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Pia Burman

Physician

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Temporal relationship of sleep apnea and acromegaly : a nationwide study

Author

  • Konstantina Vouzouneraki
  • Karl A. Franklin
  • Maria Forsgren
  • Maria Wärn
  • Jenny Tiberg Persson
  • Helena Wik
  • Christina Dahlgren
  • Ann Sofie Nilsson
  • Caroline Alkebro
  • Pia Burman
  • Eva Marie Erfurth
  • Jeanette Wahlberg
  • Anna Karin Åkerman
  • Charlotte Høybye
  • Oskar Ragnarsson
  • Britt Edén Engström
  • Per Dahlqvist

Summary, in English

Purpose: Patients with acromegaly have an increased risk of sleep apnea, but reported prevalence rates vary largely. Here we aimed to evaluate the sleep apnea prevalence in a large national cohort of patients with acromegaly, to examine possible risk factors, and to assess the proportion of patients diagnosed with sleep apnea prior to acromegaly diagnosis. Methods: Cross-sectional multicenter study of 259 Swedish patients with acromegaly. At patients’ follow-up visits at the endocrine outpatient clinics of all seven university hospitals in Sweden, questionnaires were completed to assess previous sleep apnea diagnosis and treatment, cardiovascular diseases, smoking habits, anthropometric data, and S-IGF-1 levels. Daytime sleepiness was evaluated using the Epworth Sleepiness Scale. Patients suspected to have undiagnosed sleep apnea were referred for sleep apnea investigations. Results: Of the 259 participants, 75 (29%) were diagnosed with sleep apnea before the study start. In 43 (57%) of these patients, sleep apnea had been diagnosed before the diagnosis of acromegaly. After clinical assessment and sleep studies, sleep apnea was diagnosed in an additional 20 patients, yielding a total sleep apnea prevalence of 37%. Higher sleep apnea risk was associated with higher BMI, waist circumference, and index finger circumference. Sleep apnea was more frequent among patients with S-IGF-1 levels in the highest quartile. Conclusion: Sleep apnea is common among patients with acromegaly, and is often diagnosed prior to their acromegaly diagnosis. These results support early screening for sleep apnea in patients with acromegaly and awareness for acromegaly in patients with sleep apnea.

Department/s

  • Medicine, Lund
  • Genomics, Diabetes and Endocrinology
  • Endocrine

Publishing year

2018-07-31

Language

English

Pages

456-463

Publication/Series

Endocrine

Volume

62

Issue

2

Document type

Journal article

Publisher

Humana Press

Topic

  • Endocrinology and Diabetes

Keywords

  • Acromegaly
  • Comorbidities
  • Risk factors
  • Sleep apnea

Status

Published

Research group

  • Genomics, Diabetes and Endocrinology
  • Endocrine

ISBN/ISSN/Other

  • ISSN: 1355-008X