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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.
1. Pan XF, Wang L, Pan A, 2021, Epidemiology and determinants
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:
Xinhua for providing follow-up data and post-operative Sleep disordered breathing, short sleep duration, and non-
MRI images. restorative sleep. Respir Investig, 57: 227–237.
https://doi.org/10.1016/j.resinv.2019.01.008
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,
(CM20223008). Yuwen Jiao received financial support 7: 687–698.
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
study of moderate weight change and sleep-disordered
conduct of this study.
breathing. J Am Med Assoc, 284: 3015–3021.
Conflict of interest https://doi.org/10.1001/jama.284.23.3015
All authors certify that they have no affiliations with 5. Young T, Shahar E, Nieto FJ, et al., 2002, Predictors of sleep-
or involvement in any organization or entity with any disordered breathing in community-dwelling adults: The
financial or non-financial interests in the subject matter or Sleep Heart Health Study. Arch Intern Med, 162: 893–900.
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

