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Sleep disorderd breathing and metabolic syndrome

Research Project

Project/Area Number 16K09109
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hygiene and public health
Research InstitutionNippon Medical School

Principal Investigator

Kawada Tomoyuki  日本医科大学, 大学院医学研究科, 大学院教授 (00224791)

Co-Investigator(Kenkyū-buntansha) 稲垣 弘文  日本医科大学, 医学部, 講師 (50213111)
勝又 聖夫  日本医科大学, 医学部, 助教 (80169482)
大塚 俊昭  日本医科大学, 医学部, 准教授 (80339374)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords睡眠と健康 / 睡眠時呼吸障害 / メタボリック症候群 / 睡眠問診票 / インスリン抵抗性 / 血清C反応タンパク / 血漿フィブリノーゲン / 関連指標関連指標 / 関連指標 / 睡眠による休養 / 関連性と予測 / 関連性 / メタボリックシンドローム / 断面調査 / 追跡調査
Outline of Final Research Achievements

Sleep-disordered breathing (SDB), the number of metabolic syndrome (MetS) components, and the relationship between SDB and sleepiness were examined in men who received a intensive physical examination (Ningen dock). We also examined the association between MetS, serum markers and sleep indices in occupational male workers. Ningen dock male participants were 944, and the Apnea-hypopnea Index (AHI) was used as SDB index using a portable sleep apnea test device. In addition, 4400 occupational workers, aged 35 to 60 years, were registered.
The average AHI significantly increased in the group of having one to five numbers of MetS component. Age, no regular exercise habits, regular drinking, logarithmic value of insulin resistance index, and logarithmic value of serum CRP were selected as significant MetS predictors.

Academic Significance and Societal Importance of the Research Achievements

本研究は、職域男性対象のメタボ予測因子を大数例で解析したもので、生体指標を含む幅広い予測因子を考慮している利点がある。一方、人間ドック受診者は上記職域の健保組合が運営する病院付属の健康管理センターで行い、受診者の大半が、上記職域職員であることから、サンプル特性の類似がある。睡眠時呼吸障害の指標として、無呼吸低呼吸指標を測定し、これも十分な検出力を確保したサンプル数で、メタボとの関連性を評価しえた。本研究は、今後の追跡データベースとして、きわめて活用度の高いものであり、今後、研究費を申請し、追跡調査に供したいと考えている。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (40 results)

All 2020 2019 2018 2017 2016

All Journal Article (40 results) (of which Peer Reviewed: 40 results)

  • [Journal Article] Smoking and obstructive sleep apnoea with special reference to sex and age.2020

    • Author(s)
      Kawada T
    • Journal Title

      J Oral Rehabil

      Volume: 47 Issue: 1 Pages: 86-86

    • DOI

      10.1111/joor.12869

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Excessive Daytime Sleepiness, Depression and Sleep-Disordered Breathing in Patients With Cardiovascular Disease2019

    • Author(s)
      Kawada T
    • Journal Title

      Circulation Journal

      Volume: 83 Issue: 3 Pages: 692

    • DOI

      10.1253/circj.CJ-18-0941

    • NAID

      130007604041

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2019-02-25
    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea and cognitive decline in older adults.2019

    • Author(s)
      Kawada T
    • Journal Title

      Am J Respir Crit Care Med

      Volume: 199 Issue: 9 Pages: 1168-1169

    • DOI

      10.1164/rccm.201811-2173le

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Neutrophil-to-lymphocyte ratio and carotid artery calcified plaque in older male patients with severe obstructive sleep apnea.2019

    • Author(s)
      Kawada T
    • Journal Title

      J Oral Maxillofac Surg

      Volume: 77 Issue: 10 Pages: 1958-1958

    • DOI

      10.1016/j.joms.2019.05.030

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea and ischemic stroke: a risk assessment.2019

    • Author(s)
      Kawada T
    • Journal Title

      Neurol Sci

      Volume: 40 Issue: 10 Pages: 2183-2183

    • DOI

      10.1007/s10072-019-03946-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Screening ability of STOP-Bang questionnaire for obstructive sleep apnea2019

    • Author(s)
      Kawada T
    • Journal Title

      Anesth Analg

      Volume: 128 Issue: 3 Pages: e48-e49

    • DOI

      10.1213/ane.0000000000003986

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea treatment and amyloid-β in cerebrospinal fluid2019

    • Author(s)
      Kawada T
    • Journal Title

      Ann Neurol

      Volume: 85 Issue: 3 Pages: 460-460

    • DOI

      10.1002/ana.25425

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea in patients with idiopathic normal-pressure hydrocephalus2019

