Obstructive sleep apnea is associated with impaired glucose metabolism in Han Chinese subjects
10.3760/cma.j.issn.0366-6999.20121195
- Author:
Chen-Juan GU
1
;
Min LI
;
Qing-Yun LI
;
Ning LI
;
Guo-Chao SHI
;
Huan-Ying WAN
Author Information
1. Department of Respiratory Medicine
- Keywords:
obstructive sleep apnea;
glucose metabolism;
pancreatic β-cell function;
insulin resistance
- From:
Chinese Medical Journal
2013;(1):5-10
- CountryChina
- Language:Chinese
-
Abstract:
Background Increasingly,evidence from population,clinic-based and laboratory studies supports an independent association between obstructive sleep apnea syndrome (OSAS) and an increased risk of type 2 diabetes; however,this observation has yet to be replicated in China and the potential mechanisms that link these two conditions are not clear.Methods A total of 179 Han Chinese subjects were enrolled in this study.All subjects underwent polysomnography,the oral glucose tolerance-insulin releasing test (OGTT-IRT) and serum HbA1c measurement.Indexes including homeostasis model assessment-IR (HOMA-IR),Matsuda index,HOMA-β,early phase insulinogenic index (△I30 / △G30),AUC-I180 and oral disposition index (DIo) were calculated for the assessment of insulin resistance and pancreatic β-cell function.Results Based on OGTT,25.4％,44.6％ and 54.5％ subjects were diagnosed having glucose metabolic disorders respectively in control,mild to moderate and severe OSAS groups (P ＜0.05).Serum HbA1c levels were highest in subjects with severe OSAS (P ＜0.05).In contrast,compared with normal subjects,HOMA-β,△I30/△G30 and DIo were lower in severe OSAS group (P ＜0.05).In stepwise multiple linear regressions,0-min glucose and HbA1c were positively correlated with the percentage of total sleep time below an oxyhemoglobin saturation of 90％ (T90) (Beta =0.215 and 0.368,P ＜0.05); 30-min and 60-min glucose was negatively correlated with the lowest SpO2 (LSpO2) (Beta =-0.214 and -0.241,P ＜0.05).HOMA-β and Dlowere negatively correlated with T90 (Beta =-0.153 and-0.169,P ＜0.05) while body mass index (BMI) was the only determinant of HOMA-IR and Matsuda index.Conclusions OSAS is associated with impairment in glucose tolerance and pancreatic β-cell function in Han Chinese subjects while insulin sensitivity is mainly determined by obesity.
