FASEB BioAdvances,
Год журнала:
2024,
Номер
6(4), С. 118 - 130
Опубликована: Март 6, 2024
Obstructive
sleep
apnea
(OSA)
is
a
multifactorial
disorder
with
high
prevalence
in
the
general
population.
OSA
associated
an
increased
risk
of
developing
cardiovascular
diseases
(CVDs),
particularly
hypertension,
and
linked
to
worse
outcomes.
Although
correlation
between
CVDs
firmly
established,
mechanisms
are
poorly
understood.
Continuous
positive
airway
pressure
primary
treatment
for
reducing
effectively,
while
limited
by
inadequate
compliance.
Moreover,
alternative
treatments
complications
currently
not
available.
Recently,
there
has
been
considerable
attention
on
significant
gut
microbiome
pathophysiological
changes
OSA.
Furthermore,
impact
that
arise
from
Nevertheless,
detailed
understanding
this
association
lacking.
This
review
examines
recent
advancements
clarify
link
microbiome,
OSA,
OSA-related
CVDs,
specific
focus
also
explores
potential
health
advantages
adjuvant
therapy
targets
Life,
Год журнала:
2024,
Номер
14(4), С. 425 - 425
Опубликована: Март 22, 2024
Obstructive
sleep
apnea
syndrome
(OSAS),
affecting
approximately
1
billion
adults
globally,
is
characterized
by
recurrent
airway
obstruction
during
sleep,
leading
to
oxygen
desaturation,
elevated
carbon
dioxide
levels,
and
disrupted
architecture.
OSAS
significantly
impacts
quality
of
life
associated
with
increased
morbidity
mortality,
particularly
in
the
cardiovascular
cognitive
domains.
The
cyclic
pattern
intermittent
hypoxia
triggers
oxidative
stress,
contributing
cellular
damage.
This
review
explores
intricate
relationship
between
shedding
light
on
molecular
mechanisms
potential
therapeutic
interventions.
Frontiers in Molecular Biosciences,
Год журнала:
2024,
Номер
10
Опубликована: Янв. 8, 2024
Exhaled
breath
analysis,
with
particular
emphasis
on
volatile
organic
compounds,
represents
a
growing
area
of
clinical
research
due
to
its
obvious
advantages
over
other
diagnostic
tests.
Numerous
pathologies
have
been
extensively
investigated
for
the
identification
specific
biomarkers
in
exhalates
through
metabolomics.
However,
transference
tests
clinics
remains
limited,
mainly
deficiency
methodological
standardization.
Critical
steps
include
selection
sample
types,
collection
devices,
and
enrichment
techniques.
GC-MS
is
reference
analytical
technique
analysis
compounds
exhalates,
especially
during
biomarker
discovery
phase
This
review
comprehensively
examines
compares
metabolomic
studies
focusing
cancer,
lung
diseases,
infectious
diseases.
In
addition
delving
into
experimental
designs
reported,
it
also
provides
critical
discussion
aspects,
ranging
from
design
potential
pathology-specific
biomarkers.
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(11), С. 3223 - 3223
Опубликована: Май 30, 2024
Obstructive
sleep
apnea
(OSA)
is
an
increasingly
relevant
cause
of
cardiovascular
morbidity
worldwide.
Although
the
association
between
OSA
and
system
well-known,
extent
its
effects
still
a
topic
interest,
including
pathophysiologic
mechanisms,
sequelae,
therapies
their
effects.
Commonly
described
mechanisms
etiologies
revolve
around
sympathetic
activation,
inflammation,
intermittent
hypoxia
resulting
from
OSA.
Ultimately,
these
lead
to
manifestations
in
system,
such
as
arrhythmias,
hypertension,
heart
failure,
among
others.
The
sequelae
may
also
have
differential
based
on
gender
age;
several
studies
suggest
female
more
susceptibility
mortality,
well
increase
age.
Furthermore,
for
OSA,
both
established
emerging,
show
reduction
even
reduce
burden.
Namely,
establishment
CPAP
has
led
improvement
hypertension
cardiac
function
patients
with
failure
reduced
progression
early
stages
atherosclerosis.
