Artigo
Association Between Uric Acid Levels and Obstructive Sleep Apnea Syndrome in a Large Epidemiological Sample
Fecha
2013-06-24Registro en:
Plos One. San Francisco: Public Library Science, v. 8, n. 6, 9 p., 2013.
1932-6203
WOS000321738400080.pdf
10.1371/journal.pone.0066891
WOS:000321738400080
Autor
Hirotsu, Camila [UNIFESP]
Tufik, Sergio [UNIFESP]
Guindalini, Camila [UNIFESP]
Mazzotti, Diego R. [UNIFESP]
Bittencourt, Lia R. [UNIFESP]
Andersen, Monica L. [UNIFESP]
Institución
Resumen
Introduction: Recurrent hypoxia, which is associated with obstructive sleep apnea syndrome (OSAS), leads to an increase in the degradation of adenosine triphosphatase into xanthine, which in turn increases uric acid concentrations.Objective: the current study aimed to determine whether an association exists between OSAS and uric acid levels in the peripheral blood from a representative population of São Paulo (Brazil).Methods: A population-based survey adopting a probabilistic 3-stage cluster sample of São Paulo was used to represent the population according to gender, age, and socioeconomic class. A total of 1,042 volunteers underwent polysomnography recordings for OSAS diagnosis, blood pressure assessment, and biochemical blood analysis, and answered questionnaires.Results: Uric acid levels were correlated with most important risk factors for OSAS, such as AHI, desaturation time and index, minimum oxyhemoglobin saturation (SpO(2)), blood pressure, cholesterol, BMI, triglycerides and arousal, and with OSAS itself. Also, uric acid was increased in OSAS volunteers even after controlling for all confounders. Hyperuricemic volunteers presented lower mean and minimum SpO(2) and increased desaturation index. Importantly, minimum SpO(2) was a significant predictor of uric acid levels, which in turn was considered an independent predictor for OSAS in the binary logistic model. However, a ROC curve analysis for establishing cut-off points for uric acid levels as a biomarker of OSAS revealed moderate sensitivity and specificity.Conclusion: A strong association was found between uric acid levels and OSAS in a representative sample of the population of São Paulo. Although they do not qualify for a biomarker alone, uric acid levels may be involved in OSAS severity and should be considered in sleep apnea management in the future.
Materias
Ítems relacionados
Mostrando ítems relacionados por Título, autor o materia.
-
Encruzilhada. Artigos dos estudantes de arte contemporânea da Unifesp (2023)
Arantes, Pedro Fiori [UNIFESP]; Pires, Catarina Silva [UNIFESP]; Souza, Larissa Silva de [UNIFESP]; Miramontes, Luana [UNIFESP]; Jean, Marci [UNIFESP]; Alcarde, Yasmin Tainá Lana de [UNIFESP]; Lima, Ingrid Dos Santos [UNIFESP]; Costa, João Henrique Lopes da [UNIFESP]; Marques, Yago Maciel [UNIFESP]; Rocha, Romario Lopes [UNIFESP]; Gomes, Gustavo Bitencourt [UNIFESP]; Dias, Camila Oliveira [UNIFESP]; Santos, Thaynná Baltazar dos[UNIFESP]; Guedes, Beatriz [UNIFESP]; Melo, Gabriella [UNIFESP]; Francesquini, Maria Sueli de Camargo [UNIFESP]; Almeida, Raphael Gomes de [UNIFESP]; Morita, Yumi [UNIFESP]; Araújo, Isadora Trindade [UNIFESP]; Santo, Micaele Silva [UNIFESP]; Rocha, Karina Braga da [UNIFESP]; Campos, Maria Eduarda [UNIFESP]; Soares, Juliane Pereira [UNIFESP]; Silva, Gabrielly A. Santiago da [UNIFESP]; Lima, Gabrielle Pereira [UNIFESP]; Marzola, Ana Paula [UNIFESP]; Mões, Gustavo [UNIFESP]; Campos, Hellen [UNIFESP]; Baba, Luccas Ryoichi Kimura [UNIFESP]; Reis, Mariana [UNIFESP]; França, Milena [UNIFESP]; Yamaguchi, Ângela Harumi [UNIFESP]; Marassi, Beatriz [UNIFESP]; Porfirio, Beatriz [UNIFESP]; Mayumi, Cristiane [UNIFESP]; Agbanusi, Gladys Uju Balbino [UNIFESP]; Calixto, Fernanda [UNIFESP]; Capelli, Thalles [UNIFESP] (Universidade Federal de São Paulo, 2023)A arte contemporânea é, acima de tudo, multidisciplinar. A experimentação e a quebra de limites são primordiais para a existência desse campo tão vibrante e diversificado que permite que os artistas se expressem de forma ... -
