|
|
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result sql = Nonalcoholic fatty liver disease associated with obstructive sleep apnea: just a coincidence?
Nonalcoholic fatty liver disease associated with obstructive sleep apnea: just a coincidence?char = <;code = 60
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char = ,;code = 44
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = f;code = 102
char = i;code = 105
char = b;code = 98
char = r;code = 114
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = s;code = 115
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = +;code = 43
char = ;code = 32
char = b;code = 98
char = a;code = 97
char = l;code = 108
char = l;code = 108
char = o;code = 111
char = o;code = 111
char = n;code = 110
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = s;code = 115
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = +;code = 43
char = ;code = 32
char = f;code = 102
char = i;code = 105
char = b;code = 98
char = r;code = 114
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = T;code = 84
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = O;code = 79
char = S;code = 83
char = A;code = 65
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = b;code = 98
char = a;code = 97
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = ;code = 32
char = a;code = 97
char = p;code = 112
char = n;code = 110
char = e;code = 101
char = a;code = 97
char = /;code = 47
char = h;code = 104
char = y;code = 121
char = p;code = 112
char = o;code = 111
char = p;code = 112
char = n;code = 110
char = e;code = 101
char = a;code = 97
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = d;code = 100
char = e;code = 101
char = x;code = 120
char = ;code = 32
char = (;code = 40
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = );code = 41
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 8;code = 56
char = 0;code = 48
char = 5;code = 53
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = /;code = 47
char = h;code = 104
char = o;code = 111
char = u;code = 117
char = r;code = 114
char = s;code = 115
char = .;code = 46
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = >;code = 62
char = R;code = 82
char = E;code = 69
char = S;code = 83
char = U;code = 85
char = L;code = 76
char = T;code = 84
char = S;code = 83
char = ;code = 32
char = :;code = 58
char = ;code = 32
char = <;code = 60
char = /;code = 47
char = b;code = 98
char = >;code = 62
char = O;code = 79
char = S;code = 83
char = A;code = 65
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = p;code = 112
char = r;code = 114
char = e;code = 101
char = s;code = 115
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 2;code = 50
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = );code = 41
char = ,;code = 44
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = F;code = 70
char = L;code = 76
char = D;code = 68
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 3;code = 51
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 2;code = 50
char = .;code = 46
char = 5;code = 53
char = %;code = 37
char = );code = 41
char = ,;code = 44
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 2;code = 50
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = );code = 41
char = ;code = 32
char = p;code = 112
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = P;code = 80
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 8;code = 56
char = 0;code = 48
char = 5;code = 53
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = /;code = 47
char = h;code = 104
char = ;code = 32
char = h;code = 104
char = a;code = 97
char = d;code = 100
char = ;code = 32
char = h;code = 104
char = i;code = 105
char = g;code = 103
char = h;code = 104
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = r;code = 114
char = u;code = 117
char = m;code = 109
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = s;code = 115
char = u;code = 117
char = l;code = 108
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = l;code = 108
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = l;code = 108
char = s;code = 115
char = ;code = 32
char = (;code = 40
char = 3;code = 51
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 2;code = 50
char = .;code = 46
char = 8;code = 56
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 2;code = 50
char = 2;code = 50
char = .;code = 46
char = 6;code = 54
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 7;code = 55
char = .;code = 46
char = 3;code = 51
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 9;code = 57
char = 5;code = 53
char = 6;code = 54
char = ;;code = 59
char = U;code = 85
char = /;code = 47
char = m;code = 109
char = l;code = 108
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = 1;code = 49
char = 5;code = 53
char = );code = 41
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = H;code = 72
char = O;code = 79
char = M;code = 77
char = A;code = 65
char = -;code = 45
char = I;code = 73
char = R;code = 82
char = ;code = 32
char = (;code = 40
char = 7;code = 55
char = .;code = 46
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 4;code = 52
char = .;code = 46
char = 0;code = 48
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 5;code = 53
char = .;code = 46
char = 4;code = 52
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 4;code = 52