Effective
management
decreases
abnormal
neural
activity,
which
results
better
rhythm
control
blood
pressure
control,
waking
cycles.
With
newer
be
significantly
or
reversed
after
long-term
management.
vast
current
future
therapeutic
strategies,
will
detail
this
review.
Abstract
Background
Sedentary
behavior
(SB)
may
contribute
to
obesity
and
lower
extremity
fluid
retention,
which
favor
the
development
of
obstructive
sleep
apnea
(OSA).
However,
linking
sedentary
OSA
is
unclear.
The
purpose
this
study
was
determine
if
there
an
association
between
SB
OSA.
Methods
Three
typical
questions
in
NHANES
questionnaire(①The
frequency
feeling
excessively
sleepy
per
month.
②The
gasping,
snorting
or
stopping
breathing
week.
③The
snoring
week.)
have
been
used
for
assessment
A
physical
activity
questionnaire(On
a
day,
amount
time
you
spend
sitting
reclining.)
assess
SB.
This
secondary
analysis
included
National
Health
Nutrition
Examination
Survey
(NHANES)
participants
(unweighted
=
20,115).
Weighted
sample
multiple
logistic
regression
complex
techniques
were
study.
Results
After
adjustment
confounders,
with
SB(>
8
h/d)
had
higher
risk
compared
SB(<
4
h/d).
Stratified
by
gender
showed
that
no
significant
men.
women,
as
reference,
with(≥
increased
By
age-stratified
analysis,
stronger
among
older
participants.
Conclusion
Analysis
positive
OSA,
more
pronounced
women
than
60
years
old.
Summary
Obstructive
sleep
apnea
is
a
common
comorbidity
that
occurs
in
individuals
with
obesity.
It
classically
manifests
excessive
daytime
sleepiness,
resulting
reduced
quality
of
life,
workplace
productivity,
and
an
increased
risk
motor
vehicle
accidents.
Weight
gain
plays
important
role
its
pathogenesis
through
worsening
upper
airway
collapsibility,
current
treatment
options
are
targeted
towards
mechanically
overcoming
obstruction
weight
loss.
Continuous
positive
pressure
therapy
remains
the
most
widely
prescribed
for
obstructive
but
poor
tolerance
barrier
to
effective
treatment.
Sustainable
loss
option
can
be
difficult
achieve
without
bariatric
surgery.
The
recent
advances
incretin‐based
pharmacotherapies
represent
promising
avenue
not
only
achieving
long‐term
also
treating
apnoea
alleviating
burden
symptoms
comorbidities.
Frontiers in Nutrition,
Год журнала:
2024,
Номер
11
Опубликована: Авг. 16, 2024
Background
The
association
between
TyG-BMI
index
and
the
risk
of
obstructive
sleep
apnea
(OSA),
a
recently
identified
biomarker
indicating
insulin
resistance,
has
yet
to
be
elucidated.
Therefore,
this
study
aimed
investigate
OSA
using
NHANES
database.
Methods
Analyses
were
performed
on
data
conducted
2015
2018.
Logistic
regression,
stratified
analyses,
curve-fitting
threshold
effects
analyses
utilized
assess
OSA.
Results
included
4,588
participants.
Multifactorial
logistic
regression
found
significant
increased
[OR:
1.54
(CI:1.39–1.70)].
In
age
interacted
with
association,
being
associated
only
in
subgroup
subjects
younger
than
60
years
[1.31
(1.14–1.50)],
but
gender,
smoking
status,
alcohol
use,
did
not
influence
association.
presence
diabetes,
hypertension,
cardiovascular
diseases
also
modified
number
such
conditions
was
significantly
lower,
therefore
significance
associations
observed
those
subgroups.
Additionally,
non-linearly
associated,
inflection
point
at
12.09,
after
which
lower
slope
observed.
Conclusion
This
demonstrates
that
elevated
levels
are
correlated
for
OSA,
underscoring
these
findings
facilitating
early
prevention
or
timely
intervention
Sleep And Breathing,
Год журнала:
2025,
Номер
29(1)
Опубликована: Янв. 13, 2025
The
pathophysiology
of
obstructive
sleep
apnea
(OSA)
and
diabetes
mellitus
(DM)
is
still
unknown,
despite
clinical
reports
linking
the
two
conditions.
