Impact of untreated obstructive sleep apnea on glucose control in type 2 diabetes.

Abstract:

RATIONALE:Obstructive sleep apnea (OSA), a treatable sleep disorder that is associated with alterations in glucose metabolism in individuals without diabetes, is a highly prevalent comorbidity of type 2 diabetes. However, it is not known whether the severity of OSA is a predictor of glycemic control in patients with diabetes. OBJECTIVES:To determine the impact of OSA on hemoglobin A1c (HbA1c), the major clinical indicator of glycemic control, in patients with type 2 diabetes. METHODS:We performed polysomnography studies and measured HbA1c in 60 consecutive patients with diabetes recruited from outpatient clinics between February 2007 and August 2009. MEASUREMENTS AND MAIN RESULTS:A total of 77% of patients with diabetes had OSA (apnea-hypopnea index [AHI] > or =5). Increasing OSA severity was associated with poorer glucose control, after controlling for age, sex, race, body mass index, number of diabetes medications, level of exercise, years of diabetes and total sleep time. Compared with patients without OSA, the adjusted mean HbA1c was increased by 1.49% (P = 0.0028) in patients with mild OSA, 1.93% (P = 0.0033) in patients with moderate OSA, and 3.69% (P < 0.0001) in patients with severe OSA (P < 0.0001 for linear trend). Measures of OSA severity, including total AHI (P = 0.004), rapid eye movement AHI (P = 0.005), and the oxygen desaturation index during total and rapid eye movement sleep (P = 0.005 and P = 0.008, respectively) were positively correlated with increasing HbA1c levels. CONCLUSIONS:In patients with type 2 diabetes, increasing severity of OSA is associated with poorer glucose control, independent of adiposity and other confounders, with effect sizes comparable to those of widely used hypoglycemic drugs.

authors

Aronsohn RS,Whitmore H,Van Cauter E,Tasali E

doi

10.1164/rccm.200909-1423OC

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

507-13

issue

5

eissn

1073-449X

issn

1535-4970

pii

200909-1423OC

journal_volume

181

pub_type

杂志文章
  • Prostaglandin E2 as an inhibitory modulator of fibrogenesis in human lung allografts.

    abstract:RATIONALE:Donor mesenchymal stromal/stem cell (MSC) expansion and fibrotic differentiation is associated with development of bronchiolitis obliterans syndrome (BOS) in human lung allografts. However, the regulators of fibrotic differentiation of these resident mesenchymal cells are not well understood. OBJECTIVES:This...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201105-0834OC

    authors: Walker NM,Badri LN,Wadhwa A,Wettlaufer S,Peters-Golden M,Lama VN

    更新日期:2012-01-01 00:00:00

  • Responses of leukocytes to chemokines in whole blood and their antagonism by novel CC-chemokine receptor 3 antagonists.

    abstract::CC-chemokine receptor 3 (CCR3)-stimulating chemokines are likely to have important in vivo roles in the regulation of eosinophil, basophil, and potentially helper T cell type 2 and mast cell recruitment. We have developed techniques to investigate the actions of eotaxin and other chemokines on multiple leukocyte popul...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200111-059OC

    authors: Bryan SA,Jose PJ,Topping JR,Wilhelm R,Soderberg C,Kertesz D,Barnes PJ,Williams TJ,Hansel TT,Sabroe I

    更新日期:2002-06-15 00:00:00

  • Relationship between extent of pulmonary emphysema by high-resolution computed tomography and lung elastic recoil in patients with chronic obstructive pulmonary disease.

    abstract::We investigated the relationship between the extent of pulmonary emphysema, assessed by quantitative high-resolution computed tomography (HRCT), and lung mechanics in 24 patients with chronic obstructive pulmonary disease (COPD). The extent of emphysema was quantified as the relative lung area with CT numbers < -950 H...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.4.2010066

    authors: Baldi S,Miniati M,Bellina CR,Battolla L,Catapano G,Begliomini E,Giustini D,Giuntini C

    更新日期:2001-08-15 00:00:00

  • A simple "new" method to accelerate clearance of carbon monoxide.

