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Journal of Clinical and
            Basic Psychosomatics                          Depressive disorder obstructive sleep apnea hypothalamic inflammation



            hypothalamic inflammation with BMI and AHI. The left   Author contributions
            hypothalamic inflammation may represent a potential
            mechanism underlying the comorbidity of obesity and   Conceptualization: Qiaoyang Zhang, Shumin Zhu
                                                               Formal analysis: Guanzhong Dong, Min Zhang
            OSA. Anti-inflammatory therapy emerges as a potential
            therapeutic  approach  for weight management and  the   Investigation: Xuanyan Zhu, Yi Ma, Y Ma, Lihao Zhang
            mitigation of OSA-hypopnea.                        Project administration: Yin Cao
                                                               Writing – original draft: All authors
              This study presents a few limitations. PSG is regarded   Writing – review and editing: All authors
            as the gold standard for diagnosing OSA. It can be
            coupled with electroencephalography to accurately   Ethics approval and consent to participate
            determine actual sleep time and sleep cycles. In our   All procedures involving human participants performed in
            research, a portable sleep apnea monitor was used, and   this study were in accordance with the ethical standards
            while the three parameters we assessed demonstrated   of the Institutional Ethics Committees of the Affiliated
            good consistency with PSG in diagnosing moderate-to-  Changzhou No.  2 People’s Hospital of Nanjing Medical
            severe OSA [46,47] , the use of PSG remains the most precise   University (2020KY204-01) and with the 1964 Helsinki
            diagnostic tool. In addition, obese male patients were   Declaration and its later amendments or comparable ethical
            less likely to opt for bariatric surgery compared to obese   standards. This study was registered in the Chinese Clinical
            female patients. Although we collected data spanning   Trial Registry (registration number: ChiCTR2100052438).
            2  years, the sample size remained relatively small.   Informed consent was obtained from all study participants.
            Further expansion of the sample size is essential to attain
            more accurate results.                             Consent for publication

            5. Conclusion                                      Informed consent was obtained from all study subjects.
            In summary, depressive disorders are associated with the   Availability of data
            severity of OSA and left hypothalamic inflammation in   The datasets generated during the present study are
            obese young men. Notably, left hypothalamic inflammation
            exhibits  a  positive  correlation with the  severity  of  OSA,   available from the corresponding author on reasonable
                                                               request.
            which suggests that left hypothalamic inflammation may
            be the underlying mechanism of OSA in obese young   References
            patients with depressive disorders.
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            Acknowledgments                                       of obesity in China. Lancet Diabetes Endocrinol, 9: 373–392.

            We would like to thank Dr. Jun Qian and his team, who      https://doi.org/10.1016/S2213-8587(21)00045-0
            independently performed the bariatric surgery, and Dr. Ye   2.   Matsumoto T, Chin K, 2019, Prevalence of sleep disturbances:
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            Funding
                                                               3.   Benjafield AV, Ayas NT, Eastwood PR, et al., 2019, Estimation
            Liming  Tang  received  financial  support from  the   of  the global  prevalence  and burden  of  obstructive sleep
            Changzhou Key Laboratory of Gastroenterology          apnoea: A  literature-based analysis.  Lancet Respir Med,
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            from the Changzhou Key Laboratory of Gastroenterology      https://doi.org/10.1016/S2213-2600(19)30198-5
            and Changzhou Science and Technology Program
            (CJ20200097). The sponsors had no role in the design or   4.   Peppard PE, Young T, Palta M,  et al., 2000, Longitudinal
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            All authors certify that they have no affiliations with   5.   Young T, Shahar E, Nieto FJ, et al., 2002, Predictors of sleep-
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            materials discussed in this manuscript.               https://doi.org/10.1001/archinte.162.8.893


            Volume 2 Issue 1 (2024)                         7                        https://doi.org/10.36922/jcbp.1040
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