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Metabolic syndrome and obstructive sleep apnoea: two circumferences in the same individual

Journal of Human Hypertension volume 23, page 836 (2009)Cite this article

In order to draw attention to the mechanisms involved in metabolic syndrome and obstructive sleep apnoea, Dwivedi et al.1 named their commentary ‘two sides of the same coin’. Concerned about disclosing the diagnostic criteria to define metabolic syndrome and obstructive sleep apnoea, we paraphrased the title of this editorial as ‘two circumferences in the same individual.’

The term metabolic syndrome has been applied to the clustering of risk factors that often accompany obesity and are associated with increased risk for both atherosclerotic cardiovascular diseases and type II diabetes. According to the American Heart Association/National Heart, Lung, and Blood Institute2 criteria, the diagnosis is based on the following major criteria: central obesity (waist circumference: men ⩾94 cm; women ⩾80 cm; plus satisfying at least two of the conditions: glucose⩾100 mg per 100 ml or 5.6 mmol l−1; HDL⩽40 mg per 100 ml or 1.03 mmol l−1 (men), ⩽50 mg per 100 ml or 1.29 mmol l−1 (women); triglycerides ⩾150 mg per 100 ml or 1.7 mmol l−1; blood pressure ⩾135/85 mm Hg.

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References

  1. Dwivedi G, Khair O, Lip GYH . Obstructive sleep apnoea and metabolic syndrome: two sides of the same coin? J Hum Hypertens 2008; 22: 377–379.

    Article  CAS  Google Scholar 

  2. Grundy SM, Brewer BH Jr, Cleeman JL, Smith SC Jr, Lenfant C . The Conference Participants. Definition of metabolic syndrome. Report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on Scientific Issues Related to Definition. Circulation 2004; 109: 433–438.

    Article  Google Scholar 

  3. Somers VK, White DP, Amin R, Abraham WT, Costa F, Culebras A et al. Sleep apnea and cardiovascular disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing in collaboration with the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health). Circulation 2008; 118: 1080–1111.

    Article  Google Scholar 

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Authors and Affiliations

  1. Nephrology Division, Hypertension Unit, University of São Paulo—School of Medicine, São Paulo, Brazil

    K C Ortega & D Mion Jr

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  1. K C Ortega
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  2. D Mion Jr
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Correspondence to D Mion Jr.

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Ortega, K., Mion, D. Metabolic syndrome and obstructive sleep apnoea: two circumferences in the same individual. J Hum Hypertens 23, 836 (2009). https://doi.org/10.1038/jhh.2009.72

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