Context: Obesity and its co-morbidities may adversely affect bone mineral density (BMD). Obstructive sleep apnea (OSA) is a major complication of obesity. To date, the effects of OSA on BMD in obese patients have been poorly studied. Objective: To examine whether the severity of OSA independently correlates with BMD in obese patients. Methods: One hundred and fifteen obese subjects with OSA (Apnea/Hypopnea Index [AHI] $5 events per hour) were included in the study. BMD was measured at lumbar spine, total hip, and femoral neck by dual energy X-ray absorptiometry. Body mass index, lean mass, and representative measures of metabolic syndrome (waist circumference, fasting plasma glucose, blood pressure, HDL-cholesterol, triglycerides) and inflammation (ESR, CRP, fibrinogen) were also evaluated. Results: BMD did not differ among obese individuals regardless of OSA severity. Correlation coefficient analysis for all the covariates showed a lack of association between AHI and BMD that was strongly influenced by age and weight. Conclusion: Our study does not support an independent association between AHI and BMD in obese patients. Controlled studies involving a greater number of patients are warranted. © 2012 Mariani et al, publisher and licensee Dove Medical Press Ltd.
Obstructive sleep apnea and bone mineral density in obese patients / Mariani, Stefania; Fiore, Daniela; Varone, Laura; Basciani, Sabrina; Persichetti, Agnese; Watanabe, Mikiko; Saponara, Maurizio; Spera, Giovanni; Moretti, C.; Gnessi, Lucio. - In: DIABETES, METABOLIC SYNDROME AND OBESITY. - ISSN 1178-7007. - ELETTRONICO. - 5:(2012), pp. 395-401. [10.2147/dmso.s37761]
Obstructive sleep apnea and bone mineral density in obese patients.
Stefania Mariani;FIORE, DANIELA;VARONE, LAURA;BASCIANI, Sabrina;PERSICHETTI, AGNESE;WATANABE, MIKIKO;SAPONARA, Maurizio;SPERA, Giovanni;GNESSI, Lucio
2012
Abstract
Context: Obesity and its co-morbidities may adversely affect bone mineral density (BMD). Obstructive sleep apnea (OSA) is a major complication of obesity. To date, the effects of OSA on BMD in obese patients have been poorly studied. Objective: To examine whether the severity of OSA independently correlates with BMD in obese patients. Methods: One hundred and fifteen obese subjects with OSA (Apnea/Hypopnea Index [AHI] $5 events per hour) were included in the study. BMD was measured at lumbar spine, total hip, and femoral neck by dual energy X-ray absorptiometry. Body mass index, lean mass, and representative measures of metabolic syndrome (waist circumference, fasting plasma glucose, blood pressure, HDL-cholesterol, triglycerides) and inflammation (ESR, CRP, fibrinogen) were also evaluated. Results: BMD did not differ among obese individuals regardless of OSA severity. Correlation coefficient analysis for all the covariates showed a lack of association between AHI and BMD that was strongly influenced by age and weight. Conclusion: Our study does not support an independent association between AHI and BMD in obese patients. Controlled studies involving a greater number of patients are warranted. © 2012 Mariani et al, publisher and licensee Dove Medical Press Ltd.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.