    abstract::The currently recommended prehospital treatment for carbon monoxide (CO) poisoning is administration of 100% O(2). We have shown in dogs that normocapnic hyperpnea with O(2) further accelerates CO elimination. The purpose of this study was to examine the relation between minute ventilation (V E) and the rate of elimin...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.161.6.9907038

    authors: Takeuchi A,Vesely A,Rucker J,Sommer LZ,Tesler J,Lavine E,Slutsky AS,Maleck WH,Volgyesi G,Fedorko L,Iscoe S,Fisher JA

    更新日期:2000-06-01 00:00:00

  • Interleukin-5 expression in the bone marrow of sensitized Balb/c mice after allergen challenge.

    abstract::Interleukin-5 (IL-5) is a potent eosinophilopoietic factor implicated in the chronic inflammatory cell accumulation accompanying bronchial asthma. However, its role in stimulating eosinophil differentiation within the bone marrow following allergen exposure remains to be elucidated. The aims of our study were to deter...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.158.3.9709114

    authors: Minshall EM,Schleimer R,Cameron L,Minnicozzi M,Egan RW,Gutierrez-Ramos JC,Eidelman DH,Hamid Q

    更新日期:1998-09-01 00:00:00

  • Toll-like receptor 2 is essential for the sensing of oxidants during inflammation.

    abstract:RATIONALE:The mechanisms by which oxidants are sensed by cells and cause inflammation are not well understood. OBJECTIVES:This study aimed to determine how cells "sense" soluble oxidants and how this is translated into an inflammatory reaction. METHODS:Monocytes, macrophages, or HEK293 cells (stably transfected with ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200707-1019OC

    authors: Paul-Clark MJ,McMaster SK,Sorrentino R,Sriskandan S,Bailey LK,Moreno L,Ryffel B,Quesniaux VF,Mitchell JA

    更新日期:2009-02-15 00:00:00

  • Identification of Cardiac Magnetic Resonance Imaging Thresholds for Risk Stratification in Pulmonary Arterial Hypertension.

    abstract::Rationale: Pulmonary arterial hypertension (PAH) is a life-shortening condition. The European Society of Cardiology and European Respiratory Society and the REVEAL (North American Registry to Evaluate Early and Long-Term PAH Disease Management) risk score calculator (REVEAL 2.0) identify thresholds to predict 1-year m...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201909-1771OC

    authors: Lewis RA,Johns CS,Cogliano M,Capener D,Tubman E,Elliot CA,Charalampopoulos A,Sabroe I,Thompson AAR,Billings CG,Hamilton N,Baster K,Laud PJ,Hickey PM,Middleton J,Armstrong IJ,Hurdman JA,Lawrie A,Rothman AMK,Wild JM,

    更新日期:2020-02-15 00:00:00

  • Recombinant surfactant protein C-based surfactant for patients with severe direct lung injury.

    abstract:RATIONALE:Patients with acute lung injury have impaired function of the lung surfactant system. Prior clinical trials have shown that treatment with exogenous recombinant surfactant protein C (rSP-C)-based surfactant results in improvement in blood oxygenation and have suggested that treatment of patients with severe d...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1164/rccm.201009-1424OC

    authors: Spragg RG,Taut FJ,Lewis JF,Schenk P,Ruppert C,Dean N,Krell K,Karabinis A,Günther A

    更新日期:2011-04-15 00:00:00

  • From Gold 0 to Pre-COPD.

    abstract::Currently the diagnosis of chronic obstructive pulmonary disease (COPD) requires the demonstration of airflow limitation, defined as a post-bronchodilator FEV1/FVC <0.7, a measurement that remains methodologically robust and widely available. FEV1 is one of the most powerful predictors of clinically relevant outcomes ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.202008-3328PP

    authors: Han MK,Agusti A,Celli BR,Criner GJ,Halpin DMG,Roche N,Papi A,Stockley RA,Wedzicha J,Vogelmeier CF

    更新日期:2020-11-19 00:00:00

  • Polymeric immunoglobulin receptor down-regulation in chronic obstructive pulmonary disease. Persistence in the cultured epithelium and role of transforming growth factor-β.