I Diretriz brasileira de cardio-oncologia pediátrica da Sociedade Brasileira de Cardiologia
Seber, Adriana [UNIFESP]; Miachon, Adriana Siviero [UNIFESP]; Tanaka, Ana Cristina Sayuri; Spinola-Castro, Angela Maria [UNIFESP]; Carvalho, Antonio Carlos [UNIFESP]; Petrilli, Antonio Sergio [UNIFESP]; Macedo, Carla Renata Pacheco Donato [UNIFESP]; Nars, Clarissa Carvalho Fongaro [UNIFESP]; Terzian, Claudia Naufel [UNIFESP]; Castro Junior, Claudio Galvão de; Santos, Cleusa Cavalcanti Lapa; Guerra, Cristina Chaves dos Santos; Silva, Dafne Cardoso Bourguignon da [UNIFESP]; Bassi, Débora Ugayama; Azeka, Estela; Feitosa, Fabiana Aragão; Hamamoto, Fernando [UNIFESP]; Szarf, Gilberto [UNIFESP]; Lederman, Henrique Manoel [UNIFESP]; Rigon Junior, Humberto João; Jatene, Ieda Biscegli; Mota, Isabele Coelho Fonseca da; Perrud, Jeferson Adriano [UNIFESP]; Soares Junior, José; Gutierrez, Julián Arango; Perin, Juliana Pepe Marinho [UNIFESP]; Soares, Juliana dos Santos [UNIFESP]; Catani, Liane Hulle; Tsai, Liliana Yu [UNIFESP]; Vianna, Livia Cristina [UNIFESP]; Paiva, Marcelo Goulart; Santos, Marcelo José; Ishigai, Marcia Marcelino de Souza [UNIFESP]; Diógenes, Maria Suely Bezerra [UNIFESP]; Alves, Maria Teresa de Seixas [UNIFESP]; Piedade, Maria Tereza Castro [UNIFESP]; Parreiras, Mariana; Cypriano, Mônica [UNIFESP]; Negrini, Nilce da Silva [UNIFESP]; Campos Filho, Orlando [UNIFESP]; Figueiredo, Paula Andrade [UNIFESP]; Novaes, Paulo Eduardo [UNIFESP]; Camargo, Paulo Roberto [UNIFESP]; Maia, Priscila dos Santos [UNIFESP]; Petrilli, Renata [UNIFESP]; Arduini, Rodrigo Genaro [UNIFESP]; Gouveia, Roseane Vasconcelos [UNIFESP]; Teruya, Suzana Barbosa Miranda [UNIFESP]; Moisés, Valdir Ambrósio [UNIFESP]; Morais, Vera Lúcia Lins de (Sociedade Brasileira de Cardiologia - SBC, 2013-05-01) -
Guerras culturais em verde e amarelo
Arantes, Pedro Fiori [UNIFESP]; Okuma, André [UNIFESP]; Nascimento, Giulia dos Santos [UNIFESP]; Melo, Keyla Vasconcelos de [UNIFESP]; Lorena, Diego [UNIFESP]; Alves, Amanda [UNIFESP]; Brait, Ana Laura [UNIFESP]; Alves, Gustavo Almeida [UNIFESP]; Fernandes, Cristina Naiara [UNIFESP]; Avelino, Larissa [UNIFESP]; Paloma, Oliveira [UNIFESP]; Bertellotti, André Zaparoli [UNIFESP]; Carreño, Rebeca Nieves Inostroza [UNIFESP]; Feo, Amanda [UNIFESP]; Andrade, Bruna [UNIFESP]; Garotti, Josiane [UNIFESP]; Flauto, Larissa [UNIFESP]; Tavares, Melissa [UNIFESP]; Barbosa, Ana Beatriz Tavares [UNIFESP]; Alejarra, Melissa Maria dos Santos [UNIFESP]; Santos, Nicole Pinheiro [UNIFESP]; Dourado, Kamilla [UNIFESP]; Silva, Pamela [UNIFESP]; Goyano, Lucius [UNIFESP]; Meneses, Maria Luiza [UNIFESP]; Ferreira, Gabriela [UNIFESP]; Monteiro, Paloma [UNIFESP]; Oliveira, Marcelo Lauton de [UNIFESP]; Paula, Patrícia Pinheiro Antunes de [UNIFESP]; Santos, Isabella Mendes dos [UNIFESP]; Borges, Júlia Rodrigues [UNIFESP] (Universidade Federal de São Paulo, 2022)Queridos/as leitores/as, bem-vindos/as ao nosso campo de batalha – e de estudos. Vocês estão prestes a ler um livro perigoso. Ele fala sobre muito do que estamos vivendo no Brasil dos últimos anos, olhando esse nosso ...