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Gender-specific change in leptin concentrations during long-term CPAP therapy
Miia Aro1,2,3, Ulla Anttalainen4,5,6, Samu Kurki7
1Division of Medicine, Department of Pulmonary Diseases, Turku University Hospital, PO Box 52, FI-20520, Turku, Finland. mmisot@utu.fi.
Continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea syndrome (OSAS) increased leptin levels in female patients over three years. This finding suggests a potential hormonal shift associated with long-term CPAP use in women.
Area of Science:
- Endocrinology
- Sleep Medicine
- Pulmonology
Background:
- Obstructive sleep apnoea syndrome (OSAS) affects energy balance, with continuous positive airway pressure (CPAP) potentially influencing endocrine factors like leptin and insulin-like growth factor-1 (IGF-1).
- Weight gain is a concern for some OSAS patients undergoing CPAP therapy, prompting investigation into underlying hormonal mechanisms.
Purpose of the Study:
- To investigate the long-term effects of CPAP therapy on leptin and IGF-1 concentrations in OSAS patients.
- To explore the association between weight gain, OSAS severity, CPAP adherence, and these endocrine factors.
Main Methods:
- A cohort of 223 patients with suspected OSAS underwent baseline cardiorespiratory polygraphy, questionnaires, and blood sampling.
- 149 patients completed a 3-year follow-up, with plasma samples and CPAP adherence data available for 114 and 109 patients, respectively.
- Leptin and IGF-1 concentrations were measured at baseline and after 3 years, with regression analyses performed to identify influencing factors.
Main Results:
- After 3 years, leptin concentrations were significantly higher in CPAP users compared to non-users (30.2 ng/ml vs. 16.8 ng/ml).
- Leptin increase was independent of age, baseline BMI, or BMI change, but was significant in females (12.7 ng/ml increase) while CPAP opposed the natural decrease in males.
- Insulin-like growth factor-1 (IGF-1) levels did not show significant differences between groups or over time.
Conclusions:
- Long-term CPAP therapy is associated with increased leptin concentrations, particularly in female patients with OSAS.
- The findings suggest a sex-specific hormonal response to CPAP treatment that warrants further investigation regarding its impact on energy balance and weight management.
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