructive Sleep Apnea and Glucose Metabolism in Subjects With or Without Obesity
The purpose of this study was to investigate whether the impact of obstructive sleep apnea (OSA) on glucose metabolism was different according to the presence or absence of obesity. A total of 1,344 subjects >40 years old from the Korean Genome and Epidemiology Study were included. OSA was detect...
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| Veröffentlicht in: | Diabetes care 2013-12, Vol.36 (12), p.3909-3915 |
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| creator | NAN HEE KIM CHO, Nam H SEI HYUN BAIK DONG SEOP CHOI CHOL SHIN YUN, Chang-Ho SEUNG KU LEE DAE WUI YOON HYUN JOO CHO JAE HEE AHN SEO, Ji A SIN GON KIM KYUNG MOOK CHOI |
| description | The purpose of this study was to investigate whether the impact of obstructive sleep apnea (OSA) on glucose metabolism was different according to the presence or absence of obesity.
A total of 1,344 subjects >40 years old from the Korean Genome and Epidemiology Study were included. OSA was detected by home portable sleep monitoring. Plasma glucose, HbA1c, and insulin resistance were compared according to OSA and obesity status. The associations between OSA and impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IFG + IGT, and diabetes were evaluated in subjects with and without obesity after adjusting for several confounding variables. The effect of visceral obesity on this association was evaluated in 820 subjects who underwent abdominal computed tomography scanning.
In subjects without obesity, fasting glucose, 2-h glucose after 75-g glucose loading, and HbA1c were higher in those with OSA than in those without after controlling for age, sex, and BMI. In addition, the presence of OSA in nonobese subjects was associated with a higher prevalence of IFG + IGT and diabetes after adjusting for several confounding variables (odds ratio 3.15 [95% CI 1.44-6.90] and 2.24 [1.43-3.50] for IFG + IGT and diabetes, respectively). Further adjustment for visceral fat area did not modify this association. In contrast, in those with obesity, none of the abnormal glucose tolerance categories were associated with OSA.
The presence of OSA in nonobese individuals is significantly associated with impaired glucose metabolism, which can be responsible for future risk for diabetes and cardiovascular disease. |
| doi_str_mv | 10.2337/dc13-0375 |
| format | Article |
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A total of 1,344 subjects >40 years old from the Korean Genome and Epidemiology Study were included. OSA was detected by home portable sleep monitoring. Plasma glucose, HbA1c, and insulin resistance were compared according to OSA and obesity status. The associations between OSA and impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IFG + IGT, and diabetes were evaluated in subjects with and without obesity after adjusting for several confounding variables. The effect of visceral obesity on this association was evaluated in 820 subjects who underwent abdominal computed tomography scanning.
In subjects without obesity, fasting glucose, 2-h glucose after 75-g glucose loading, and HbA1c were higher in those with OSA than in those without after controlling for age, sex, and BMI. In addition, the presence of OSA in nonobese subjects was associated with a higher prevalence of IFG + IGT and diabetes after adjusting for several confounding variables (odds ratio 3.15 [95% CI 1.44-6.90] and 2.24 [1.43-3.50] for IFG + IGT and diabetes, respectively). Further adjustment for visceral fat area did not modify this association. In contrast, in those with obesity, none of the abnormal glucose tolerance categories were associated with OSA.
