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Journal of Diabetes Research
Volume 2018 (2018), Article ID 7617524, 10 pages
https://doi.org/10.1155/2018/7617524
Research Article

Sex Differences in the Prevalence and Modulators of Sleep-Disordered Breathing in Outpatients with Type 2 Diabetes

1Department of Internal Medicine II, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
2Department of Nephrology, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
3Department of Genetic Epidemiology, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany

Correspondence should be addressed to S. Stadler; ed.rku@reldats.nafets

Received 15 December 2017; Revised 11 February 2018; Accepted 13 February 2018; Published 1 April 2018

Academic Editor: Raffaele Marfella

Copyright © 2018 T. Kroner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. International Diabetes Federation, IDF Diabetes, International Diabetes Federation, Brussels, Belgium, 7 edition, June 2016, http://www.diabetesatlas.org/.
  2. L. Chen, D. J. Magliano, and P. Z. Zimmet, “The worldwide epidemiology of type 2 diabetes mellitus—present and future perspectives,” Nature Reviews Endocrinology, vol. 8, no. 4, pp. 228–236, 2011. View at Publisher · View at Google Scholar · View at Scopus
  3. H. F. Becker, A. Jerrentrup, T. Ploch et al., “Effect of nasal continuous positive airway pressure treatment on blood pressure in patients with obstructive sleep apnea,” Circulation, vol. 107, no. 1, pp. 68–73, 2003. View at Publisher · View at Google Scholar · View at Scopus
  4. G. Mayer, M. Arzt, B. Braumann et al., “S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen – Kapitel, Schlafbezogene Atmungsstörungen,” Somnologie, vol. 20, Supplement 2, pp. 97–180, 2017. View at Publisher · View at Google Scholar
  5. P. E. Peppard, T. Young, J. H. Barnet, M. Palta, E. W. Hagen, and K. M. Hla, “Increased prevalence of sleep-disordered breathing in adults,” American Journal of Epidemiology, vol. 177, no. 9, pp. 1006–1014, 2013. View at Publisher · View at Google Scholar · View at Scopus
  6. T. Young, P. E. Peppard, and D. J. Gottlieb, “Epidemiology of obstructive sleep apnea: a population health perspective,” American Journal of Respiratory and Critical Care Medicine, vol. 165, no. 9, pp. 1217–1239, 2002. View at Publisher · View at Google Scholar · View at Scopus
  7. N. McArdle and N. J. Douglas, “Effect of continuous positive airway pressure on sleep architecture in the sleep apnea-hypopnea syndrome: a randomized controlled trial,” American Journal of Respiratory and Critical Care Medicine, vol. 164, no. 8, pp. 1459–1463, 2001. View at Publisher · View at Google Scholar
  8. A. Hetzenecker, T. Roth, C. Birner, L. S. Maier, M. Pfeifer, and M. Arzt, “Adaptive servo-ventilation therapy of central sleep apnoea and its effect on sleep quality,” Clinical Research in Cardiology, vol. 105, no. 3, pp. 189–195, 2016. View at Publisher · View at Google Scholar · View at Scopus
  9. S. E. Craig, M. Kohler, D. Nicoll et al., “Continuous positive airway pressure improves sleepiness but not calculated vascular risk in patients with minimally symptomatic obstructive sleep apnoea: the MOSAIC randomised controlled trial,” Thorax, vol. 67, no. 12, pp. 1090–1096, 2012. View at Publisher · View at Google Scholar · View at Scopus
  10. H. E. Resnick, S. Redline, E. Shahar et al., “Diabetes and sleep disturbances: findings from the Sleep Heart Health Study,” Diabetes Care, vol. 26, no. 3, pp. 702–709, 2003. View at Publisher · View at Google Scholar · View at Scopus
  11. D. Einhorn, D. A. Stewart, M. Erman, N. Gordon, A. Philis-Tsimikas, and E. Casal, “Prevalence of sleep apnea in a population of adults with type 2 diabetes mellitus,” Endocrine Practice, vol. 13, no. 4, pp. 355–362, 2007. View at Publisher · View at Google Scholar · View at Scopus
  12. G. D. Foster, M. H. Sanders, R. Millman et al., “Obstructive sleep apnea among obese patients with type 2 diabetes,” Diabetes Care, vol. 32, no. 6, pp. 1017–1019, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. J. P. Laaban, S. Daenen, D. Léger et al., “Prevalence and predictive factors of sleep apnoea syndrome in type 2 diabetic patients,” Diabetes & Metabolism, vol. 35, no. 5, pp. 372–377, 2009. View at Publisher · View at Google Scholar · View at Scopus
