Type 2 & other diabetes

Respiratory effort during sleep and the rate of prevalent type 2 diabetes in obstructive sleep apnoea

Diabetes Obes MetabPublished Retrospective cross-sectional study

Authors' conclusion

These findings show for the first time that the proportion of sleep time spent in increased RE (assessed through MJM measurements) is an important predictor of the association with type 2 diabetes in individuals with OSA.

Study context

Population
Patients with suspected obstructive sleep apnoea (OSA) referred for in-laboratory polysomnography (PSG)
Participants
1,128 patients
Exposure
Training vs Validation
  • Trainingn = 853
  • Validationn = 275
Outcome
Association between total sleep time (TST) spent in increased respiratory effort (REMOV [%TST]) and prevalent T2D
Methodological detailsexplainable machine-learning model, training and validation subsets
  • Explainable machine-learning model
  • Training and validation subsets

Main finding

As reported in the abstract

Prediction of prevalent T2D by classification model (18 input features incl. REMOV)

Sensitivity

0.81

Specificity

0.89

Observational data: associations, not effects.

Original publication

Respiratory effort during sleep and the rate of prevalent type 2 diabetes in obstructive sleep apnoea. Diabetes Obes Metab. Published 13 June 2023. doi:10.1111/dom.15169

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