Obstructive Sleep Apnea and Type 2 Diabetes in Older Adults

被引:22
作者
Moon, Karoline [1 ]
Punjabi, Naresh M. [1 ]
Aurora, R. Nisha [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Pulm & Crit Care Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USA
基金
美国国家卫生研究院;
关键词
Obstructive sleep apnea; Central sleep apnea; Type; 2; diabetes; Aging; CARDIOVASCULAR-DISEASE; PREVALENCE; AGE; EPIDEMIOLOGY; IMPACT; MEN; RESPONSES; MELLITUS; HYPOXIA; RISK;
D O I
10.1016/j.cger.2014.08.023
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Both obstructive sleep apnea (OSA) and type 2 diabetes mellitus are commonly seen in older adults. Over the last decade, there has been increasing recognition that OSA is highly prevalent in persons with type 2 diabetes and related metabolic conditions such as insulin resistance and glucose intolerance. Intermittent hypoxemia and recurrent arousals in OSA trigger a repertoire of pathophysiological events, which can in turn alter glucose homeostasis and possibly increase the risk for type 2 diabetes. Conversely, there is evidence that type 2 diabetes may alter the progression and expression of sleep-disordered breathing.
引用
收藏
页码:139 / 147
页数:9
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