1. Traditional cardiovascular risk factors but not homocysteine are associated with obstructive sleep apnea
- Author
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Yi-Chia Huang, Keh-Liang Lin, Chien-Hsiang Cheng, Men-Chung Huang, and Shao-Chun Liu
- Subjects
medicine.medical_specialty ,Nutrition and Dietetics ,Waist ,Homocysteine ,business.industry ,Endocrinology, Diabetes and Metabolism ,Odds ratio ,medicine.disease ,Gastroenterology ,Obesity ,respiratory tract diseases ,Obstructive sleep apnea ,chemistry.chemical_compound ,Endocrinology ,Blood pressure ,chemistry ,Internal medicine ,medicine ,Risk factor ,business ,Body mass index - Abstract
The objective of this study was to determine if obstructive sleep apnea (OSA) subjects had elevated plasma homocysteine levels and a greater incidence of traditional cardiovascular risk factors. Case subjects (OSA group, n=24) without cardiovascular disease had an apnea-hypopnea index of 5 or higher; control subjects without cardiovascular disease served as a non-OSA group (n = 65). Demographic and anthropometric (ie, weight, height, body mass index [BMI], neck, waist, and hip circumferences) data were collected. Systolic and diastolic blood pressure (DBP) were measured. Fasting venous blood samples were collected to determine total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, creatinine, homocysteine, vitamin B 6 , vitamin B 12 , and folate status. In univariate analysis, BMI; neck, waist, and hip circumferences; serum total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and DBP were all positively associated with OSA. Plasma homocysteine concentration, however, had no effect on OSA. The age-adjusted odds ratio (OR) for all OSA and control subjects was significantly increased in the third tertile of homocysteine concentration (OR, 9.29; 95% CI, 1.25-69.12). However, the third tertile of plasma homocysteine showed no effect (OR, 3.24; 95% CI, 0.02-497.80) on OSA after additional adjustment for all cardiovascular risk factors. Homocysteine had no association with OSA; however, obesity, DBP, and serum total cholesterol are associated with OSA. Indices of central obesity (BMI and waist and neck circumferences) and a combination with DBP and serum total cholesterol level should be screened in patients with OSA.
- Published
- 2006