Clinical Epidemiology and Ageing

Telomere Shortening in Middle-Aged Men with Sleep-disordered Breathing.

Boyer L, Audureau E, Margarit L, Marcos E, Bizard E, Le Corvoisier P, Macquin-Mavier I, Derumeaux G, Damy T, Drouot X, Covali-Noroc A, Boczkowski J, Bastuji-Garin S, Adnot S Ann Am Thorac Soc. 2016;13(7):1136-43.

<p><b>RATIONALE: </b>Sleep disorders may lead to stress-induced premature aging and telomere shortening.</p><p><b>OBJECTIVES: </b>To determine whether obstructive sleep apnea syndrome causing intermittent hypoxemic episodes was associated with telomere shortening independently from the comorbidities associated with this syndrome.</p><p><b>METHODS: </b>We conducted a cross-sectional study in 161prospectivelly enrolled, untreated, middle-aged men free of known comorbidities related or unrelated to sleep apnea. Each participant underwent full standard overnight polysomnography. Patients with apnea sleep syndrome were naive to treatment.</p><p><b>MEASUREMENTS AND MAIN RESULTS: </b>In univariate analysis, we found that telomere shortening was associated with older age, apnea-hypopnea index, oxygen desaturation index, waist circumference, and fat mass. After adjustment for age, only apnea-hypopnea index and oxygen desaturation index were significantly related to telomere shortening. The mean telomere length ratio was 0.70 ± 0.37 in the participants without sleep apnea, compared with 0.61 ± 0.22 and 0.53 ± 0.16 in those with mild to moderate and severe sleep apnea, respectively (P = 0.01). In multivariate analysis, we found that oxygen desaturation index was the only factor independently associated with telomere length. Arterial stiffness assessed by carotid-femoral pulse wave velocity correlated negatively with telomere length.</p><p><b>CONCLUSIONS: </b>Intermittent hypoxemia due to obstructive sleep apnea syndrome is a major contributor to telomere shortening in middle-aged men. Oxidative stress may explain this finding.</p>

MeSH terms: Adult; Aging; Comorbidity; Cross-Sectional Studies; France; Humans; Linear Models; Male; Middle Aged; Models, Genetic; Multivariate Analysis; Polysomnography; Prospective Studies; Pulse Wave Analysis; Severity of Illness Index; Sleep Apnea Syndromes; Telomere Shortening
DOI: 10.1513/AnnalsATS.201510-718OC