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Sleep Apnea

Sleep Apnea and Metabolic Syndrome

February 12, 2024

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4 minutes read

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Exploring the Connection: Sleep Apnea and Metabolic Syndrome
Sleep apnea and metabolic syndrome, seemingly unrelated, have a surprising connection. Think of it as two friends with more in common than meets the eye! This journey with CPAP Discount Warehouse will help you grasp how sleep apnea, a nighttime issue, and metabolic syndrome, a cluster of health concerns, are intertwined.

What is Metabolic Syndrome?

Metabolic syndrome is a group of conditions that together increase the risk of cardiovascular disease, type 2 diabetes, and stroke. It can also lead to other health problems, such as conditions related to plaque buildup on artery walls (atherosclerosis) and organ damage. 
Criteria for metabolic syndrome
  • High blood pressure: blood pressure of 130 mmHg (upper value) and/or 85 mmHg (lower value) and above.
  • High blood sugar: fasting blood sugar level equal to or greater than 100 mg/dL. A value between 100 and 125 mg/dL indicates prediabetes. A value above 125 mg/dL likely indicates type 2 diabetes.
  • Hypertriglyceridemia: triglyceride level equal to or greater than 150 milligrams per deciliter of blood (mg/dL)
  • Excess belly fat: waist circumference greater than 102 cm in men and 89 cm in women
  • Abnormal cholesterol levels: HDL cholesterol level below 40 mg/dL in men or below 50 mg/dL in women.

What is Metabolic Syndrome?

>>>> The Link Between Obesity and Sleep Apnea: Causes & Treatments

What are 5 symptoms of metabolic syndrome?

Not all causes of iron deficiency anemia lead to noticeable symptoms. So, your symptoms will depend on how severe your anemia is and what’s causing it. For example, mild iron deficiency may not cause any symptoms at all. More advanced iron deficiency anemia can cause symptoms for some people, such as:

  • Fatigue or weakness.

  • Pale or sallow skin.

  • Shortness of breath during routine activities.

  • Dizziness or lightheadedness.

  • Cold hands and feet.

  • Brittle nails or hair loss.

The conection between metabolic syndrome and sleep apnoea


Obstructive Sleep Apnea Syndrome and Metabolic Diseases

Obstructive sleep apnea syndrome (OSAS), especially in the context of morbid obesity, is closely linked to a range of metabolic disturbances. One such condition is obesity hypoventilation syndrome, often accompanied by OSAS. Affected individuals typically experience excessive daytime sleepiness and loud snoring, along with clinical signs like cyanosis, rales, right heart strain, and elevated neck circumference. These patients exhibit daytime hypercapnia and hypoxemia and often have coexisting conditions such as hypertension and insulin resistance.

Obstructive sleep apnea syndrome may significantly contribute to the development of metabolic syndrome by activating sympathetic pathways, increasing leptin and aldosterone, promoting insulin resistance, and inducing oxidative stress. These shared mechanisms also increase cardiovascular disease risks

Severe Obstructive Sleep Apnea and Metabolic Syndrome

Severe sleep apnea is often associated with metabolic syndrome traits such as high blood pressure, elevated fasting glucose, abdominal obesity, low HDL, and high triglycerides. These patients may also show increased inflammatory markers like TNF-alpha and IL-6, as well as insulin resistance. A positive correlation has been found between sleep apnea severity and markers such as body fat, glucose, leptin, and uric acid.

The conection between metabolic syndrome and sleep apnoea

Sleep Apnea and Metabolic Syndrome treatments

Lifestyle Changes

Healthy lifestyle involves a low-calorie diet and regular physical exercise. It is highly recommended for all obese OSA patients, regardless of severity. Meta-analysis shows that lifestyle changes can significantly reduce blood pressure, fasting glucose, and waist circumference, contributing to a lower risk of MetS.

CPAP for the Metabolic Syndrome with OSA

Obstructive sleep apnea and metabolic syndrome are important risk factors for cardiovascular disease and may act synergistically. CPAP therapy is the method of choice for moderate obstructive sleep apnea and may be useful in the treatment of metabolic syndrome or metabolic disorders associated with obstructive sleep apnea.

Upper Airway Surgery

Surgical intervention is an option for patients who cannot tolerate CPAP or who have anatomical airway obstructions. Common procedures include uvulopalatopharyngoplasty (UPPP), maxillomandibular advancement, and hypoglossal nerve stimulation.

Mandibular Advancement Device (MAD)

MAD is a dental device used primarily in patients with mild to moderate OSA. It works by advancing the lower jaw to prevent airway obstruction during sleep.

>>> Learn more right here: The Role of Diet in Sleep Quality

FAQs

How does obesity affect sleep apnea?

Obesity is the most important risk factor for the development of OAS. According to the results of several large-scale epidemiological studies, 58% of moderate and severe OAS cases are related to obesity.

Can sleep apnea cause metabolic syndrome?

Yes, patients with OAS have higher blood pressure, higher fasting insulin levels, greater insulin resistance, lower high-density lipoprotein levels, and a higher incidence of metabolic syndrome.

How to break metabolic syndrome?

Changing your lifestyle to improve your heart health is the first choice for treating metabolic syndrome. You may need to see a nutritionist and a physical therapist to find a diet and exercise program that is right for you. If lifestyle changes do not produce results, you may need medication or weight loss surgery.

By following these steps, you can create harmony in your metabolic and sleep health, leading to a healthier and more balanced life. Exploring the connection between sleep apnea and metabolic syndrome is a reminder that taking care of one aspect of our health can affect our entire health. So remember that every step toward better sleep and a balanced metabolism is a step toward a healthier, more harmonious life.
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