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December 13, 2022Galen Medical JournalOpen Access

Evaluation the Possible Role of Interleukin-6 and Tumor Necrosis Factor- Alpha in Pathogenesis of Obstructive Sleep Apnea in Obese Patients: A Case-Control Study

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Why the study?

Although obstructive sleep apnea is associated with obesity and inflammation, the exact underlying mechanisms remain to be fully understood.

Are serum concentrations of IL-6 and TNF-alpha elevated in obese patients with obstructive sleep apnea compared to obese patients without OSA?

Population

Forty-six obese OSA patients and 42 obese non-OSA controls

Comparison

Obese OSA patients vs obese non-OSA subjects

Design

Case-control study

Key result

Obstructive sleep apnea in obese patients was not associated with significantly different serum levels of IL-6 (p=0.92) or TNF-α (p=0.09) compared to obese patients without obstructive sleep apnea.

Authors

SMSara MinaeianSFSoheil Rahmani FardSASamaneh Ahsant

Discussion

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Member takes

Overview

No OSA-related IL-6/TNF-α elevation in obesity; hypothesis-generating and requires prospective validation before clinical consideration.

Study Design

Type

Case-Control (n=88)

Multicenter

No

Structured PICO

Are serum concentrations of IL-6 and TNF-alpha elevated in obese patients with obstructive sleep apnea compared to obese patients without OSA?

P
Population
88 obese patients (BMI ≥ 30), comprising 46 with obstructive sleep apnea (OSA) and 42 otherwise healthy obese individuals, admitted to pulmonary or obesity clinics in Tehran, Iran.
C
Comparator
Obese but otherwise healthy individuals (non-OSA)
O
Outcome
Serum concentrations of Interleukin-6 (IL-6) and Tumor Necrosis Factor-Alpha (TNF-α)surrogate

Main Result

Absolute Event Rate: 10.65% vs 7.36%

p-value: p=0.09

In obese patients, the presence of obstructive sleep apnea was not associated with significantly higher serum levels of IL-6 and TNF-alpha compared to obese controls without OSA.

Limitations

  • Circadian rhythm of cytokine secretion was not considered at the time of sampling
  • Narrow sample size

Cite This Study

Minaeian et al. (2022) conducted a case-control in Obstructive Sleep Apnea in Obese Patients (n=88). Obstructive Sleep Apnea (OSA) vs. Non-OSA obese individuals was evaluated on Serum TNF-α levels (pg/mL) (p=0.09). Obstructive sleep apnea in obese patients was not associated with significantly different serum levels of IL-6 (p=0.92) or TNF-α (p=0.09) compared to obese patients without obstructive sleep apnea.

synapsesocial.com/papers/6a0e568e9c1aa67fcac840b2https://doi.org/10.31661/gmj.v11i.2431
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