Evidence map›Paper›PMID 25042863›Full record

Observational studyInternational journal of obesity (2005)2015

Adhesion molecule increases in sleep apnea: beneficial effect of positive airway pressure and moderation by obesity.

V M Pak, B T Keenan, N Jackson, M A Grandner, G Maislin, K Teff, R J Schwab, E S Arnardottir, S Júlíusson, B Benediktsdottir and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in International journal of obesity (2005), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Sphinganine is associated with 24-h MAP in the non-sleepy with OSA.Metabolomics : Official journal of the Metabolomic Society · 2022
    Article
  11. Endothelial dysfunction in obstructive sleep apnea patients.Sleep & breathing = Schlaf & Atmung · 2022
    Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences.Journal of the American College of Cardiology · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

V M Pak1] Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA [2] Biobehavioral Research Center, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
B T KeenanCenter for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
N JacksonCenter for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
M A GrandnerDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
G Maislin1] Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA [2] Division of Sleep Medicine/Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
K TeffMonell Chemical Senses Center, Philadelphia, PA, USA.
R J Schwab1] Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA [2] Division of Sleep Medicine/Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
E S Arnardottir1] University of Iceland, Medical Faculty, Reykjavik, Iceland [2] Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
S Júlíusson1] University of Iceland, Medical Faculty, Reykjavik, Iceland [2] Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
B Benediktsdottir1] University of Iceland, Medical Faculty, Reykjavik, Iceland [2] Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
T Gislason1] University of Iceland, Medical Faculty, Reykjavik, Iceland [2] Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
A I Pack1] Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA [2] Division of Sleep Medicine/Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · USPhiladelphia University · USMonell Chemical Senses Center · US

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KUNA, SAMUEL T. · 2009 to 2020
$23.7M
Family Linkage Study of Obstructive Sleep ApneaR01HL072067 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN IAN · 2003 to 2007
$5.7M
Training in Lung Molecular and Cell Pathobiology-Phase IIT32HL007973 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI LASKY, JOSEPH A · 2003 to 2013
$1.5M
Cardiovascular and Metabolic Risk Factors Associated with Short Sleep DurationK23HL110216 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GRANDNER, MICHAEL A · 2012 to 2016
$813k
Mechanisms of Sleepiness Symptoms in Sleep Apnea and Cardiovascular DiseaseK99NR014675 · NINR · UNIVERSITY OF PENNSYLVANIA · PI PAK, VICTORIA M · 2013 to 2014
$180k
NHLBI NIH HHS HL072067NHLBI NIH HHS HL07973NHLBI NIH HHS HL094307NHLBI NIH HHS K23 HL110216NHLBI NIH HHS P01 HL094307NHLBI NIH HHS R01 HL072067NHLBI NIH HHS T32 HL007973NINR NIH HHS 1K99NR014675-01NINR NIH HHS K99 NR014675
6 · The paper itself

Abstract

backgroundElevated levels of intercellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1) may contribute to cardiovascular disease and are associated with obstructive sleep apnea (OSA) and obesity. The relationship between OSA and obesity in determining ICAM-1 and VCAM-1 levels, and the effect of treatment, is unclear.

objectiveOur aim was to study whether positive airway pressure (PAP) usage resulted in changes in ICAM-1 and VCAM-1 after 2 years within 309 OSA patients from the Icelandic Sleep Apnea Cohort, and determine how obesity affected such changes. SUBJECTS/

methodsThe mean body mass index (BMI) was 32.4±5.1 kg m(-2); subjects had moderate-to-severe OSA (apnea-hypopnea index=45.0±20.2) and 79% were male. There were 177 full PAP users (⩾4 h per night and ⩾20 of last 28 nights), 44 partial (<4 h per night or <20 nights) and 88 nonusers.

resultsICAM-1 (P<0.001) and VCAM-1 (P=0.012) change was significantly different among the PAP groups. The largest ICAM-1 differences were among the most obese subjects (P<0.001). At follow-up, nonusers had increased ICAM-1 compared with decreased levels in full users. All groups had increased VCAM-1, but nonusers had a significantly larger increase than full users.

conclusionsWithin moderate-to-severe OSA patients, PAP usage prevents increases in adhesion molecules observed in nonusers after 2 years. For ICAM-1, the largest effect is in the most obese subjects. As OSA and obesity commonly coexist, the usage of PAP to limit increases in adhesion molecules may decrease the rate of progression of OSA-related cardiovascular disease.

Indexed as

Continuous Positive Airway PressureBody Mass IndexCardiovascular DiseasesCell Adhesion MoleculesDisease ProgressionFemaleHumansIntercellular Adhesion Molecule-1MaleMiddle AgedObesityPolysomnographySleep Apnea, ObstructiveVascular Cell Adhesion Molecule-1Cell Adhesion MoleculesICAM1 protein, humanIntercellular Adhesion Molecule-1Vascular Cell Adhesion Molecule-1

Identifiers

PMID25042863
PMCPMC4302066
OpenAlexW2094647488

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.