    abstract:RATIONALE:The generation of protective secretory IgA relies on the epithelial polymeric immunoglobulin receptor (pIgR). pIgR expression is reduced in chronic obstructive pulmonary disease (COPD), but correlation to disease severity and underlying mechanisms remains unknown. OBJECTIVES:To address the hypothesis that pI...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201311-1971OC

    authors: Gohy ST,Detry BR,Lecocq M,Bouzin C,Weynand BA,Amatngalim GD,Sibille YM,Pilette C

    更新日期:2014-09-01 00:00:00

  • Circulating Cell Death Biomarkers May Predict Survival in Human Lung Transplantation.

    abstract:RATIONALE:Immediate graft performance after lung transplantation is associated with short- and long-term clinical outcomes. However, the biologic mechanism that determines outcomes is not fully understood. OBJECTIVES:To investigate the impact of cell death signals at 24 and 48 hours after lung transplantation on short...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201510-2115OC

    authors: Hashimoto K,Besla R,Zamel R,Juvet S,Kim H,Azad S,Waddell TK,Cypel M,Liu M,Keshavjee S

    更新日期:2016-07-01 00:00:00

  • Exposure-response relationship between passive smoking and adult pulmonary function.

    abstract::The effects of exposure to environmental tobacco smoke (ETS) on pulmonary function were investigated in a random sample of 1,033 adults aged 40 to 69 yr from a residential area in Beijing. Compared with those not exposed, those exposed to ETS either at home or at work were associated with a 102-ml (SE = 40 ml) reducti...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.151.1.7812570

    authors: Xu X,Li B

    更新日期:1995-01-01 00:00:00

  • Synchronization of radiograph film exposure with the inspiratory pause. Effect on the appearance of bedside chest radiographs in mechanically ventilated patients.

    abstract::The appearance of portable chest radiographs (CXRs) may be affected by changes in ventilation, particularly when patients are mechanically ventilated. Synchronization of the CXR with the ventilatory cycle should limit the influence of respiratory variation on the appearance of the CXR. This study evaluates the effect ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.160.6.9902060

    authors: Langevin PB,Hellein V,Harms SM,Tharp WK,Cheung-Seekit C,Lampotang S

    更新日期:1999-12-01 00:00:00

  • Relaxation is impaired in the diaphragm muscle of the cardiomyopathic Syrian hamster.

    abstract::Relaxation was examined in diaphragm muscle strips of cardiomyopathic Syrian hamsters and control hamsters. Isotonic lengthening velocity and isometric tension decay were analyzed over the load continuum in response to twitch. For each load level (P), we measured the maximum extent of shortening (deltaL), the peak len...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.155.5.9154860

    authors: Coirault C,Chemla D,Pourny JC,Lambert F,Riou B,Lecarpentier Y

    更新日期:1997-05-01 00:00:00

  • Gender-related differences in severe, early-onset chronic obstructive pulmonary disease.

    abstract::Men have higher prevalence rates of chronic obstructive pulmonary disease (COPD) than women, which has been attributed to the historically higher rates of cigarette smoking in males. However, the increased rates of cigarette smoking in females within the last several decades have been associated with steadily increasi...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.162.6.2003112

    authors: Silverman EK,Weiss ST,Drazen JM,Chapman HA,Carey V,Campbell EJ,Denish P,Silverman RA,Celedon JC,Reilly JJ,Ginns LC,Speizer FE

    更新日期:2000-12-01 00:00:00

  • 40-O-(2-hydroxyethyl)-rapamycin attenuates pulmonary arterial hypertension and neointimal formation in rats.

    abstract::Pneumonectomized rats develop pulmonary hypertension (PH) and pulmonary vascular neointimal formation 4 wk after monocrotaline (MCT) administration. Male Sprague-Dawley rats were injected with MCT (60 mg/kg) on Day 7 after left pneumonectomy. Three groups (n = 5) received 40-O-(2-hydroxyethyl)-rapamycin (RAD, 2.5 mg/k...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.163.2.2006093

    authors: Nishimura T,Faul JL,Berry GJ,Veve I,Pearl RG,Kao PN

    更新日期:2001-02-01 00:00:00

  • Comparison between automatic and fixed positive airway pressure therapy in the home.

