Review
Chemistry, Multidisciplinary
Michelle Jin Yee Neoh, Alessandro Carollo, Mengyu Lim, Dagmara Dimitriou, Gianluca Esposito
Summary: Obstructive sleep apnea (OSA) is a common sleep disorder prevalent in the obese population and has been linked to adverse health outcomes such as cardiovascular and metabolic diseases. This study analyzed scientific literature on OSA from 1977 to 2022, revealing major research areas focused on the relationship between OSA, cardiovascular diseases, and metabolic diseases. It also identified emerging research clusters on specific populations like children with obesity and pregnant women.
APPLIED SCIENCES-BASEL
(2023)
Article
Health Care Sciences & Services
Marina Ruxandra Otelea, Mihaela Trenchea, Agripina Rascu, Sabina Antoniu, Corina Zugravu, Stefan Busnatu, Anca Angela Simionescu, Oana Cristina Arghir
Summary: This study aimed to define smoking combined with obstructive sleep apnea (OSA) as a phenotype (SOSA) and demonstrate the detrimental effects of continued smoking on OSA. The findings indicated that smokers had an earlier onset of OSA and more severe daytime sleepiness. Chronic obstructive pulmonary disease (COPD) was more prevalent among smokers, and smoking significantly influenced the severity of OSA.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Review
Clinical Neurology
Mohit, Ashutosh Shrivastava, Pooran Chand
Summary: Obstructive sleep apnea (OSA) is characterized by recurrent episodes of upper airway obstruction during sleep and is influenced by genetic factors such as heritability and phenotypic co-factors. Inflammatory cytokine polymorphism and obesity are strongly associated with OSA development, and advanced techniques can facilitate new discoveries and reduce the risk of developing OSA.
Review
Health Care Sciences & Services
Andreea Zabara-Antal, Ionela Grosu-Creanga, Mihai Lucian Zabara, Andrei Tudor Cernomaz, Bogdan Mihnea Ciuntu, Oana Melinte, Cristian Lupascu, Antigona Carmen Trofor
Summary: This review discusses the role of surgery in the treatment of sleep apnea and emphasizes the importance of individualized therapy. Depending on the type and severity of the apnea, the causal factor, obesity, hypercapnia, and associated pathologies, the optimal therapeutic method is determined for each individual case.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Endocrinology & Metabolism
Milina Tancic-Gajic, Miodrag Vukcevic, Miomira Ivovic, Ljiljana V. Marina, Zorana Arizanovic, Ivan Soldatovic, Milos Stojanovic, Aleksandar Dogo, Aleksandra Kendereski, Svetlana Vujovic
Summary: The study suggests that obstructive sleep apnea is associated with lower total and free testosterone levels in severely obese men. This finding indicates a potential impact of sleep disorders on sex hormone levels.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Article
Primary Health Care
Ayse Didem Esen, Meltem Akpinar
Summary: The study found a higher rate of severe OSA in male smokers and smokers with BMI < 30. However, smoking frequency did not correlate with OSA severity.
Article
Clinical Neurology
Tatyana G. Mills, Rakesh Bhattacharjee, Javan Nation, Emily Ewing, Daniel J. Lesser
Summary: This study aimed to classify post-adenotonsillectomy (AT) respiratory support in children with extreme obstructive sleep apnea (OSA), identify variables predicting these interventions, and evaluate outcomes. The findings showed that younger age, lower BMI Z-score, and higher OAHI were associated with undergoing surgery, with some postoperative patients requiring respiratory support. Additionally, patients with longer % total sleep time SpO2 <90% during PSG and lower SpO2 nadir were more likely to require airway support. No serious adverse events were reported postoperatively, and most patients with residual OSA experienced a significant improvement in total AHI. Surgery may still be a viable first-line therapy for children with extreme OSA, pending no contraindications to AT.
Article
Clinical Neurology
Christopher M. Cielo, Brendan T. Keenan, Andrew Wiemken, Ignacio E. Tapia, Andrea Kelly, Richard J. Schwab
Summary: The study found that neck fat is associated with obesity and neck circumference in adolescents, with females having significantly greater neck fat than males. However, neck fat does not appear to correlate with the presence and severity of OSAS.
Article
Clinical Neurology
Christopher M. Cielo, Brendan T. Keenan, Andrew Wiemken, Ignacio E. Tapia, Andrea Kelly, Richard J. Schwab
Summary: Neck fat is associated with obesity and neck circumference in adolescents, with females having more neck fat than males. However, it does not appear to correlate with the presence and severity of obstructive sleep apnea syndrome (OSAS).
Article
Clinical Neurology
Jacqueline H. Geer, Guido J. Falcone, Kevin N. Vanent, Audrey C. Leasure, Daniel Woo, Jennifer R. Molano, Lauren H. Sansing, Carl D. Langefeld, Margaret A. Pisani, Henry K. Yaggi, Kevin N. Sheth
Summary: The study found that obstructive sleep apnea (OSA) is associated with the risk of intracerebral hemorrhage (ICH). Cases with OSA were more likely to be male and have hypertension, heart disease, hyperlipidemia, and higher body mass index compared to those without OSA. Logistic regression analysis showed that OSA is a risk factor for ICH.
