Chronic kidney disease in patients with obstructive sleep apnea. A narrative review

被引：34
作者：
Voulgaris, Athanasios [1 ,2 ]
Marrone, Oreste [3 ]
Bonsignore, Maria R. [3 ,4 ]
Steiropoulos, Paschalis [1 ,2 ]
机构：
[1] Democritus Univ Thrace, Med Sch, MSc Programme Sleep Med, Alexandroupolis, Greece
[2] Democritus Univ Thrace, Med Sch, Dept Pneumonol, Alexandroupolis, Greece
[3] CNR, Inst Biomed & Mol Immunol, Palermo, Italy
[4] Univ Palermo, Univ Hosp AOUP Paolo Giaccone, PROMISE Dept, Pulm Div, Palermo, Italy
来源：
SLEEP MEDICINE REVIEWS | 2019年 / 47卷
关键词：
Chronic kidney disease; Continuous positive airway pressure; Kidney function; Nocturnal hypoxia; Obstructive sleep apnea; POSITIVE AIRWAY PRESSURE; ANGIOTENSIN-ALDOSTERONE SYSTEM; GLOMERULAR-FILTRATION-RATE; URINARY ALBUMIN EXCRETION; INDEPENDENT RISK-FACTOR; CHRONIC-RENAL-FAILURE; BLOOD-PRESSURE; NOCTURNAL HYPOXEMIA; BREATHING DISORDER; HIGH PREVALENCE;
D O I：
10.1016/j.smrv.2019.07.001
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Prevalence of both chronic kidney disease (CKD) and obstructive sleep apnea (OSA) is continuously increasing. Moreover, the prevalence of OSA increases as kidney function declines and is higher among patients with end-stage renal disease (ESRD). In addition, OSA is recognized as a potential nontraditional risk factor for development and progression of CKD. Continuous positive airway pressure (CPAP) plays a pivotal role in the management of OSA, eliminating patients' symptoms and improving their quality of life. Recent studies suggested that CPAP treatment may have beneficial effects on kidney function among patients with OSA. This narrative review summarizes the existing knowledge on the association between CKD and OSA, with emphasis on the epidemiology, the pathophysiology of the development of CKD in OSA and vice versa, as well as the effect of CPAP on renal function. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码：74 / 89
页数：16
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