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Sleep apnoea and metabolic dysfunction

Maria R. Bonsignore, Anne-Laure Borel, Elizabeth Machan, Ron Grunstein
European Respiratory Review 2013 22: 353-364; DOI: 10.1183/09059180.00003413
Maria R. Bonsignore
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
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  • For correspondence: marisa@ibim.cnr.it
Anne-Laure Borel
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
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Elizabeth Machan
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
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Ron Grunstein
1Biomedical Dept of Internal and Specialistic Medicine (DiBiMIS), Section of Pneumology, University of Palermo, Palermo, and 2Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council (CNR), Palermo, Italy. 3Endocrinology Dept, University Hospital, Grenoble, 4INSERM U1042, Grenoble, and 5University Grenoble Alpes, HP2, Grenoble, France. 6Centre for Integrated Understanding and Research into Sleep (CIRUS), Woolcock Institute, University of Sydney and Royal Prince Alfred Hospital, Glebe, Australia
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Abstract

Obstructive sleep apnoea (OSA) is a highly prevalent condition often associated with central obesity. In the past few years, several studies have analysed the potential independent contribution of OSA to the pathogenesis of metabolic abnormalities, including type 2 diabetes, the metabolic syndrome and non-alcoholic fatty liver disease. New perspectives in OSA patient care have been opened by the promotion of lifestyle interventions, such as diet and exercise programmes that could improve both OSA and the metabolic profile. The rich clinical literature on this subject, together with the growing amount of data on pathophysiological mechanisms provided by animal studies using the chronic intermittent hypoxia model, urged the organising Committee of the Sleep and Breathing meeting to organise a session on sleep apnoea and metabolic dysfunction, in collaboration with the European Association for the Study of Diabetes. This review summarises the state-of-the-art lectures presented in the session, more specifically the relationship between OSA and diabetes, the role of OSA in the metabolic consequences of obesity, and the effects of lifestyle interventions on nocturnal respiratory disturbances and the metabolic profile in OSA patients.

Footnotes

  • Provenance: Submitted article, peer reviewed.

  • Conflict of interest: None declared.

  • Received May 16, 2013.
  • Accepted June 19, 2013.
  • ©ERS 2013
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Sleep apnoea and metabolic dysfunction
Maria R. Bonsignore, Anne-Laure Borel, Elizabeth Machan, Ron Grunstein
European Respiratory Review Sep 2013, 22 (129) 353-364; DOI: 10.1183/09059180.00003413

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Sleep apnoea and metabolic dysfunction
Maria R. Bonsignore, Anne-Laure Borel, Elizabeth Machan, Ron Grunstein
European Respiratory Review Sep 2013, 22 (129) 353-364; DOI: 10.1183/09059180.00003413
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    • OSA and type 2 diabetes: an independent relationship?
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