Association between obstructive sleep apnea and lipid metabolism during REM and NREM Sleep
Journal of Clinical Sleep Medicine Feb 09, 2020
Xu H, Xia Y, Li X, et al. - In this clinical cohort involving 2,619 candidates, researchers intended to determine if there is a connection between lipid profiles and obstructive sleep apnea (OSA) during rapid eye movement (REM) or non-REM (NREM) sleep. The sample consisted of patients with at least 30 min of REM sleep. They obtained sleep variables and fasting lipid profiles [total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), apolipoprotein (apo)A-I, apoB, apoE, and lipoprotein(a) (Lp(a))] from each person. Apnea-hypopnea indices (AHIs) in REM and NREM sleep (AHIREM and AHINREM, respectively) have been reported. In order to evaluate the relationships of AHIREM and AHINREM with lipid profiles, linear regression analysis was used. All demographics, clinical variables, and sleep parameters varied between the groups except for apoA-I when stratified by the AHIREM severity of OSA. AHINREM was associated independently with the greatest serum lipid alterations, including TC, LDL-C, and apoB.
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