The presence of OSA in nonobese individuals is significantly associated with impaired glucose metabolism, which can be responsible for future risk for diabetes and cardiovascular disease.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc13-0375</identifier><identifier>PMID: 24101695</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Blood Glucose - metabolism ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cholesterol ; Dextrose ; Diabetes ; Diabetes Mellitus - blood ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - etiology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Female ; Follow-Up Studies ; Glucose ; Glucose Intolerance ; Glucose metabolism ; Glucose Tolerance Test ; Humans ; Insulin resistance ; Male ; Medical sciences ; Metabolic diseases ; Metabolism ; Middle Aged ; Obesity ; Obesity - blood ; Obesity - complications ; Odds Ratio ; Original Research ; Physiological aspects ; Pneumology ; Prediabetic State - blood ; Prediabetic State - epidemiology ; Prediabetic State - etiology ; Prevalence ; Prospective Studies ; Republic of Korea - epidemiology ; Respiratory system : syndromes and miscellaneous diseases ; Risk Assessment - methods ; Sleep apnea ; Sleep apnea syndromes ; Sleep Apnea, Obstructive - blood ; Sleep Apnea, Obstructive - complications</subject><ispartof>Diabetes care, 2013-12, Vol.36 (12), p.3909-3915</ispartof><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2013 American Diabetes Association</rights><rights>Copyright American Diabetes Association Dec 2013</rights><rights>2013 by the American Diabetes Association. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-a37f7d2cb9e9649b07f5f1f282a83c758482ec11f60152e020fffbe52a3f7c793</citedby><cites>FETCH-LOGICAL-c538t-a37f7d2cb9e9649b07f5f1f282a83c758482ec11f60152e020fffbe52a3f7c793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27952762$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24101695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NAN HEE KIM</creatorcontrib><creatorcontrib>CHO, Nam H</creatorcontrib><creatorcontrib>SEI HYUN BAIK</creatorcontrib><creatorcontrib>DONG SEOP CHOI</creatorcontrib><creatorcontrib>CHOL SHIN</creatorcontrib><creatorcontrib>YUN, Chang-Ho</creatorcontrib><creatorcontrib>SEUNG KU LEE</creatorcontrib><creatorcontrib>DAE WUI YOON</creatorcontrib><creatorcontrib>HYUN JOO CHO</creatorcontrib><creatorcontrib>JAE HEE AHN</creatorcontrib><creatorcontrib>SEO, Ji A</creatorcontrib><creatorcontrib>SIN GON KIM</creatorcontrib><creatorcontrib>KYUNG MOOK CHOI</creatorcontrib><title>Association of Obstructive Sleep Apnea and Glucose Metabolism in Subjects With or Without Obesity</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>The purpose of this study was to investigate whether the impact of obstructive sleep apnea (OSA) on glucose metabolism was different according to the presence or absence of obesity.
A total of 1,344 subjects >40 years old from the Korean Genome and Epidemiology Study were included. OSA was detected by home portable sleep monitoring. Plasma glucose, HbA1c, and insulin resistance were compared according to OSA and obesity status. The associations between OSA and impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IFG + IGT, and diabetes were evaluated in subjects with and without obesity after adjusting for several confounding variables. The effect of visceral obesity on this association was evaluated in 820 subjects who underwent abdominal computed tomography scanning.
In subjects without obesity, fasting glucose, 2-h glucose after 75-g glucose loading, and HbA1c were higher in those with OSA than in those without after controlling for age, sex, and BMI. In addition, the presence of OSA in nonobese subjects was associated with a higher prevalence of IFG + IGT and diabetes after adjusting for several confounding variables (odds ratio 3.15 [95% CI 1.44-6.90] and 2.24 [1.43-3.50] for IFG + IGT and diabetes, respectively). Further adjustment for visceral fat area did not modify this association. In contrast, in those with obesity, none of the abnormal glucose tolerance categories were associated with OSA.