  14. T. Young, R. Hutton, L. Finn, S. Badr, and M. Palta, “The gender bias in sleep apnea diagnosis. Are women missed because they have different symptoms?” Archives of Internal Medicine, vol. 156, no. 21, pp. 2445–2451, 1996. View at Publisher · View at Google Scholar
  15. O. K. Basoglu and M. S. Tasbakan, “Gender differences in clinical and polysomnographic features of obstructive sleep apnea: a clinical study of 2827 patients,” Sleep & Breathing, vol. 22, no. 1, pp. 241–249, 2018. View at Publisher · View at Google Scholar · View at Scopus
  16. S. Stadler, T. Zimmermann, F. Franke et al., “Association of sleep-disordered breathing with diabetes-associated kidney disease,” Annals of Medicine, vol. 49, no. 6, pp. 487–495, 2017. View at Publisher · View at Google Scholar · View at Scopus
  17. L. Dörhöfer, for the DIACORE Study Group, A. Lammert et al., “Study design of DIACORE (DIAbetes COhoRtE) - a cohort study of patients with diabetes mellitus type 2,” BMC Medical Genetics, vol. 14, no. 1, p. 25, 2013. View at Publisher · View at Google Scholar · View at Scopus
  18. M. K. Erman, D. Stewart, D. Einhorn, N. Gordon, and E. Casal, “Validation of the ApneaLink for the screening of sleep apnea: a novel and simple single-channel recording device,” Journal of Clinical Sleep Medicine, vol. 3, no. 4, pp. 387–392, 2007. View at Google Scholar
  19. M. Arzt, H. Woehrle, O. Oldenburg et al., “Prevalence and predictors of sleep-disordered breathing in patients with stable chronic heart failure: the SchlaHF registry,” JACC: Heart Failure, vol. 4, no. 2, pp. 116–125, 2016. View at Publisher · View at Google Scholar · View at Scopus
  20. B. A. Stuck and H. G. Weeß, “The new “international classification of sleep disorders”. A critical acclaim of diagnostic criteria for sleep disordered breathing,” Somnologie - Schlafforschung und Schlafmedizin, vol. 19, no. 2, pp. 126–132, 2015. View at Publisher · View at Google Scholar · View at Scopus
  21. G. Weinreich, J. Armitstead, V. Topfer, Y.-M. Wang, Y. Wang, and H. Teschler, “Validation of ApneaLink as screening device for Cheyne-Stokes respiration,” Sleep, vol. 32, no. 4, pp. 553–557, 2009. View at Publisher · View at Google Scholar · View at Scopus
  22. M. W. Johns, “A new method for measuring daytime sleepiness: the Epworth sleepiness scale,” Sleep, vol. 14, no. 6, pp. 540–545, 1991. View at Publisher · View at Google Scholar · View at Scopus
  23. D. R. Matthews, J. P. Hosker, A. S. Rudenski, B. A. Naylor, D. F. Treacher, and R. C. Turner, “Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man,” Diabetologia, vol. 28, no. 7, pp. 412–419, 1985. View at Publisher · View at Google Scholar · View at Scopus
  24. R. Marfella, C. Sardu, P. Calabrò et al., “Non-ST-elevation myocardial infarction outcomes in patients with type 2 diabetes with non-obstructive coronary artery stenosis: effects of incretin treatment,” Diabetes, Obesity and Metabolism, vol. 20, no. 3, pp. 723–729, 2018. View at Publisher · View at Google Scholar
  25. R. Marfella, C. Sardu, M. L. Balestrieri et al., “Effects of incretin treatment on cardiovascular outcomes in diabetic STEMI-patients with culprit obstructive and multivessel non obstructive-coronary-stenosis,” Diabetology & Metabolic Syndrome, vol. 10, no. 1, p. 1, 2018. View at Publisher · View at Google Scholar
  26. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, “Evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report,” Circulation, vol. 106, no. 25, pp. 3143–3421, 2002. View at Google Scholar
  27. World Health Organization, Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation, Geneva, 2008, June 23, 2016, http://apps.who.int/iris/bitstream/10665/44583/1/9789241501491_eng.pdf?ua=1.
  28. C. Sardu, M. Santamaria, S. Funaro et al., “Cardiac electrophysiological alterations and clinical response in cardiac resynchronization therapy with a defibrillator treated patients affected by metabolic syndrome,” Medicine, vol. 96, no. 14, article e6558, 2017. View at Publisher · View at Google Scholar · View at Scopus
  29. C. Sardu, G. Carreras, S. Katsanos et al., “Metabolic syndrome is associated with a poor outcome in patients affected by outflow tract premature ventricular contractions treated by catheter ablation,” BMC Cardiovascular Disorders, vol. 14, no. 1, p. 176, 2014. View at Publisher · View at Google Scholar · View at Scopus
