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Mechanisms Linking Sleep-Disordered Breathing and Cardiometabolic Disease Risk - PubMed

a day ago
  • #cardiometabolic-disease
  • #sleep-disordered-breathing
  • #hypoxia
  • Sleep-disordered breathing (SDB) involves intermittent airway closure or narrowing due to mechanical obstruction or brainstem respiratory center dysregulation.
  • SDB impacts cardiovascular and metabolic health through autonomic dysfunction, intrathoracic pressure changes, inflammation, sleep fragmentation, and oxidative stress.
  • Mechanistic pathways of SDB affect vascular/myocardial dysfunction, hypertension, insulin sensitivity, lipid metabolism, and weight gain via gene expression and gut microbiome changes.
  • Treatment for SDB improves symptoms and may reduce cardiometabolic disease risk, with options tailored to disease type and patient tolerance.
  • Key mechanisms include hypoxia-inducible factor 1 (HIF-1) and microRNA alterations, linking SDB to systemic inflammation and metabolic dysregulation.