    abstract::We tested the hypothesis that continuous positive airway pressure (CPAP) use and outcomes can be improved by an autotitrating CPAP device in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) who require higher CPAP (10 cm H2O or more). In this multisite randomized single-blind cross-over study, 44 patien...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1164/rccm.200201-022OC

    authors: Massie CA,McArdle N,Hart RW,Schmidt-Nowara WW,Lankford A,Hudgel DW,Gordon N,Douglas NJ

    更新日期:2003-01-01 00:00:00

  • Comparative Modeling of Tuberculosis Epidemiology and Policy Outcomes in California.

    abstract::Rationale: Mathematical modeling is used to understand disease dynamics, forecast trends, and inform public health prioritization. We conducted a comparative analysis of tuberculosis (TB) epidemiology and potential intervention effects in California, using three previously developed epidemiologic models of TB.Objectiv...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201907-1289OC

    authors: Menzies NA,Parriott A,Shrestha S,Dowdy DW,Cohen T,Salomon JA,Marks SM,Hill AN,Winston CA,Asay GR,Barry P,Readhead A,Flood J,Kahn JG,Shete PB

    更新日期:2020-02-01 00:00:00

  • Expiratory flow limitation and intrinsic positive end-expiratory pressure at zero positive end-expiratory pressure in patients with adult respiratory distress syndrome.

    abstract::It has been suggested that in patients with adult respiratory distress syndrome (ARDS), intrinsic positive end-expiratory pressure (PEEPi) is generated by a disproportionate increase in expiratory flow resistance. Using the negative expiratory pressure (NEP) technique, we assessed whether expiratory flow limitation (E...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.161.5.9904109

    authors: Koutsoukou A,Armaganidis A,Stavrakaki-Kallergi C,Vassilakopoulos T,Lymberis A,Roussos C,Milic-Emili J

    更新日期:2000-05-01 00:00:00

  • Pleural fluid chemical analysis in parapneumonic effusions. A meta-analysis.

    abstract::Controversy exists regarding the clinical utility of pleural fluid pH, lactate dehydrogenase (LDH), and glucose for identifying complicated parapneumonic effusions that require drainage. In this report, we performed a meta-analysis of pertinent studies, using receiver operating characteristic (ROC) techniques, to asse...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1164/ajrccm.151.6.7767510

    authors: Heffner JE,Brown LK,Barbieri C,DeLeo JM

    更新日期:1995-06-01 00:00:00

  • Surgical face masks worn by patients with multidrug-resistant tuberculosis: impact on infectivity of air on a hospital ward.

    abstract:RATIONALE:Drug-resistant tuberculosis transmission in hospitals threatens staff and patient health. Surgical face masks used by patients with tuberculosis (TB) are believed to reduce transmission but have not been rigorously tested. OBJECTIVES:We sought to quantify the efficacy of surgical face masks when worn by pati...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201107-1190OC

    authors: Dharmadhikari AS,Mphahlele M,Stoltz A,Venter K,Mathebula R,Masotla T,Lubbe W,Pagano M,First M,Jensen PA,van der Walt M,Nardell EA

    更新日期:2012-05-15 00:00:00

  • Vitamin D as supplementary treatment for tuberculosis: a double-blind, randomized, placebo-controlled trial.

    abstract:RATIONALE:Vitamin D has been shown to be involved in the host immune response toward Mycobacterium tuberculosis. OBJECTIVES:To test whether vitamin D supplementation of patients with tuberculosis (TB) improved clinical outcome and reduced mortality. METHODS:We conducted a randomized, double-blind, placebo-controlled ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.200804-567OC

    authors: Wejse C,Gomes VF,Rabna P,Gustafson P,Aaby P,Lisse IM,Andersen PL,Glerup H,Sodemann M

    更新日期:2009-05-01 00:00:00

  • Comparison of static mechanical properties of the passive pharynx between normal children and children with sleep-disordered breathing.

    abstract::Collapsibility of the active pharynx, where active contraction of the upper airway muscles is evident, was previously reported to be higher in children with obstructive sleep apnea (OSA) than in those with primary snoring during sleep. Contribution of neuromuscular and anatomic factors to the increased collapsibility,...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.157.4.9702042

    authors: Isono S,Shimada A,Utsugi M,Konno A,Nishino T

    更新日期:1998-04-01 00:00:00

  • A lung computed tomographic assessment of positive end-expiratory pressure-induced lung overdistension.