char = .;code = 46
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = 1;code = 49
char = 6;code = 54
char = );code = 41
char = ;code = 32
char = w;code = 119
char = h;code = 104
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = m;code = 109
char = p;code = 112
char = a;code = 97
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = <;code = 60
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = /;code = 47
char = h;code = 104
char = ,;code = 44
char = ;code = 32
char = b;code = 98
char = u;code = 117
char = t;code = 116
char = ;code = 32
char = n;code = 110
char = o;code = 111
char = ;code = 32
char = a;code = 97
char = s;code = 115
char = s;code = 115
char = o;code = 111
char = c;code = 99
char = i;code = 105
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = u;code = 117
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = t;code = 116
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 1;code = 49
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 7;code = 55
char = 8;code = 56
char = .;code = 46
char = 9;code = 57
char = %;code = 37
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = .;code = 46
char = 0;code = 48
char = 0;code = 48
char = 0;code = 48
char = );code = 41
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = o;code = 111
char = x;code = 120
char = i;code = 105
char = h;code = 104
char = e;code = 101
char = m;code = 109
char = o;code = 111
char = g;code = 103
char = l;code = 108
char = o;code = 111
char = b;code = 98
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = d;code = 100
char = e;code = 101
char = s;code = 115
char = a;code = 97
char = t;code = 116
char = u;code = 117
char = r;code = 114
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = <;code = 60
char = 8;code = 56
char = 4;code = 52
char = %;code = 37
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 1;code = 49
char = .;code = 46
char = 2;code = 50
char = %;code = 37
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 7;code = 55
char = 0;code = 48
char = .;code = 46
char = 8;code = 56
char = %;code = 37
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 0;code = 48
char = .;code = 46
char = 7;code = 55
char = 0;code = 48
char = 9;code = 57
char = );code = 41
char = ;code = 32
char = w;code = 119
char = h;code = 104
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = g;code = 103
char = r;code = 114
char = o;code = 111
char = u;code = 117
char = p;code = 112
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = m;code = 109
char = p;code = 112
char = a;code = 97
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = .;code = 46
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = >;code = 62
char = C;code = 67
char = O;code = 79
char = N;code = 78
char = C;code = 67
char = L;code = 76
char = U;code = 85
char = S;code = 83
char = I;code = 73
char = O;code = 79
char = N;code = 78
char = S;code = 83
char = ;code = 32
char = :;code = 58
char = ;code = 32
char = <;code = 60
char = /;code = 47
char = b;code = 98
char = >;code = 62
char = O;code = 79
char = b;code = 98
char = e;code = 101
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = p;code = 112
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = h;code = 104
char = a;code = 97
char = d;code = 100
char = ;code = 32
char = e;code = 101
char = l;code = 108
char = e;code = 101
char = v;code = 118
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = d;code = 100
char = ;code = 32
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result sql = BACKGROUND : Obesity is associated with obstructive sleep apnea (OSA) and nonalcoholic fatty liver disease (NAFLD). It has been shown that OSA could be an independent risk factor for NAFLD. OSA could cause not only insulin resistance but worse NAFLD through nocturnal hypoxemia. This study aimed to evaluate the frequency of OSA and NAFLD in obese patients and the relationship between OSA, insulin resistance, and severity of steatohepatitis (nonalcoholic steatohepatitis (NASH)).
METHODS : Forty obese patients submitted to bariatric surgery were evaluated. Sleep studies, fasting blood glucose, serum insulin, homeostasis model assessment (HOMA-IR), and liver enzymes were measured. Liver biopsies were evaluated for features of NAFLD including degrees of steatosis, inflammation, cellular ballooning, and fibrosis. NASH was diagnosed in those with steatosis + ballooning or steatosis + fibrosis. The diagnosis of OSA was based on an apnea/hypopnea index (AHI) ≥ 5 events/hours.
RESULTS : OSA was present in 32 (80.0%), NAFLD in 33 (82.5%), and NASH in 32 (80.0%) patients. Patients with AHI ≥ 15 ev/h had higher serum insulin levels (30.0 ± 12.8 vs. 22.6 ± 17.3 μU/ml; p = 0.015) and HOMA-IR (7.5 ± 4.0 vs. 5.4 ± 4.1; p = 0.016) when compared with those with AHI < 15 ev/h, but no association was found between AHI and NASH (81.0% vs. 78.9%; p = 1.000) or oxihemoglobin desaturation <84% and NASH (81.2% vs. 70.8%; p = 0.709) when these groups were compared.
CONCLUSIONS : Obese patients had elevated OSA and NAFLD frequencies. OSA was associated with insulin resistance but not with the severity of NASH.
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result sql = Nonalcoholic fatty liver disease associated with obstructive sleep apnea: just a coincidence?