After
investigating
potential
roles
for
DM-related
genes
in
OSA,
our
goal
to
investigate
molecular
significance
condition.
Machine
learning
a
useful
approach
understanding
complex
gene
expression
data
find
biomarkers
diagnosis
OSA.
Differentially
expressed
analysis
OSA
DM
sets
obtained
from
GEO
were
carried
out
firstly.
Then
four
machine
algorithms
used
screen
candidate
biomarkers.
diagnostic
model
was
constructed
based
on
key
genes,
accuracy
verified
by
ROC
curve,
calibration
curve
decision
curve.
Finally,
CIBERSORT
algorithm
explore
immune
cell
infiltration
There
32
important
that
considered
be
related
both
datasets
differentially
analysis.
Through
enrichment
analysis,
majority
these
are
enriched
immunological
regulation,
oxidative
stress
response,
nervous
system
control.
When
consensus
characteristics
all
approaches
predict
diagnosis,
STK17A
thought
have
high
degree
accuracy.
In
addition,
demonstrated
strong
performance
predictive
value.
we
explored
cells
signatures
strongly
linked
invasive
cells.
has
been
discovered
as
can
differentiate
between
individuals
with
methods.
addition
offering
possible
treatment
targets
DM-induced
this
identify
high-risk
patients
who
also
European Journal of Orthodontics,
Год журнала:
2024,
Номер
46(2)
Опубликована: Март 25, 2024
Abstract
Background
Craniofacial
skeletal
discrepancies
have
been
associated
with
upper
airway
dimensions.
Objective
To
identify
differences
in
volume
across
different
sagittal
and
vertical
patterns.
Search
methods
Unrestricted
literature
searches
eight
databases/registers
for
human
studies
until
May
2023.
Selection
criteria
Cross-sectional
measuring
volumes
using
three-dimensional
imaging
healthy
patients
of
(Class
I,
Class
II,
III)
or
(normodivergent,
hypodivergent,
hyperdivergent)
craniofacial
morphology.
Data
collection
analysis
Duplicate
independent
study
selection,
data
extraction,
risk
bias
assessment.
Random-effects
frequentist
network
meta-analysis
was
performed
followed
by
subgroup-analyses
assessment
the
quality
clinical
recommendations
(confidence
effect
estimates)
CINeMA
(Confidence
Network
Meta-Analysis)
approach.
Results
Seventy
publications
pertaining
to
66
unique
were
included
56
(5734
patients)
contributing
meta-analyses.
Statistically
significant
found
total
pharyngeal
volume,
II
having
decreased
(−2256.06
mm3;
95%
Confidence
Interval
[CI]
−3201.61
−1310.51
mm3)
III
increased
(1098.93
CI
25.41
2172.45
compared
I.
Significant
reductions
localized
mostly
at
oropharynx,
palatopharynx,
glossopharynx.
increases
intraoral
cavity,
hypopharynx.
according
configuration
seen
only
where
hyperdivergent
had
reduced
normodivergent
(−1716.77
−3296.42
−137.12
mm3).
Airway
configurations
(compared
I)
more
pronounced
adults
than
children
confidence
all
estimates
very
low
CINeMA.
Conclusions
Considerable
between
configurations.
However,
results
should
be
interpreted
caution
due
high
bias,
owing
retrospective
design,
inconsistencies
anatomic
compartment
boundaries
used,
samples
mixed
children–adult
patients,
incomplete
reporting.
Clinical
Trial
Registration
PROSPERO
(CRD42022366928).
Journal of Global Health,
Год журнала:
2024,
Номер
14
Опубликована: Май 17, 2024
Obstructive
sleep
apnea
syndrome
(OSAS),
a
prevalent
condition,
often
coexists
with
intricate
metabolic
issues
and
is
frequently
associated
negative
cardiovascular
outcomes.
We
developed
longitudinal
prediction
model
integrating
multimodal
data
for
risk
stratification
of
patients
an
initial
diagnosis
OSAS.