Evidence map›Paper›PMID 30311184›Full record

Observational studySleep & breathing = Schlaf & Atmung2018

Obesity modulates the association between sleep apnea treatment and CHI3L1 levels but not CHIT1 activity in moderate to severe OSA: an observational study.

Unnur Dilja Teitsdottir, Erna Sif Arnardottir, Erla Bjornsdottir, Thorarinn Gislason, Petur Henry Petersen

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Chitotriosidase: a marker and modulator of lung disease.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
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

5 authors at 2 institutions in 1 country.

Unnur Dilja TeitsdottirFaculty of Medicine, Department of Biochemistry and Molecular Biology, Biomedical Center, University of Iceland, Reykjavik, Iceland. udt1@hi.is.ORCID http://orcid.org/0000-0003-2723-2242
Erna Sif ArnardottirFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Erla BjornsdottirSleep Department, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Thorarinn GislasonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Petur Henry PetersenFaculty of Medicine, Department of Biochemistry and Molecular Biology, Biomedical Center, University of Iceland, Reykjavik, Iceland.
University of Iceland · ISReykjavík University · IS

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 2009 to 2020
$23.7M
Eimskip Fund of the University of Iceland No numberIcelandic Research Fund 173701-052Landspitali University Hospital Research Fund No numberNational Institutes of Health HL94307NHLBI NIH HHS P01 HL094307
6 · The paper itself

Abstract

purposeThe inflammatory markers chitinase-3-like protein 1 (CHI3L1) and chitotriosidase (CHIT1) have both been associated with cardiovascular complications. The aim of this preliminary observational study was to assess the roles and interaction of obstructive sleep apnea (OSA) severity and body mass index (BMI) with plasma CHI3L1 levels and CHIT1 activity in patients with moderate to severe OSA. The second aim was to assess the roles and interaction of positive airway pressure (PAP) treatment and BMI on the expression of the same proteins.

methodsThe study included 97 OSA patients with an apnea-hypopnea index (AHI) ≥ 15 and full usage of PAP treatment after 4 months. Plasma CHI3L1 levels and CHIT1 activity were measured before and after treatment.

resultsMultiple linear regression analysis demonstrated an independent association of BMI on CHI3L1 levels (p < 0.05) but not on CHIT1 activity. The OSA severity markers (AHI and oxygen desaturation index) did not independently or in interaction with BMI levels associate with CHI3L1 levels or with CHIT1 activity (p > 0.05). A two-way repeated measures ANOVA revealed a significant interaction between PAP treatment effect (before vs. after) and BMI groups (< 35 kg/m

conclusionsObesity independently associated with CHI3L1 levels. Association between OSA severity and CHI3L1 levels or CHIT1 activity (independent of or dependent on obesity level) could not be confirmed. However, decrease was observed in CHI3L1 levels after PAP treatment in severely obese OSA patients but not in those less obese.

Indexed as

AdultBiomarkersBody Mass IndexChitinase-3-Like Protein 1ComorbidityFemaleHumansLinear ModelsMaleMiddle AgedObesityPolysomnographySeverity of Illness IndexSleep Apnea, ObstructiveTreatment OutcomeBiomarkersCHI3L1 protein, humanChitinase-3-Like Protein 1Chitinase-3-like protein 1ChitotriosidaseObesityObstructive sleep apneaPositive airway pressure

Identifiers

PMID30311184
PMCPMC6244533
OpenAlexW2895839409

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.