Article
Clinical Neurology
Zhigang Zhang, Yanjun Wang, Hong Li, Lianfang Ni, Xinmin Liu
Summary: This study found that visceral adiposity is strongly associated with obstructive sleep apnea (OSA) severity in the elderly, independently of general obesity as per BMI standards, while general adiposity appears to be more strongly associated with OSA severity in non-elderly individuals.
Article
Endocrinology & Metabolism
Emily Jane Meyer, Gary Allen Wittert
Summary: Obstructive sleep apnea (OSA) and obesity are closely associated; OSA is often unrecognized in women; OSA increases the risk of developing comorbid chronic disorders and impairs quality of life; appropriate treatment can improve symptoms and related diseases.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2023)
Article
Public, Environmental & Occupational Health
Hai Deng, Xueru Duan, Jun Huang, Murui Zheng, Miaochan Lao, Fan Weng, Qi-ying Su, Zhen-feng Zheng, Yunting Mei, Li Huang, Wen-han Yang, Xiaohui Xing, Xiaofeng Ma, Wenjing Zhao, Xudong Liu
Summary: This study found that neck circumference, body fat percentage, waist-to-hip ratio, visceral adiposity index, lipid accumulation product, and resting metabolic rate were all independently and positively associated with the risk of obstructive sleep apnea (OSA), regardless of age, sex, history of dyslipidemia, and menopausal status. Application of these new indicators could help to more comprehensively reflect and predict the risk of OSA in the general population.
Review
Clinical Neurology
Walter T. McNicholas, Dirk Pevernagie
Summary: Obstructive sleep apnea (OSA) is characterized by recurrent upper airway obstruction during sleep, caused by the inability of upper airway dilating muscles to withstand negative pressures. Factors such as abnormal craniofacial anatomy, soft tissue accumulation in the neck, and fluid shift in the recumbent position contribute to airway collapse. OSA is often associated with comorbidities including metabolic, cardiovascular, renal, pulmonary, and neuropsychiatric conditions, with bidirectional relationships observed for heart failure, metabolic syndrome, and stroke. Understanding the complex pathophysiology of OSA is crucial for developing targeted therapies and exploring precision medicine as an alternative to continuous positive airway pressure therapy for selected patients.
JOURNAL OF SLEEP RESEARCH
(2022)
Article
Otorhinolaryngology
Nikolas R. R. Block-Wheeler, Jeanne Darbinian, Ghedak Ansari, Megan Durr
Summary: This study examined the associations between psychiatric and pain comorbidities and the likelihood of undergoing sleep surgery for patients with obstructive sleep apnea (OSA). The results showed that patients with comorbid pain disorder and/or pain medication treatment were more likely to undergo sleep surgery. Additionally, patients with a history of headache, particularly migraine, as well as certain behavioral and personality disorders, were also more likely to undergo surgery.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Letter
Dermatology
Vasiliki Gkanti, Maria Dalamaga, Evangelia Papadavid
INTERNATIONAL JOURNAL OF DERMATOLOGY
(2023)
Letter
Dermatology
Maria Dalamaga, Dimitrios Tsilingiris, Alexandros Katoulis
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2023)
Review
Oncology
Christian Sumeghy Sondergaard, Paulina Nunez Esquivel, Maria Dalamaga, Faidon Magkos
Summary: Diabetes patients may have an altered risk of cancer when using antihyperglycemic medications. Certain medications are associated with a lower risk of cancer, while others may increase the risk.
CURRENT ONCOLOGY REPORTS
(2023)
Article
Biochemistry & Molecular Biology
Ludovica Verde, Maria Dalamaga, Xavier Capo, Giuseppe Annunziata, Maria Hassapidou, Annamaria Docimo, Silvia Savastano, Annamaria Colao, Giovanna Muscogiuri, Luigi Barrea
Summary: High adherence to the Mediterranean diet (MD) leads to better results in the very low-calorie ketogenic diet (VLCKD), possibly due to the antioxidant and anti-inflammatory properties of the MD, which create a metabolic state favorable for more effective ketosis.
Review
Nutrition & Dietetics
Aikaterini Rokou, Anna Eleftheriou, Christina Tsigalou, Ioulianos Apessos, Evangelia Nena, Maria Dalamaga, Athanasios Voulgaris, Paschalis Steiropoulos
Summary: This systematic review examines the role of a structured diet management plan on the severity of OSA, nocturnal oxygen indices, and subjective sleep parameters. The review found that a dietary management plan delivered through an educational program can reduce the severity of OSA and improve nocturnal oxygenation and subjective sleep parameters.
CURRENT NUTRITION REPORTS
(2023)
Article
Dermatology
Katerina Vlami, Kleoniki Pantelidi, Maria Dalamaga, Fani Karagianni, Konstantinos Theodoropoulos, Spyridon Papiris, Evangelia Papadavid
Summary: This study aimed to investigate the impact of psoriasis on patients' sleep. It found that 91% of psoriatic patients had poor sleep quality, with 65.2% experiencing insomnia symptoms. Patients also had worse sleep efficiency and shorter total sleep time compared to controls. After 6 months of systemic treatment, psoriatic patients showed improved sleep quality and fewer insomnia symptoms.
