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Review
. 2014 Jun;34(3):158-66.

OSAS and metabolic diseases: Round Table, 99(th) SIO National Congress, Bari 2012

D Passàli  1 , P Tatti  2 , M Toraldo  3 , M de Benedetto  4 , F Peverini  5 , G Caruso  1 , A Marzetti  6 , F M Passàli  7 , L Bellussi  1
Affiliations
Review

OSAS and metabolic diseases: Round Table, 99(th) SIO National Congress, Bari 2012

D Passàli et al. Acta Otorhinolaryngol Ital. 2014 Jun.

Abstract
in English, Italian

This draft of the Official Round Table held during the 99th SIO National Congress is an updated review on the diagnostic tools, the importance of polysomnographic recording and a critical analysis of the surgical techniques in obstructive sleep apnoea syndrome (OSAS). The review and analysis of available publications is the premise along with a specific analysis of the relationship between OSAS and metabolic and vascular disorders. In addition, the most recent investigations on sleep disorders and altered glucose metabolism are summarised and discussed together with the results of a study by the authors involving a fairly large number of patients with OSAS and diabetes.

Questo testo è un estratto della tavola rotonda ufficiale tenutasi durante il 99o Congresso Nazionale SIO. Si tratta di una revisione aggiornata sugli strumenti diagnostici, sull'importanza della polisonnografia e di un'analisi critica delle tecniche chirurgiche dell'OSAS. La revisione e l'analisi di tutti gli studi costituiscono la premessa e il completamento dei capitoli; particolare attenzione è posta sul rapporto tra OSAS e disturbi metabolici e vascolari. Inoltre, i lavori più recenti su disturbi del sonno ed alterazioni del metabolismo glucidico sono riassunti e discussi insieme ai risultati di uno studio portato avanti dagli autori che coinvolge un discreto numero di pazienti con OSAS e diabete.

Keywords: Cardiovascular diseases; Diabetes; Nasal obstruction; OSAS; Polysomnography.

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Figures

Fig. 1.
Fig. 1.
"Hierarchical" hypothesis of the prevalence of metabolic and non-metabolic risk factors of sleep disorders. Adapted from: NL Nock et al.: Empirical evidence for "syndrome Z": a hierarchical 5-factor model of metabolic syndrome incorporating measures of sleep disturbance. Sleep 2009, 32:615-622.
Fig. 2.
Fig. 2.
A simplified scheme of the interactions between respiratory distress and metabolic disorders.
See this image and copyright information in PMC

References

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    1. Tiihonen M, Partinen M, Närvänen S. The severity of obstructive sleep apnoea is associated with insulin resistance. J Sleep Res. 1993;2:56–61. - PubMed
    1. Punjabi NM, Beamer BA. Alterations in glucose disposal in sleep-disordered breathing. Am J Respir Crit Care Med. 2009;179:235–240. - PMC - PubMed

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