    • Author(s)
      Kawada T
    • Journal Title

      J Neurol Sci

      Volume: 397 Pages: 155-155

    • DOI

      10.1016/j.jns.2019.01.006

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between elevated C-reactive protein levels and prediabetes in adults, particularly impaired glucose tolerance2019

    • Author(s)
      Kato K, Otsuka T, Saiki Y, Kobayashi N, Nakamura T, Kon Y, Kawada T.
    • Journal Title

      Can J Diabetes

      Volume: 43 Issue: 1 Pages: 40-45

    • DOI

      10.1016/j.jcjd.2018.03.007

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Comment to: The relationship between sleep and cognitive function in patients with prediabetes and type 2 diabetes2019

    • Author(s)
      Kawada T
    • Journal Title

      Acta Diabetol

      Volume: 56 Issue: 1 Pages: 123-124

    • DOI

      10.1007/s00592-018-1189-9

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Letter to the Editor (November 15, 2017) concerning the paper "Screening commercial drivers for obstructive sleep apnea: Validation of STOP-Bang questionnaire"2018

    • Author(s)
      Kawada T
    • Journal Title

      Int J Occup Med Environ Health

      Volume: 31 Pages: 697-698

    • DOI

      10.13075/ijomeh.1896.01304

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Chronic obstructive pulmonary disease, sleep apnea and fatigues2018

    • Author(s)
      Kawada T
    • Journal Title

      Clin Respir J

      Volume: 12 Issue: 9 Pages: 2459-2459

    • DOI

      10.1111/crj.12949

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea patients without hypertension or diabetes and subsequent incidence of chronic kidney disease2018

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 22 Issue: 3 Pages: 837-838

    • DOI

      10.1007/s11325-017-1584-4

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Risk of cognitive impairment by sleep-disordered breathing2018

    • Author(s)
      Kawada T
    • Journal Title

      Anesth Analg

      Volume: 126 Issue: 1 Pages: 368-369

    • DOI

      10.1213/ane.0000000000002628

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Neurological recovery after acute ischemic stroke with obstructive sleep apnea2018

    • Author(s)
      Kawada T
    • Journal Title

      Acta Neurol Scand

      Volume: 137 Issue: 2 Pages: 283-283

    • DOI

      10.1111/ane.12868

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Periodic limb movements of sleep and atrial fibrillation in patients with mild sleep-disordered breathing2018

    • Author(s)
      Kawada T
    • Journal Title

      Int J Cardiol

      Volume: 254 Pages: 345-345

    • DOI

      10.1016/j.ijcard.2017.07.097

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Letter to the editor on "Are the Epworth Sleepiness Scale and Stop-Bang model effective at predicting the severity of obstructive sleep apnoea (OSA); in particular OSA requiring treatment?"2018

    • Author(s)
      Kawada T
    • Journal Title

      Eur Arch Otorhinolaryngol

      Volume: 275 Issue: 3 Pages: 835-836

    • DOI

      10.1007/s00405-017-4745-y

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prognosis in patients with obstructive sleep apnea with special reference to comorbidities and treatment of positive airway pressure2018

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Med

      Volume: 43 Pages: 109-109

    • DOI

      10.1016/j.sleep.2017.08.006

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sleep-disordered breathing and disorders of glucose metabolism2017

    • Author(s)
      Kawada T, Katsumata M, Inagaki H, Nakamura T, Kon Y
    • Journal Title

      Diabetes Metab Syndr

      Volume: 11 Issue: 3 Pages: 189-191

    • DOI

      10.1016/j.dsx.2016.09.001

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Chronic obstructive pulmonary disease in miners with special reference to smoking2017

    • Author(s)
      Kawada T
    • Journal Title

      Occup Med (Lond)

      Volume: 67 Issue: 4 Pages: 319-320

    • DOI

      10.1093/occmed/kqx026

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Screening of obstructive sleep apnea by STOP-BANG questionnaire in patients with epilepsy2017

    • Author(s)
      Kawada T
    • Journal Title

      Epilepsy Res

      Volume: 134 Pages: 49-49

    • DOI

      10.1016/j.eplepsyres.2017.03.010

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Untreated sleep apnea syndrome and glycemic control in patients with type 2 diabetes2017

    • Author(s)
      Kawada T
    • Journal Title

      J Diabetes

      Volume: 9 Issue: 7 Pages: 717-717

    • DOI

      10.1111/1753-0407.12537

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Apple body type information improves validity of the STOP-BANG questionnaire for detecting obstructive sleep apnea2017

    • Author(s)
      Kawada T
    • Journal Title

      J Clin Anesthesia

      Volume: 40 Pages: 24-24

    • DOI

      10.1016/j.jclinane.2017.04.007

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea syndrome in children: risk assessment2017

