成年人的阻塞性睡眠呼吸暂停和低骨质之间的关联:系统性审查和元分析
Xin-Yuan Wang1, Xin-Yu Wang2, Zhi-Xin Liao1
1Department of Orthopaedics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041 Sichuan China.
Sleep and biological rhythms
|March 13, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 与较低的骨密度和成年人患骨质疏松症的更高风险有关. 这一元分析证实了OSA与骨矿物质密度降低和骨质疏松症风险增加在男性和女性之间存在显著的关联.
科学领域:
- 骨代谢和睡眠障碍 骨代谢和睡眠障碍
- 骨质疏松症研究 骨质疏松症研究
- 公共卫生和睡眠呼吸暂停
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍存在的疾病,已知其心血管和代谢后果.
- 新出现的证据表明OSA和骨健康之间存在潜在联系,但缺乏全面的综合.
研究的目的:
- 系统地审查和分析现有的关于OSA和成年人低骨质之间的关联的观察性研究.
- 研究OSA对骨矿物密度 (BMD),骨质疏松症风险和骨代谢标志物的影响.
主要方法:
- 对四个主要数据库进行了系统的电子搜索.
- 纳入标准集中在成人观察性研究中,研究OSA与骨质,骨质疏松症,骨折或骨代谢标志物的关系.
- 提取的数据包括BMD,T分数,骨质疏松症发病率,骨折率和骨代谢标志物.
主要成果:
- 十项涉及158,427名参与者的研究被纳入了元分析.
- OSA与腰部下部和大腿部BMD和腰部下部T分数有显著的相关性.
- 患有OSA的男性和女性均表现出患骨质疏松症的风险较高. 骨特异性性酸酶在OSA患者中也显著降低.
结论:
- 建立了OSA和成人骨质减少之间的初步关联.
- 在男性和女性中,OSA似乎增加了骨质疏松症的风险.
- 需要进一步的研究来阐明这种关联及其临床影响背后的机制.
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