The presence of OSA in nonobese individuals is significantly associated with impaired glucose metabolism, which can be responsible for future risk for diabetes and cardiovascular disease.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cholesterol</subject><subject>Dextrose</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - blood</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - etiology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glucose</subject><subject>Glucose Intolerance</subject><subject>Glucose metabolism</subject><subject>Glucose Tolerance Test</subject><subject>Humans</subject><subject>Insulin resistance</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - blood</subject><subject>Obesity - complications</subject><subject>Odds Ratio</subject><subject>Original Research</subject><subject>Physiological aspects</subject><subject>Pneumology</subject><subject>Prediabetic State - blood</subject><subject>Prediabetic State - epidemiology</subject><subject>Prediabetic State - etiology</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Republic of Korea - epidemiology</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Risk Assessment - methods</subject><subject>Sleep apnea</subject><subject>Sleep apnea syndromes</subject><subject>Sleep Apnea, Obstructive - blood</subject><subject>Sleep Apnea, Obstructive - complications</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkt9rFDEQxxdR7Fl98B-QgAj6sDU_N8lL4ShahUofqvgYsrnJNcdecm6yhf73Zu3ZWjnmYWDyme9Mhm_TvCb4hDImP64cYS1mUjxpFkQz0QrB1dNmgQnXrdCaHjUvct5gjDlX6nlzRDnBpNNi0dhlzskFW0KKKHl02ecyTq6EG0BXA8AOLXcRLLJxhc6HyaUM6BsU26ch5C0KEV1N_QZcyehnKNcojX9ymkqVghzK7cvmmbdDhlf7fNz8-Pzp-9mX9uLy_OvZ8qJ1gqnSWia9XFHXa9Ad1z2WXnjiqaJWMSeF4oqCI8R3mAgKmGLvfQ-CWualk5odN6d3urup38LKQSyjHcxuDFs73ppkg3n8EsO1WacbwxTrsJZV4P1eYEy_JsjFbEN2MAw2QpqyIbwjjGnFu4q-_Q_dpGmM9XszxZlSncAP1NoOYEL0qc51s6hZMkGloETwSrUHqDVEqEumCD7U8iP-5ABfYwXb4A42fLhrcGPKeQR_fxOCzewfM_vHzP6p7Jt_j3hP_jVMBd7tAZudHfxoowv5gZO6zu0o-w1DBcuD</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>NAN HEE KIM</creator><creator>CHO, Nam H</creator><creator>SEI HYUN BAIK</creator><creator>DONG SEOP CHOI</creator><creator>CHOL SHIN</creator><creator>YUN, Chang-Ho</creator><creator>SEUNG KU LEE</creator><creator>DAE WUI YOON</creator><creator>HYUN JOO CHO</creator><creator>JAE HEE AHN</creator><creator>SEO, Ji A</creator><creator>SIN GON KIM</creator><creator>KYUNG MOOK CHOI</creator><general>American Diabetes Association</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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131201</creationdate><title>Association of Obstructive Sleep Apnea and Glucose Metabolism in Subjects With or Without Obesity</title><author>NAN HEE KIM ; CHO, Nam H ; SEI HYUN BAIK ; DONG SEOP CHOI ; CHOL SHIN ; YUN, Chang-Ho ; SEUNG KU LEE ; DAE WUI YOON ; HYUN JOO CHO ; JAE HEE AHN ; SEO, Ji A ; SIN GON KIM ; KYUNG MOOK CHOI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-a37f7d2cb9e9649b07f5f1f282a83c758482ec11f60152e020fffbe52a3f7c793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Cardiovascular Diseases - blood</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cholesterol</topic><topic>Dextrose</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - blood</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - etiology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glucose</topic><topic>Glucose Intolerance</topic><topic>Glucose metabolism</topic><topic>Glucose Tolerance Test</topic><topic>Humans</topic><topic>Insulin resistance</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - blood</topic><topic>Obesity - complications</topic><topic>Odds Ratio</topic><topic>Original Research</topic><topic>Physiological aspects</topic><topic>Pneumology</topic><topic>Prediabetic State - blood</topic><topic>Prediabetic State - epidemiology</topic><topic>Prediabetic State - etiology</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Republic of Korea - epidemiology</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Risk Assessment - methods</topic><topic>Sleep apnea</topic><topic>Sleep apnea syndromes</topic><topic>Sleep Apnea, Obstructive - blood</topic><topic>Sleep Apnea, Obstructive - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NAN