Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc
Journal website http://www.jofem.org

Original Article

Volume 7, Number 5, October 2017, pages 141-145


Obstructive Sleep Apnea Syndrome Is Less Frequent in Patients With Well-Controlled Acromegaly Treated With Somatostatin Analogues, Pegvisomant or in Combination

Figures

Figure 1.
Figure 1. Patients with well-controlled acromegaly treated with somatostatin analogues, pegvisomant or in combination after examination of polygraphy. Division in a group apnea-hypnea index (AHI) < 5 and AHI ≥ 5: mean ± SEM.
Figure 2.
Figure 2. Patients with well-controlled acromegaly treated with somatostatin analogues, pegvisomant or in combination after examination of polygraphy. Correlation between apne-hypnea index (AHI) and age (P = 0.01; r = 0.44).

Tables

Table 1. Patients With Well-Controlled Acromegaly Treated With Somatostatin Analogues, Pegvisomant or in Combination Before Examination of Polygraphy
 
Number/meanRange
Number29
Female12
Male17
Age (years)49 ± 1425 - 73
BMI (kg/m2)29.9 ± 5.420.8 - 29.9
Disease duration (years)13 ± 82 - 32
IGF-I (µg/L)184 ± 7374 - 383
Well-controlled acromegaly29 (100%)
Surgery22 (76%)
Radiation + surgery7 (24%)

 

Table 2. Patients With Well-Controlled Acromegaly Treated With Somatostatin Analogues, Pegvisomant or in Combination After Examination of Polygraphy
 
Treatments/medicationsAHI < 5AHI ≥ 5P
Age (years)47 ± 1361 ± 90.037
M/F9/162/2n.s.
BMI (kg/m2)30.0 ± 5.730.0 ± 3.0n.s.
Disease duration (years)12 ± 816 ± 10.01
AHI2 ± 29 ± 40.05
Epworth sleepiness scale score6 ± 44 ± 2n.s.
IGF-I (µg/L)187 ± 78169 ± 30n.s.

 

Table 3. Treatment of Patients With Well-Controlled After Examination of Polygraphy
 
AHI < 5AHI ≥ 5
Number25 (87%)4 (13%)
Previous treatment
  Surgery19 (76%)3 (75%)
  Radiation + surgery6 (24%)1 (25%)
Current medication
  SSA9 (36%)2 (50%)
  Pegvisomant10 (40%)1 (25%)
  SSA + pegvisomant6 (24%)1 (25%)