Obstructive sleep apnea hypopnea syndrome and metabolic syndrome: a synergistic cardiovascular risk factor
Becky Lynn Goodson1, Shu-Fen Wung, Kristen Hedger Archbold
1Vista Medical Group, Mesa, Arizona, USA.
Insights
Metabolic syndrome and obstructive sleep apnea hypopnea syndrome (OSAHS) synergistically increase cardiovascular disease (CVD) risk. Early screening and integrated treatment, including CPAP, are crucial for managing this multiplied CVD risk.
Area of Science:
- Cardiology
- Sleep Medicine
- Metabolic Disorders
Background:
- Cardiovascular disease (CVD) is a leading cause of death in the US.
- Metabolic syndrome and obstructive sleep apnea hypopnea syndrome (OSAHS) are independent CVD risk factors.
- The interaction between OSAHS and metabolic syndrome on cardiovascular health is not fully understood.
Purpose of the Study:
- To explore the physiological consequences of the interaction between OSAHS and metabolic syndrome on the cardiovascular system.
- To review the current understanding of how these two conditions impact cardiovascular health.
Main Methods:
- Literature search using keywords: "metabolic syndrome," "obstructive sleep apnea," "cardiovascular disease," "diabetes," "obesity," and "atherosclerosis."
- Exclusion of studies involving pediatric populations.
Main Results:
- Both metabolic syndrome and OSAHS significantly impact the cardiovascular system.
- The combined presence of metabolic syndrome and OSAHS results in a synergistic increase in CVD risk.
- Continuous positive airway pressure (CPAP) treatment can mitigate the overall cardiovascular risk burden.
Conclusions:
- Routine screening for both metabolic syndrome and OSAHS is recommended for patients.
- Integrated treatment approaches including CPAP, weight management, and other interventions are necessary.
- Further research is needed to fully elucidate the mechanisms by which OSAHS and metabolic syndrome contribute to CVD.
Purpose:
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality for adults in the United States. One risk factor for CVD is metabolic syndrome, which encompasses obesity, hypertension, insulin resistance, proinflammatory state, and prothrombotic state. A lesser-understood risk factor is obstructive sleep apnea hypopnea syndrome (OSAHS). This article explores the physiological consequences of the interaction between OSAHS and metabolic syndrome on the cardiovascular system.
Data Sources:
Search terms "metabolic syndrome,""obstructive sleep apnea,""cardiovascular disease,""diabetes,""obesity," and "atherosclerosis," were used. Studies involving children were excluded.
Conclusions:
Both metabolic syndrome and OSAHS have significant impact on the cardiovascular system; however, when both conditions are present together, the impact is synergistic and CVD risk is multiplied. Treatment with continuous positive airway pressure (CPAP) reduces the global burden of CVD risk.
Implications For Practice:
Providers need to screen patients routinely for both metabolic syndrome and OSAHS. Treatment should include CPAP, weight reduction, oral appliances, and/or upper airway surgeries with concurrent management for metabolic syndrome. Future research should further elucidate the mechanisms of action by which OSAHA and metabolic syndrome contribute to CVD. This understanding can lead to more stringent guidelines on the management of metabolic syndrome and OSAHS.
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