Associations between Sleep-Disordered Breathing and Serum Uric Acid and Their Sex Differences: The Nagahama Study.

diabetes mellitus epidemiologic study gender difference sleep-disordered breathing uric acid

Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
30 Sep 2023
Historique:
received: 25 08 2023
revised: 22 09 2023
accepted: 29 09 2023
medline: 23 10 2023
pubmed: 14 10 2023
entrez: 14 10 2023
Statut: epublish

Résumé

Sleep-disordered breathing (SDB) is often accompanied by noncommunicable diseases (NCDs), including gout. However, the association between serum uric acid (sUA) levels and NCDs is complicated in patients with SDB. We aimed to clarify this issue utilizing large-scale epidemiological data. This community-based study included 9850 inhabitants. SDB and its severity were assessed by a 3% oxygen desaturation index (3% ODI) corrected for sleep duration using wrist actigraphy. The associations between sUA and moderate to severe SDB (MS-SDB) and sUA and NCDs in patients with MS-SDB were analyzed. A total of 7895 subjects were eligible. In females, the prevalence of MS-SDB increased according to an elevation in sUA levels even after adjusting for confounders, and sUA ≥ 5 mg/dL was the threshold. These were not found in males. There was a positive interaction between sUA ≥ 5 mg/dL and female sex for MS-SDB. In females with MS-SDB, the prevalence of diabetes mellitus (DM) increased according to an elevation in sUA levels, and those with sUA ≥ 5 mg/dL showed a higher prevalence of DM than their counterparts. There is a clear correlation between sUA levels and the severity of SDB, and elevated sUA poses a risk for DM in females with MS-SDB.

Identifiants

pubmed: 37836522
pii: nu15194237
doi: 10.3390/nu15194237
pmc: PMC10574205
pii:
doi:

Substances chimiques

Uric Acid 268B43MJ25
Oxygen S88TT14065

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology in Japan
ID : 25293141, 26670313, 26293198, 17H04182, 17H04126, 17H04123, 18K18450
Organisme : Grants from the Center of Innovation Program and the Global University Project from Japan Science and Technology Agency, Japan Agency for Medical Research and Development (AMED)
ID : dk0207006, dk0207027, ek0109070, ek0109283, ek0109196, ek0109348, kk0205008, ek0210066, ek0210096, ek0210116, and le0110005
Organisme : The Intractable Respiratory Diseases and Pulmonary Hypertension Research Group from the Ministry of Health, Labour and Welfare of Japan
ID : H29-intractable diseases-general-027
Organisme : The Health, Labour and Welfare Sciences Research Grants, and Research on Region Medical
ID : H28-iryo-ippan-016, H30-iryo-ippan-009

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Auteurs

Hironobu Sunadome (H)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Kimihiko Murase (K)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Yasuharu Tabara (Y)

Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.
Graduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka 420-0881, Japan.

Takeshi Matsumoto (T)

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Takuma Minami (T)

Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Osamu Kanai (O)

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Tadao Nagasaki (T)

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Naomi Takahashi (N)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Satoshi Hamada (S)

Department of Advanced Medicine for Respiratory Failure, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Kiminobu Tanizawa (K)

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Jumpei Togawa (J)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Sayaka Uiji (S)

Nursing Science, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Tomoko Wakamura (T)

Nursing Science, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Naoko Komenami (N)

Department of Food and Nutrition, Kyoto Women's University, Kyoto 605-8501, Japan.

Kazuya Setoh (K)

Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Takahisa Kawaguchi (T)

Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Satoshi Morita (S)

Department of Biomedical Statistics and Bioinformatics, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Yoshimitsu Takahashi (Y)

Department of Health Informatics, Kyoto University School of Public Health, Kyoto 606-8501, Japan.

Takeo Nakayama (T)

Department of Health Informatics, Kyoto University School of Public Health, Kyoto 606-8501, Japan.

Toyohiro Hirai (T)

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Susumu Sato (S)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Fumihiko Matsuda (F)

Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.

Kazuo Chin (K)

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.
Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan.
Department of Sleep Medicine and Respiratory Care, Division of Sleep Medicine, Nihon University of Medicine, Tokyo 173-8610, Japan.

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