HEE KIM</creatorcontrib><creatorcontrib>CHO, Nam H</creatorcontrib><creatorcontrib>SEI HYUN BAIK</creatorcontrib><creatorcontrib>DONG SEOP CHOI</creatorcontrib><creatorcontrib>CHOL SHIN</creatorcontrib><creatorcontrib>YUN, Chang-Ho</creatorcontrib><creatorcontrib>SEUNG KU LEE</creatorcontrib><creatorcontrib>DAE WUI YOON</creatorcontrib><creatorcontrib>HYUN JOO CHO</creatorcontrib><creatorcontrib>JAE HEE AHN</creatorcontrib><creatorcontrib>SEO, Ji A</creatorcontrib><creatorcontrib>SIN GON KIM</creatorcontrib><creatorcontrib>KYUNG MOOK CHOI</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NAN HEE KIM</au><au>CHO, Nam H</au><au>SEI HYUN BAIK</au><au>DONG SEOP CHOI</au><au>CHOL SHIN</au><au>YUN, Chang-Ho</au><au>SEUNG KU LEE</au><au>DAE WUI YOON</au><au>HYUN JOO CHO</au><au>JAE HEE AHN</au><au>SEO, Ji A</au><au>SIN GON KIM</au><au>KYUNG MOOK CHOI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Obstructive Sleep Apnea and Glucose Metabolism in Subjects With or Without Obesity</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>36</volume><issue>12</issue><spage>3909</spage><epage>3915</epage><pages>3909-3915</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>The purpose of this study was to investigate whether the impact of obstructive sleep apnea (OSA) on glucose metabolism was different according to the presence or absence of obesity.
A total of 1,344 subjects >40 years old from the Korean Genome and Epidemiology Study were included. OSA was detected by home portable sleep monitoring. Plasma glucose, HbA1c, and insulin resistance were compared according to OSA and obesity status. The associations between OSA and impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IFG + IGT, and diabetes were evaluated in subjects with and without obesity after adjusting for several confounding variables. The effect of visceral obesity on this association was evaluated in 820 subjects who underwent abdominal computed tomography scanning.
In subjects without obesity, fasting glucose, 2-h glucose after 75-g glucose loading, and HbA1c were higher in those with OSA than in those without after controlling for age, sex, and BMI. In addition, the presence of OSA in nonobese subjects was associated with a higher prevalence of IFG + IGT and diabetes after adjusting for several confounding variables (odds ratio 3.15 [95% CI 1.44-6.90] and 2.24 [1.43-3.50] for IFG + IGT and diabetes, respectively). Further adjustment for visceral fat area did not modify this association. In contrast, in those with obesity, none of the abnormal glucose tolerance categories were associated with OSA.
The presence of OSA in nonobese individuals is significantly associated with impaired glucose metabolism, which can be responsible for future risk for diabetes and cardiovascular disease.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>24101695</pmid><doi>10.2337/dc13-0375</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0149-5992 |
| ispartof | Diabetes care, 2013-12, Vol.36 (12), p.3909-3915 |
| issn | 0149-5992 1935-5548 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3836097 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Blood Glucose - metabolism Cardiovascular Diseases - blood Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cholesterol Dextrose Diabetes Diabetes Mellitus - blood Diabetes Mellitus - epidemiology Diabetes Mellitus - etiology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Follow-Up Studies Glucose Glucose Intolerance Glucose metabolism Glucose Tolerance Test Humans Insulin resistance Male Medical sciences Metabolic diseases Metabolism Middle Aged Obesity Obesity - blood Obesity - complications Odds Ratio Original Research Physiological aspects Pneumology Prediabetic State - blood Prediabetic State - epidemiology Prediabetic State - etiology Prevalence Prospective Studies Republic of Korea - epidemiology Respiratory system : syndromes and miscellaneous diseases Risk Assessment - methods Sleep apnea Sleep apnea syndromes Sleep Apnea, Obstructive - blood Sleep Apnea, Obstructive - complications |
| title | Association of Obstructive Sleep Apnea and Glucose Metabolism in Subjects With or Without Obesity |
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