Abstract:
:Epidemiological data suggest that sleep apnea-hypopnea syndrome (SAHS) is independently associated with the development of insulin resistance and glucose intolerance. Moreover, despite significant methodological limitations, some studies report a high prevalence of SAHS in patients with type 2 diabetes mellitus (DM2). A recent meta-analysis shows that moderate-severe SAHS is associated with an increased risk of DM2 (relative risk=1.63 [1.09 to 2.45]), compared to the absence of apneas and hypopneas. Common alterations in various pathogenic pathways add biological plausibility to this relationship. Intermittent hypoxia and sleep fragmentation, caused by successive apnea-hypopnea episodes, induce several intermediate disorders, such as activation of the sympathetic nervous system, oxidative stress, systemic inflammation, alterations in appetite-regulating hormones and activation of the hypothalamic-pituitary-adrenal axis which, in turn, favor the development of insulin resistance, its progression to glucose intolerance and, ultimately, to DM2. Concomitant SAHS seems to increase DM2 severity, since it worsens glycemic control and enhances the effects of atherosclerosis on the development of macrovascular complications. Furthermore, SAHS may be associated with the development of microvascular complications: retinopathy, nephropathy or diabetic neuropathy in particular. Data are still scant, but it seems that DM2 may also worsen SAHS progression, by increasing the collapsibility of the upper airway and the development of central apneas and hypopneas.
journal_name
Arch Bronconeumoljournal_title
Archivos de bronconeumologiaauthors
Martínez Cerón E,Casitas Mateos R,García-Río Fdoi
10.1016/j.arbres.2014.06.017subject
Has Abstractpub_date
2015-03-01 00:00:00pages
128-39issue
3eissn
0300-2896issn
1579-2129pii
S0300-2896(14)00274-9journal_volume
51pub_type
杂志文章,评审abstract:OBJECTIVE:Retrospective study on the relation between the use of blood products and survival rates in patients treated surgically for stage I non-small cell lung cancer (NSCLC). PATIENTS AND METHODS:The study included 856 patients who underwent surgical resection from 1969 to 2000 for stage I NSCLC, classified histolo...
journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/s1579-2129(06)60267-x
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Tumor necrosis factor alpha (TNF-alpha) has been implicated in loss of muscle mass in chronic obstructive pulmonary disease and other consumptive processes. TNF-alpha production would be related to inflammation arising from pulmonary disease itself or, alternatively, from smoking, and would be carried to the...
journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/s0300-2896(02)75224-1
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:To analyze whether nasal continuous positive airway pressure (CPAP) reduces oxidative stress in patients with sleep apnea-hypopnea syndrome (SAHS). PATIENTS AND METHODS:Thirty-six patients with SAHS requiring nasal CPAP treatment and 10 controls in whom SAHS was ruled out were enrolled. Oxidative stress was ...
journal_title:Archivos de bronconeumologia
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journal_title:Archivos de bronconeumologia
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journal_title:Archivos de bronconeumologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-11-01 00:00:00
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更新日期:1997-12-01 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/s1579-2129(06)60376-5
更新日期:2004-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-11-01 00:00:00
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更新日期:1995-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-11-01 00:00:00
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更新日期:2003-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00
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doi:10.1016/j.arbres.2019.12.033
更新日期:2020-02-29 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/s1579-2129(08)60002-6
更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.arbres.2018.02.008
更新日期:2018-03-19 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/j.arbres.2014.08.004
更新日期:2015-06-01 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章
doi:10.1016/s0300-2896(03)75376-9
更新日期:2003-06-01 00:00:00
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journal_title:Archivos de bronconeumologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-02-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1996-02-01 00:00:00
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更新日期:2011-01-01 00:00:00