Relationships of Decreased Lung Function with Metabolic Syndrome and Obstructive Sleep Apnea in Japanese Males
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概要
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Objective Decreased lung function as assessed by forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) is shown to be associated with cardiovascular morbidity and mortality. Although the underlying mechanisms for this association remain unknown, metabolic syndrome and obstructive sleep apnea (OSA) may have a role. We analyzed the relationships between metabolic syndrome and OSA in a cross-sectional health survey of middle-aged male employees. Methods In this secondary analysis, we re-analyzed the relationships of lung function determined by spirometry with metabolic syndrome and OSA based on the respiratory disturbance index (RDI) with a type 3 portable monitor. Results We analyzed 273 subjects. Independent of age, body mass index (BMI) and smoking, quartiles for lower FVC and FEV1 were associated with a higher risk of metabolic syndrome compared with quartiles for the highest FVC and FEV1, respectively. A similar trend was observed regarding the risk associated with waist circumference, and in FVC cases, dyslipidemia. The risk of hyperglycemia was significantly higher in quartiles for the second lowest FVC and FEV1 than in quartiles for the highest FVC and FEV1, respectively. A significant trend for an increase in RDI was observed in accordance with quartiles for lower FVC, but not FEV1. Conclusion There was a significant relationship between lung function impairment and metabolic syndrome through mainly abdominal obesity, partially through hyperglycemia, and also through dyslipidemia, but only with respect to restrictive lung function. Restrictive lung function was also related to OSA. This epidemiologic evidence may indicate underlying mechanisms between decreased lung function and cardiovascular risk.
著者
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Oga Toru
Department Of Pharmacology Kyoto University Faculty Of Medicine
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Wakamura Tomoko
Department Of Environmental Health Nara Women's University
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Chin Kazuo
Department Of Physical Therapeutics Kyoto University
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Sumi Kensuke
Department Of Respiratory Medicine National Hospital Organization Minami-kyoto Hospital
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Fukuhara Shunichi
Department Of Epidemiology & Healthcare Research Kyoto University
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Mishima Michiaki
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
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Takahashi Ken-ichi
Department Of Applied Chemistry Faculty Of Engineering Chiba University
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Nakamura Takaya
Department Of Architecture Graduate School Of Engineering Tokyo Metropolitan University
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Takegami Misa
Department Of Epidemiology And Health Care Research Graduate School Of Medicine And Public Health Ky
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Yoshimura Chikara
Department Of Respiratory Medicine Faculty Of Medicine Fukuoka University
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OKA Yasunori
Department of Neurology, Kyoto University Graduate School of Medicine
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Minami Itsunari
Horizontal Medical Research Organization, Graduate School of Medicine, Kyoto University, Japan
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Wakamura Tomoko
Department of Environmental Health Nursing, Graduate School of Medicine, Human Health Sciences, Kyoto University, Japan
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Nakayama-Ashida Yukiyo
Horizontal Medical Research Organization, Graduate School of Medicine, Kyoto University, Japan
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Horita Sachiko
Department of Human Nursing, Faculty of Human Health, Sonoda Women's University, Japan
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Kadotani Hiroshi
Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Japan
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Horita Sachiko
Department of Human Nursing, Faculty of Human Health, Sonoda Women's University, Japan
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Fukuhara Shunichi
Department of Epidemiology and Healthcare Research, Graduate School of Medicine and Public Health, Kyoto University, Japan
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Nakamura Takaya
Department of Respiratory Medicine, Kyoto City Hospital, Japan
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Yoshimura Chikara
Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Japan
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