  30. R. H. Eckel, S. M. Grundy, and P. Z. Zimmet, “The metabolic syndrome,” Lancet, vol. 365, no. 9468, pp. 1415–1428, 2005. View at Publisher · View at Google Scholar · View at Scopus
  31. A. K. Schober, M. F. Neurath, and I. A. Harsch, “Prevalence of sleep apnoea in diabetic patients,” The Clinical Respiratory Journal, vol. 5, no. 3, pp. 165–172, 2011. View at Publisher · View at Google Scholar · View at Scopus
  32. T. Young, M. Palta, J. Dempsey, J. Skatrud, S. Weber, and S. Badr, “The occurrence of sleep-disordered breathing among middle-aged adults,” The New England Journal of Medicine, vol. 328, no. 17, pp. 1230–1235, 1993. View at Publisher · View at Google Scholar · View at Scopus
  33. International Diabetes Federation, The IDF Consensus Statement on Sleep Apnoea and Type 2 Diabetes, International Diabetes Federation, Brussels, Belgium, June 2016, http://www.idf.org/webdata/docs/APNOEA_final.pdf.
  34. P. Zhang, R. Zhang, F. Zhao et al., “The prevalence and characteristics of obstructive sleep apnea in hospitalized patients with type 2 diabetes in China,” Journal of Sleep Research, vol. 25, no. 1, pp. 39–46, 2016. View at Publisher · View at Google Scholar · View at Scopus
  35. D. C. Lam, M. M. Lui, J. C. Lam, L. H. Y. Ong, K. S. L. Lam, and M. S. M. Ip, “Prevalence and recognition of obstructive sleep apnea in Chinese patients with type 2 diabetes mellitus,” Chest, vol. 138, no. 5, pp. 1101–1107, 2010. View at Publisher · View at Google Scholar · View at Scopus
  36. H. Guo, L. Zhang, C. Zhu et al., “A single nucleotide polymorphism in the FADS1 gene is associated with plasma fatty acid and lipid profiles and might explain gender difference in body fat distribution,” Lipids in Health and Disease, vol. 16, no. 1, p. 67, 2017. View at Publisher · View at Google Scholar · View at Scopus
  37. S. Pamidi and E. Tasali, “Obstructive sleep apnea and type 2 diabetes: is there a link?” Frontiers in Neurology, vol. 3, p. 126, 2012. View at Publisher · View at Google Scholar · View at Scopus
  38. J. H. Ficker, S. H. Dertinger, W. Siegfried et al., “Obstructive sleep apnoea and diabetes mellitus: the role of cardiovascular autonomic neuropathy,” The European Respiratory Journal, vol. 11, no. 1, pp. 14–19, 1998. View at Publisher · View at Google Scholar · View at Scopus
  39. P. Bottini, M. L. Dottorini, M. Cristina Cordoni, G. Casucci, and C. Tantucci, “Sleep-disordered breathing in nonobese diabetic subjects with autonomic neuropathy,” The European Respiratory Journal, vol. 22, no. 4, pp. 654–660, 2003. View at Publisher · View at Google Scholar · View at Scopus
  40. K. A. Stamatakis and N. M. Punjabi, “Effects of sleep fragmentation on glucose metabolism in normal subjects,” Chest, vol. 137, no. 1, pp. 95–101, 2010. View at Publisher · View at Google Scholar · View at Scopus
  41. E. Martínez-Cerón, B. Barquiel, A. M. Bezos et al., “Effect of continuous positive airway pressure on glycemic control in patients with obstructive sleep apnea and type 2 diabetes. A randomized clinical trial,” American Journal of Respiratory and Critical Care Medicine, vol. 194, no. 4, pp. 476–485, 2016. View at Publisher · View at Google Scholar · View at Scopus
  42. J. E. Shaw, N. M. Punjabi, M. T. Naughton et al., “The effect of treatment of obstructive sleep apnea on glycemic control in type 2 diabetes,” American Journal of Respiratory and Critical Care Medicine, vol. 194, no. 4, pp. 486–492, 2016. View at Publisher · View at Google Scholar · View at Scopus
  43. S. D. West, D. J. Nicoll, T. M. Wallace, D. R. Matthews, and J. R. Stradling, “Effect of CPAP on insulin resistance and HbA1c in men with obstructive sleep apnoea and type 2 diabetes,” Thorax, vol. 62, no. 11, pp. 969–974, 2007. View at Publisher · View at Google Scholar · View at Scopus
  44. G. Mayer, M. Arzt, B. Braumann et al., “German S3 guideline nonrestorative sleep/sleep disorders, chapter “sleep-related breathing disorders in adults,” short version,” Somnologie, vol. 21, no. 4, pp. 290–301, 2017. View at Publisher · View at Google Scholar · View at Scopus
  45. R. D. McEvoy, N. A. Antic, E. Heeley et al., “CPAP for prevention of cardiovascular events in obstructive sleep apnea,” The New England Journal of Medicine, vol. 375, no. 10, pp. 919–931, 2016. View at Publisher · View at Google Scholar · View at Scopus