Predictors of fatigue in obstructive sleep apnea.

Sleep Breath. 2008 Nov;12(4):397-9. Epub 2008 May 31.
Predictors of fatigue in obstructive sleep apnea.
Mills PJ, Kim JH, Bardwell W, Hong S, Dimsdale JE.

Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.

The objective of this study was to determine potential inflammatory predictors of fatigue in obstructive sleep apnea (OSA).

Fifty-six women and men untreated OSA patients had their sleep monitored with polysomnography. Fatigue was assessed by the Multidimensional Fatigue Symptom Inventory-Short Form. Depressed mood was assessed by the Center for Epidemiologic Studies-Depression Scale. Blood was drawn to assess circulating levels of Interleukin-6 (IL-6) and soluble tumor necrosis factor receptor I (sTNF-RI). Age, gender, body mass index (BMI), blood pressure, OSA severity, depressed mood, and inflammatory biomarkers were entered into a hierarchical multiple linear regression analysis predicting self-reported fatigue.

Approximately 42% of the patients reported significant amounts of fatigue. Higher BMI (p = 0.014), greater depressed mood (p = 0.004), and higher sTNF-RI levels (p = 0.033) were independent predictors of fatigue in the final model (full model R2 = .571; p = .003). Age, gender, blood pressure and apnea severity were unrelated to fatigue.

The findings suggest that in addition to depressed mood, fatigue in OSA may be associated with increased body weight and elevated levels of the proinflammatory cytokine receptor sTNF-RI. The findings support a linkage between the widely reported fatigue in OSA and a sleep-related component of inflammation.

[PubMed – indexed for MEDLINE]

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