ACTA DERMATO-VENEREOLOGICA
(2023)
Review
Biochemistry & Molecular Biology
Natalia G. Vallianou, Dimitris Kounatidis, Dimitrios Tsilingiris, Fotis Panagopoulos, Gerasimos Socrates Christodoulatos, Angelos Evangelopoulos, Irene Karampela, Maria Dalamaga
Summary: Obesity and obesity-associated disorders are major health issues worldwide. Next-generation probiotics (NGPs) are showing promise as potential preventive and therapeutic agents against obesity, with candidate NGPs like Akkermansia muciniphila and Hafnia alvei already demonstrating encouraging results. However, safety issues and strict regulations should be continuously addressed. This review explores the current knowledge regarding NGPs, their utility in obesity and obesity-related disorders, their safety profile, and their therapeutic potential in overweight/obese individuals.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Oncology
Georgios Papavasileiou, Dimitrios Tsilingiris, Nikolaos Spyrou, Natalia G. Vallianou, Irene Karampela, Faidon Magkos, Maria Dalamaga
Summary: Urologic cancers account for a significant proportion of new cancer cases and deaths. There is evidence supporting a potential causal link between obesity and four common urologic cancers. Genetic studies have shown a possible association between obesity and kidney and bladder cancer, while biological mechanisms such as hormone levels and inflammation may contribute to this link. Potential therapeutic options for urologic cancers related to obesity include certain drugs and adipokine receptor agonists/antagonists.
SEMINARS IN CANCER BIOLOGY
(2023)
Article
Oncology
Elisabeth A. Larson, Maria Dalamaga, Faidon Magkos
Summary: Cancer is a major cause of death worldwide, and its impact on individual and public health, healthcare systems, and society is significant. Obesity increases the risk of certain types of cancer, but physical activity has been shown to decrease the risk of obesity-related cancers and improve cancer prognosis and mortality rates. This review examines the recent evidence on the effects of physical activity on the prevention and survival of obesity-related cancers.
SEMINARS IN CANCER BIOLOGY
(2023)
Review
Oncology
Natalia G. Vallianou, Angelos Evangelopoulos, Dimitris Kounatidis, Fotis Panagopoulos, Eleni Geladari, Irene Karampela, Theodora Stratigou, Maria Dalamaga
Summary: This review summarizes recent findings in immunotherapy for head and neck cancer, focusing on the efficacy and potential of novel treatments such as combination immune-checkpoint inhibitors, tumor vaccines, oncolytic viruses, and adoptive cellular immunotherapy. It also discusses the role of the microbiome, limitations of immunotherapy, and various biomarkers based on genetics and the tumor microenvironment.
CURRENT ONCOLOGY REPORTS
(2023)
Editorial Material
Oncology
Maria Dalamaga, Narjes Nasiri-Ansari, Nikolaos Spyrou
Review
Endocrinology & Metabolism
Ioannis G. Lempesis, Dimitrios Varrias, Marios Sagris, Robert R. Attaran, Elissa S. Altin, Christos Bakoyiannis, Leonidas Palaiodimos, Maria Dalamaga, Damianos G. Kokkinidis
Summary: The association between obesity and peripheral artery disease (PAD) is controversial, but recent evidence suggests a potential protective effect of higher body mass index on PAD-related complications and mortality. Possible mechanisms include genetic background, adipose tissue dysfunction, and body fat distribution.
CURRENT OBESITY REPORTS
(2023)
Review
Endocrinology & Metabolism
Stamatia Simati, Alexander Kokkinos, Maria Dalamaga, Georgia Argyrakopoulou
Summary: The obesity paradox refers to the observation that certain chronic diseases show a protective association between body mass index (BMI) and clinical outcomes. However, this association may be influenced by factors such as limitations of BMI, unintended weight loss due to chronic illness, different phenotypes of obesity, and cardiorespiratory fitness levels. Recent evidence suggests that cardioprotective medications, obesity duration, and smoking status also play a role in the obesity paradox.
CURRENT OBESITY REPORTS
(2023)
Article
Medicine, General & Internal
Irene Karampela, Natalia G. Vallianou, Dimitrios Tsilingiris, Gerasimos Socrates Christodoulatos, Georgios Antonakos, Ioanna Marinou, Evaggelos Vogiatzakis, Apostolos Armaganidis, Maria Dalamaga
Summary: This study found that serum omentin-1 levels were increased in critically ill patients with sepsis and were associated with the severity and prognosis of sepsis. Omentin-1 may be a potential biomarker for sepsis.
MEDICINA-LITHUANIA
(2023)
Article
Nutrition & Dietetics
Georgia Argyrakopoulou, Sofia K. Konstantinidou, Maria Dalamaga, Alexander Kokkinos
Summary: Bariatric surgery is an effective and long-lasting weight loss method, but it may lead to nutritional deficiencies. The key to preventing these deficiencies is preoperative screening and proper supplementation, along with lifelong personalized medical care.
CURRENT NUTRITION REPORTS
(2022)