Evidence map›Paper›PMID 30721387›Full record

ArticleSleep & breathing = Schlaf & Atmung2019

Sleep apnea and galectin-3: possible sex-specific relationship.

Mohita Singh, Craig L Hanis, Susan Redline, Christie M Ballantyne, Ihab Hamzeh, David Aguilar

Open access · greenAbstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Cardiac consequences of intermittent hypoxia: a matter of dose? A systematic review and meta-analysis in rodents.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  3. Review
  4. Enough is enough: strict hypopnea criteria exacerbate sleep-related health disparities in females.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
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  6. Review
  7. Review
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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

6 authors at 3 institutions in 1 country.

Mohita SinghDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Craig L HanisDepartment of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Suite E431, Houston, TX, 77030, USA.
Susan RedlineDepartments of Medicine, Brigham and Women's Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Christie M BallantyneSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Ihab HamzehSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
David AguilarDepartment of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Suite E431, Houston, TX, 77030, USA. david.aguilar@uth.tmc.edu.ORCID http://orcid.org/0000-0002-0916-2722
Baylor College of Medicine · USThe University of Texas Health Science Center at Houston · USBrigham and Women's Hospital · US

Funding

GWAS for Sleep Apnea and Endothelial Function Among Mexican AmericansR01HL102830 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HANIS, CRAIG L · 2010 to 2013
$2.8M
Myocardial and Vascular Stiffness in Diabetics with Heart Failure and a Norman EFK01HL092585 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI AGUILAR, DAVID · 2008 to 2011
$546k
NHLBI NIH HHS K01 HL092585NHLBI NIH HHS R01 HL102830NIH HHS HL092585NIH HHS HL102830
6 · The paper itself

Abstract

purposeSleep apnea is associated with increased risk of cardiovascular disease. Elevated plasma galectin-3 levels, a biomarker associated with myocardial fibrosis, are also associated with adverse cardiovascular events, including heart failure. Our objective was to determine the relationship between severity of sleep apnea and plasma levels of galectin-3 and to determine whether this relationship was modified by sex.

methodsWe performed a cross-sectional study of 471 Mexican Americans from Starr County, TX who underwent an overnight, in-home sleep evaluation, and plasma measurement of galectin-3. Severity of sleep apnea was based on apnea hypopnea index (AHI). Multivariable linear regression modeling was used to determine the association between categories of sleep apnea and galectin-3. We also tested for interactions by sex.

resultsThe mean age was 53 years, and 74% of the cohort was female. The prevalence of moderate to severe sleep apnea (AHI > 15 apnea-hypopnea events per hour) was 36.7%. Moderate to severe sleep apnea was associated with increased levels of galectin-3 in the entire population, but we identified a statistically significant interaction between galectin-3 levels and category of sleep apnea by sex (p for interaction = 0.02). Plasma galectin levels were significantly higher in women with moderate or severe sleep apnea than women with no/mild sleep apnea (multivariable adjusted p < 0.001), but not in men (p = 0.5).

conclusionsSleep apnea is associated elevated galectin-3 levels in women but not men. Our findings highlight a possible sex-specific relationship between sleep apnea and galectin-3, a biomarker of potential myocardial fibrosis that has been associated with increased cardiovascular risk.

Indexed as

AdultAgedBiomarkersCardiovascular DiseasesCohort StudiesCorrelation of DataFemaleGalectin 3HumansMaleMiddle AgedPolysomnographyRisk FactorsSex FactorsSleep Apnea SyndromesBiomarkersGalectin 3Galectin-3High-sensitivity troponinSleep apnea

Identifiers

PMID30721387
PMCPMC6761033
OpenAlexW2912344744

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.