    • Author(s)
      Kawada T
    • Journal Title

      Pediatr Pulmonol

      Volume: 52 Issue: 8 Pages: 983-983

    • DOI

      10.1002/ppul.23745

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of continuous positive airway pressure therapy on cardiovascular outcomes: risk assessment2017

    • Author(s)
      Kawada T
    • Journal Title

      Am J Respir Crit Care Med

      Volume: 196 Issue: 5 Pages: 661-662

    • DOI

      10.1164/rccm.201701-0239le

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Excessive daytime sleepiness, sympathetic nervous system activation and arterial stiffening in patients with mild-to-moderate obstructive sleep apnoea2017

    • Author(s)
      Kawada T
    • Journal Title

      Int J Cardiol

      Volume: 249 Pages: 414-414

    • DOI

      10.1016/j.ijcard.2017.06.019

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Renal function in patients with obstructive sleep apnea2017

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 21 Issue: 4 Pages: 1047-1047

    • DOI

      10.1007/s11325-017-1471-z

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea, excessive daytime sleepiness and adherence to antihypertensive treatment: questionnaire survey2017

    • Author(s)
      Kawada T
    • Journal Title

      J Clin Hypertens

      Volume: 19 Issue: 12 Pages: 1383-1383

    • DOI

      10.1111/jch.13082

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of continuous positive airway pressure treatment on glucose tolerance and insulin resistance2017

    • Author(s)
      Kawada T
    • Journal Title

      Respir Med

      Volume: 123 Pages: 149-149

    • DOI

      10.1016/j.rmed.2017.01.001

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sleep duration and metabolic syndrome2016

    • Author(s)
      Kawada T
    • Journal Title

      Int J Occup Med Environ Health

      Volume: 29 Issue: 6 Pages: 877-878

    • DOI

      10.13075/ijomeh.1896.00873

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Relationship between sleep-disordered breathing and metabolic syndrome after adjustment with cardiovascular risk factors2016

    • Author(s)
      Kawada T, Otsuka T, Nakamura T, Kon Y
    • Journal Title

      Diabetes Metab Syndr

      Volume: 10 Issue: 2 Pages: 92-95

    • DOI

      10.1016/j.dsx.2015.10.005

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] STOP-BANG Questionnaire to Screen Sleep-Disordered Breathing for Football Players: Methodological Validity2016

    • Author(s)
      Kawada T
    • Journal Title

      Respir Care

      Volume: 61 Issue: 11 Pages: 1565-1565

    • DOI

      10.4187/respcare.04955

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validation study of STOP-Bang score for screening sleep-disordered breathing2016

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 20 Issue: 3 Pages: 1093-1093

    • DOI

      10.1007/s11325-016-1334-z

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea and cardiovascular risk2016

    • Author(s)
      Kawada T
    • Journal Title

      Can J Cardiol

      Volume: 32 Issue: 6 Pages: 830-830

    • DOI

      10.1016/j.cjca.2015.07.713

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Commentary on: Sleep disordered breathing and the risk of psoriasis among US women2016

    • Author(s)
      Kawada T
    • Journal Title

      Arch Dermatol Res

      Volume: 308 Issue: 4 Pages: 283-284

    • DOI

      10.1007/s00403-016-1640-0

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Inflammatory markers in patients with obstructive sleep apnea2016

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 20 Issue: 2 Pages: 889-890

    • DOI

      10.1007/s11325-015-1302-z

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efficacy of positive airway pressure on serum brain natriuretic peptide Levels in patients with heart failure and sleep-disordered breathing2016

    • Author(s)
      Kawada T
    • Journal Title

      Lung

      Volume: 194 Issue: 2 Pages: 333-333

    • DOI

      10.1007/s00408-016-9843-x

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstructive sleep apnea, sleep duration, and fasting glucose2016

    • Author(s)
      Kawada T
    • Journal Title

      Am J Respir Crit Care Med

      Volume: 193 Issue: 5 Pages: 579-580

    • DOI

      10.1164/rccm.201510-1954le

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Serum high-sensitivity C-reactive protein in patients with obstructive sleep apnea with special reference to metabolic syndrome2016

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 20 Issue: 1 Pages: 383-384

    • DOI

      10.1007/s11325-015-1233-8

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Serum gamma glutamyl transferase in patients with sleep apnea-hypopnea2016

    • Author(s)
      Kawada T
    • Journal Title

      Sleep Breath

      Volume: 20 Issue: 1 Pages: 243-243

    • DOI

      10.1007/s11325-015-1222-y

    • Related Report
      2016 Research-status Report
    • Peer Reviewed

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Published: 2016-04-21   Modified: 2021-02-19  

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