Adhesion molecule increases in sleep apnea: beneficial effect of positive airway pressure and moderation by obesity

Autor: Allan I. Pack, Greg Maislin, S Juliusson, Bryndis Benediktsdottir, Erna S. Arnardottir, Richard Schwab, Brendan T. Keenan, Nicholas Jackson, Michael A. Grandner, Victoria M. Pak, Thorarinn Gislason, Karen L. Teff
Rok vydání: 2014
Předmět:
Zdroj: International journal of obesity (2005)
ISSN: 1476-5497
Popis: Background Elevated levels of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) may contribute to cardiovascular disease and are associated with obstructive sleep apnea (OSA) and obesity. The relationship between OSA and obesity in determining ICAM-1 and VCAM-1 levels, and the effect of treatment, is unclear. Objective Our aim was to study whether positive airway pressure (PAP) usage resulted in changes in ICAM-1 and VCAM-1 after 2 years within 309 OSA patients from the Icelandic Sleep Apnea Cohort, and determine how obesity affected such changes. Subjects/Methods The mean body mass index (BMI) was 32.4±5.1 kg/m2; subjects had moderate-to-severe OSA (apnea-hypopnea index = 45.0±20.2) and 79% were male. There were 177 full PAP users (≥4 hours/night and ≥20 of last 28 nights), 44 partial (
Databáze: OpenAIRE