• Pierluigi Carratù, Agostino Di Ciaula, Silvano Dragonieri, Teresa Ranieri, Matteo CicconeMarcoMDepartment "dell'Emergenza e dei trapianti di organi (DETO), Institute of Cardiovascular Disease, University of Medicine "Aldo Moro", Bari, Italy., Piero Portincasa, and Onofrio Resta.
• Division of Internal Medicine, Department of Biomedical Sciences and Human Oncology, Clinica Medica "A. Murri", University of Medicine "Aldo Moro'', Bari, Italy.
• Int. J. Clin. Pract. 2021 Dec 1; 75 (12): e14952.

BackgroundObstructive sleep apnea (OSA) is a worldwide increasing syndrome, which, by promoting endothelial dysfunction, contributes to extend the cardiovascular risk. We evaluated the cardiovascular risk in a group of OSA patients.MethodsA total of 185 OSA subjects (19 normal weight, 57 overweight, 109 obese), who entered the Ambulatory of Sleep Disorders of the Institute of Respiratory Diseases of the University of Bari, during 1 year, were enrolled in the study. We assessed anthropometric features, polysomnographic findings, cardiovascular risk factors, smoking habit, Pulmonary Function Test, Arterial Blood Gas Analysis, Epworth Questionnaire, and Charlson Co-morbidities Index (CCI). Subjects were divided into three groups, according to their BMI: individuals with BMI ≥30 kg/m2 (Group 1 n = 109, mean age 61 ± 1; 74.3% men), individuals with BMI ranging from 25.0 to 29.9 kg/m2 defined as overweight subjects (Group 2 n = 57, mean age 58.8 ± 1.4; 77% men), and subjects with a BMI ranging from 18.5 to 24.9 kg/m2 defined as normal weight subjects (Group 3 n = 19, mean age 54.2 ± 2.3; 64,2% men).ResultsIn the whole population, the percentage cardiovascular risk was weakly related with BMI (r = 0.33; P < .001), but not with AHI. The cardiovascular risk was strictly related to the obesity (P < .00002), while the Epworth Questionnaire score and the Charlson Co-morbidity Index were respectively statistically higher in the group of obese individuals (P = .004, P = .0002) than in the other two sub-groups. When AHI values were stratified in tertiles, the percentage cardiovascular risk did not vary with increasing AHI values (Figure 2).ConclusionsFurther studies are required to investigate the pivotal role of inflammation resulting from obesity, and underlying increased cardiovascular risk in OSA patients.© 2021 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd.

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