    abstract::The aim of this study was to assess positive end-expiratory pressure (PEEP)-induced lung overdistension and alveolar recruitment in six patients with acute lung injury (ALI) using a computed tomographic (CT) scan method. Lung overdistension was first determined in six healthy volunteers in whom CT sections were obtain...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.158.5.9802101

    authors: Vieira SR,Puybasset L,Richecoeur J,Lu Q,Cluzel P,Gusman PB,Coriat P,Rouby JJ

    更新日期:1998-11-01 00:00:00

  • Cryptogenic hemoptysis: from a benign to a life-threatening pathologic vascular condition.

    abstract:RATIONALE:Data on hemoptysis of unknown origin (i.e., "cryptogenic") are scarce and the outcome of patients affected is controversial. OBJECTIVES:To describe the clinical spectrum and course of patients with cryptogenic hemoptysis, as well as pathologic findings when surgery is performed. METHODS:A cohort of 81 patie...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200609-1362OC

    authors: Savale L,Parrot A,Khalil A,Antoine M,Théodore J,Carette MF,Mayaud C,Fartoukh M

    更新日期:2007-06-01 00:00:00

  • Inspiratory-to-total lung capacity ratio predicts mortality in patients with chronic obstructive pulmonary disease.

    abstract::Static lung hyperinflation has important clinical consequences in patients with chronic obstructive pulmonary disease. We analyzed the power of lung hyperinflation as measured by the inspiratory capacity-to-total lung capacity ratio (IC/TLC) to predict mortality in a cohort of 689 patients with chronic obstructive pul...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/rccm.200407-867OC

    authors: Casanova C,Cote C,de Torres JP,Aguirre-Jaime A,Marin JM,Pinto-Plata V,Celli BR

    更新日期:2005-03-15 00:00:00

  • Anti-inflammatory cytokine release by alveolar macrophages in pulmonary sarcoidosis.

    abstract::Sarcoidosis is a systemic, granulomatous disorder with a high rate of spontaneous remission indicating the presence of antiinflammatory mechanisms. Antiinflammatory mediators such as interleukin-10 (IL-10) and transforming growth factor-beta (TGF-beta) should be able to induce spontaneous remission of sarcoidosis. By ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1164/ajrccm.154.3.8810610

    authors: Zissel G,Homolka J,Schlaak J,Schlaak M,Müller-Quernheim J

    更新日期:1996-09-01 00:00:00

  • Once-weekly rifapentine-containing regimens for treatment of tuberculosis in mice.

    abstract::The bactericidal activities of several once-weekly rifapentine (P)-containing combination regimens against Mycobacterium tuberculosis, and their ability to prevent the selection of rifampin (R)-resistant mutants, were compared with those of the standard six-times-weekly regimen consisting of R, isoniazid (H), and pyra...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.157.5.9709072

    authors: Grosset J,Lounis N,Truffot-Pernot C,O'Brien RJ,Raviglione MC,Ji B

    更新日期:1998-05-01 00:00:00

  • Predictive value of a whole blood IFN-gamma assay for the development of active tuberculosis disease after recent infection with Mycobacterium tuberculosis.

    abstract:RATIONALE:Numerous studies have been published on the new Mycobacterium tuberculosis (MTB)-specific IFN-gamma release assays. However, their prognostic value for progression from latent tuberculosis infection (LTBI) to active TB has yet to be established. OBJECTIVES:To compare the QuantiFERON-TB Gold In-Tube assay (QF...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200711-1613OC

    authors: Diel R,Loddenkemper R,Meywald-Walter K,Niemann S,Nienhaus A

    更新日期:2008-05-15 00:00:00

  • Nutritional status and mortality in chronic obstructive pulmonary disease.

    abstract::The role of nutritional status in the prognosis of subjects with severe chronic obstructive pulmonary disease was studied in a cohort of Canadian men and women followed for 3 to 5 yr. A total of 348 subjects who were recruited for a study of negative pressure ventilation were evaluated for lung function and body weigh...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.153.3.8630580

    authors: Gray-Donald K,Gibbons L,Shapiro SH,Macklem PT,Martin JG

    更新日期:1996-03-01 00:00:00