Increased serum levels of advanced glycation end-products is associated with severity of sleep disordered breathing but not insulin sensitivity in non-diabetic men with obstructive sleep apnoea

Increased serum levels of advanced glycation end-products is associated with severity of sleep disordered breathing but not insulin sensitivity in non-diabetic men with obstructive sleep apnoea
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DOI:
10.1016/j.sleep.2011.07.015
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发表时间:
2012-01-01
期刊:
影响因子:
4.8
通讯作者:
Ip, Mary S. M.
Ip, Mary S. M.
中科院分区:
医学2区
文献类型:
--
作者:
Lam, Jamie C. M.;Tan, Kathryn C. B.;Ip, Mary S. M.

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背景资料:已知糖尿病患者血清中晚期糖基化终产物(AGEs)水平升高,这也与胰岛素抵抗相关。本研究旨在探讨血清AGEs和胰岛素敏感性之间的关系,在非糖尿病受试者阻塞性睡眠呼吸暂停(OSA)。他们在实验室进行了整夜的多导睡眠图检查。空腹取血测定血清AGE和血糖水平。结果:共分析了105例受试者,平均年龄43.5(标准差[SD] 9.2)岁,平均体重指数27.1(SD 4.0)kg/m2,平均呼吸暂停低通气指数(AHI)17(四分位数间距5-46)。OSA患者(AHI ≥ 5)血清AGE水平显著高于非OSA患者(AHI
Background: Patients with diabetes mellitus are known to have increased serum levels of advanced glycation end-products (AGEs), and this is also associated with insulin resistance. This study aimed to investigate the relationship between serum AGEs and insulin sensitivity in non-diabetic subjects with obstructive sleep apnoea (OSA).Methods: Adult males with no known comorbidities were recruited from the sleep clinic of a university teaching hospital. They underwent overnight in-laboratory polysomnography. Fasting blood was taken to measure serum AGE and plasma glucose levels. Insulin sensitivity was estimated using the short insulin tolerance test.Results: In total, 105 subjects with a mean age of 43.5 (standard deviation [SD] 9.2) years, mean body mass index of 27.1 (SD 4.0) kg/m(2), and median apnoea-hypopnoea index (AHI) of 17 (interquartile range 5-46) were analysed. Serum AGE levels were significantly higher in subjects with OSA (AHI >= 5), compared with those without OSA (AHI