Gray Matter Swagger: How Hypoxia and Sleep Disturbance Tangle in OSA

Published on March 31, 2023

Imagine you’re hosting a party, and you invite two guests who don’t get along well — Hypoxia and Sleep Disturbance. As the night progresses, you observe that Hypoxia runs amok, causing changes in various party spots like the living room, kitchen, and backyard. On the other hand, Sleep Disturbance seems to be playing more mischief but mostly in the guest bedroom and the garden. Similarly, this study investigates the impact of Hypoxia and Sleep Disturbance on gray matter structures in patients with obstructive sleep apnea (OSA). Using fancy techniques like structural equation modeling, the researchers found that Hypoxia led to increased gray matter volume, cortical thickness, and sulcal depth in different brain regions, while Sleep Disturbance was associated with reduced gray matter volume and sulcal depth. This research provides valuable insights into how OSA affects brain structure and highlights the importance of understanding the interplay between Hypoxia and Sleep Disturbance. Feel free to dive into the nitty-gritty details by exploring the full article!

BackgroundObstructive Sleep Apnea (OSA) characteristically leads to nocturnal hypoxia and sleep disturbance. Despite clear evidence of OSA-induced cognitive impairments, the literature offers no consensus on the relationship between these pathophysiological processes and brain structure alterations in patients.ObjectiveThis study leverages the robust technique of structural equation modeling to investigate how hypoxia and sleep disturbance exert differential effects on gray matter structures.MethodsSeventy-four Male participants were recruited to undergo overnight polysomnography and T1-weighted Magnetic Resonance Imaging. Four structural outcome parameters were extracted, namely, gray matter volume, cortical thickness, sulcal depth, and fractal dimension. Structural equation models were constructed with two latent variables (hypoxia, and sleep disturbance) and three covariates (age, body mass index, and education) to examine the association between gray matter structural changes in OSA and the two latent variables, hypoxia and sleep disturbance.ResultsThe structural equation models revealed hypoxia-associated changes in diverse regions, most significantly in increased gray matter volume, cortical thickness and sulcal depth. In contrast, sleep disturbance. Was shown to be largely associated with reduce gray matter volume and sulcal depth.ConclusionThis study provides new evidence showing significant effects of OSA-induced hypoxia and sleep disturbance on gray matter volume and morphology in male patients with obstructive sleep apnea. It also demonstrates the utility of robust structural equation models in examining obstructive sleep apnea pathophysiology.

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