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Temporal relationsh...
Temporal relationship of sleep apnea and acromegaly: a nationwide study
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- Vouzouneraki, Konstantina (author)
- Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
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- Franklin, Karl A (author)
- Umeå University,Umeå universitet,Kirurgi,Umea Univ, Dept Surg & Perioperat Sci, Umea, Sweden
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- Forsgren, Maria (author)
- Uppsala University,Uppsala universitet,Endokrinologi och mineralmetabolism,Uppsala Univ, Sweden
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- Warn, M. (author)
- Karolinska Institutet,Karolinska University Hospital,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden
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- Tiberg Persson, Jenny (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Department of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden,Univ Gothenburg, Dept Endocrinol, Inst Med, Sahlgrenska Acad, Gothenburg, Sweden;Sahlgrens Univ Hosp, Gothenburg, Sweden
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- Wik, H. (author)
- University of Gothenburg,Sahlgrenska University Hospital,Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden
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- Dahlgren, Christina (author)
- Linköpings universitet,Linköping University,Institutionen för klinisk och experimentell medicin,Institutionen för medicin och hälsa,Medicinska fakulteten,Region Östergötland, Endokrinmedicinska kliniken
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- Nilsson, Ann Sofie (author)
- Lund University,Lunds universitet,Medicin, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Lund Univ, Sweden; Skane Univ Hosp, Sweden
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- Alkebro, C. (author)
- Division of Diabetology and Endocrinology, Department of Medicine, Örebro University Hospital, Örebro, Sweden,Orebro Univ Hosp, Div Diabetol & Endocrinol, Dept Med, Orebro, Sweden
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- Burman, Pia (author)
- Lund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden; Skane Univ Hosp, Sweden
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- Erfurth, Eva Marie (author)
- Lund University,Lunds universitet,Endokrin,Forskargrupper vid Lunds universitet,Endocrine,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden; Skane Univ Hosp, Sweden
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- Wahlberg, Jeanette, 1969- (author)
- Linköpings universitet,Linköping University,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Institutionen för klinisk och experimentell medicin,Region Östergötland, Endokrinmedicinska kliniken
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- Akerman, A. K. (author)
- Karolinska Institutet,Orebro Univ Hosp, Div Diabetol & Endocrinol, Dept Med, Orebro, Sweden,Örebro University Hospital
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- Hoybye, C. (author)
- Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Patient Area Endocrinol & Nephrol Inflammat & Inf, Stockholm, Sweden;Karolinska Univ Hosp, Stockholm, Sweden,Karolinska University Hospital
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- Ragnarsson, Oskar, 1971 (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Department of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden,Univ Gothenburg, Dept Endocrinol, Inst Med, Sahlgrenska Acad, Gothenburg, Sweden;Sahlgrens Univ Hosp, Gothenburg, Sweden
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- Edén Engström, Britt (author)
- Uppsala University,Uppsala universitet,Endokrinologi och mineralmetabolism,Uppsala Univ, Sweden
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- Dahlqvist, Per (author)
- Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
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(creator_code:org_t)
- 2018-07-31
- 2018
- English.
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In: Endocrine. - : Springer Science and Business Media LLC. - 1355-008X .- 1559-0100. ; 62:2, s. 456-463
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Abstract
Subject headings
Close
- PurposePatients 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.MethodsCross-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.ResultsOf 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.ConclusionSleep 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Keyword
- Acromegaly
- Sleep apnea
- Comorbidities
- Risk factors
- treatment patterns
- disease-activity
- risk-factors
- follow-up
- population
- comorbidities
- complications
- prevalence
- parameters
- abnormalities
- Endocrinology & Metabolism
- Acromegaly
Publication and Content Type
- ref (subject category)
- art (subject category)
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Endocrine
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- By the author/editor
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Vouzouneraki, Ko ...
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Franklin, Karl A
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Forsgren, Maria
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Warn, M.
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Tiberg Persson, ...
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Wik, H.
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Dahlgren, Christ ...
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Nilsson, Ann Sof ...
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Alkebro, C.
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Burman, Pia
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Erfurth, Eva Mar ...
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Wahlberg, Jeanet ...
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Akerman, A. K.
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Hoybye, C.
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Ragnarsson, Oska ...
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Edén Engström, B ...
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Dahlqvist, Per
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
- Articles in the publication
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Endocrine
- By the university
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University of Gothenburg
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Örebro University
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Umeå University
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Karolinska Institutet
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Uppsala University
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Lund University
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Linköping University
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