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char = n;code = 110
char = d;code = 100
char = ;code = 32
char = l;code = 108
char = i;code = 105
char = v;code = 118
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = e;code = 101
char = n;code = 110
char = z;code = 122
char = y;code = 121
char = m;code = 109
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = m;code = 109
char = e;code = 101
char = a;code = 97
char = s;code = 115
char = u;code = 117
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = .;code = 46
char = ;code = 32
char = L;code = 76
char = i;code = 105
char = v;code = 118
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = b;code = 98
char = i;code = 105
char = o;code = 111
char = p;code = 112
char = s;code = 115
char = i;code = 105
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = e;code = 101
char = v;code = 118
char = a;code = 97
char = l;code = 108
char = u;code = 117
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = f;code = 102
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = u;code = 117
char = r;code = 114
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = F;code = 70
char = L;code = 76
char = D;code = 68
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = c;code = 99
char = l;code = 108
char = u;code = 117
char = d;code = 100
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = d;code = 100
char = e;code = 101
char = g;code = 103
char = r;code = 114
char = e;code = 101
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = s;code = 115
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ,;code = 44
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = f;code = 102
char = l;code = 108
char = a;code = 97
char = m;code = 109
char = m;code = 109
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ,;code = 44
char = ;code = 32
char = c;code = 99
char = e;code = 101
char = l;code = 108
char = l;code = 108
char = u;code = 117
char = l;code = 108
char = a;code = 97
char = r;code = 114
char = ;code = 32
char = b;code = 98
char = a;code = 97
char = l;code = 108
char = l;code = 108
char = o;code = 111
char = o;code = 111
char = n;code = 110
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ,;code = 44
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = f;code = 102
char = i;code = 105
char = b;code = 98
char = r;code = 114
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = s;code = 115
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = +;code = 43
char = ;code = 32
char = b;code = 98
char = a;code = 97
char = l;code = 108
char = l;code = 108
char = o;code = 111
char = o;code = 111
char = n;code = 110
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = s;code = 115
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = t;code = 116
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = +;code = 43
char = ;code = 32
char = f;code = 102
char = i;code = 105
char = b;code = 98
char = r;code = 114
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = T;code = 84
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = d;code = 100
char = i;code = 105
char = a;code = 97
char = g;code = 103
char = n;code = 110
char = o;code = 111
char = s;code = 115
char = i;code = 105
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = O;code = 79
char = S;code = 83
char = A;code = 65
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = b;code = 98
char = a;code = 97
char = s;code = 115
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = ;code = 32
char = a;code = 97
char = p;code = 112
char = n;code = 110
char = e;code = 101
char = a;code = 97
char = /;code = 47
char = h;code = 104
char = y;code = 121
char = p;code = 112
char = o;code = 111
char = p;code = 112
char = n;code = 110
char = e;code = 101
char = a;code = 97
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = d;code = 100
char = e;code = 101
char = x;code = 120
char = ;code = 32
char = (;code = 40
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = );code = 41
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 8;code = 56
char = 0;code = 48
char = 5;code = 53
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = /;code = 47
char = h;code = 104
char = o;code = 111
char = u;code = 117
char = r;code = 114
char = s;code = 115
char = .;code = 46
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = r;code = 114
char = /;code = 47
char = >;code = 62
char = <;code = 60
char = b;code = 98
char = >;code = 62
char = R;code = 82
char = E;code = 69
char = S;code = 83
char = U;code = 85
char = L;code = 76
char = T;code = 84
char = S;code = 83
char = ;code = 32
char = :;code = 58
char = ;code = 32
char = <;code = 60
char = /;code = 47
char = b;code = 98
char = >;code = 62
char = O;code = 79
char = S;code = 83
char = A;code = 65
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = p;code = 112
char = r;code = 114
char = e;code = 101
char = s;code = 115
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 2;code = 50
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = );code = 41
char = ,;code = 44
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = F;code = 70
char = L;code = 76
char = D;code = 68
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 3;code = 51
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 2;code = 50
char = .;code = 46
char = 5;code = 53
char = %;code = 37
char = );code = 41
char = ,;code = 44
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = 3;code = 51
char = 2;code = 50
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = );code = 41
char = ;code = 32
char = p;code = 112
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = P;code = 80
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 8;code = 56
char = 0;code = 48
char = 5;code = 53
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = /;code = 47
char = h;code = 104
char = ;code = 32
char = h;code = 104
char = a;code = 97
char = d;code = 100
char = ;code = 32
char = h;code = 104
char = i;code = 105
char = g;code = 103
char = h;code = 104
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = r;code = 114
char = u;code = 117
char = m;code = 109
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = s;code = 115
char = u;code = 117
char = l;code = 108
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = l;code = 108
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = l;code = 108
char = s;code = 115
char = ;code = 32
char = (;code = 40
char = 3;code = 51
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 2;code = 50
char = .;code = 46
char = 8;code = 56
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 2;code = 50
char = 2;code = 50
char = .;code = 46
char = 6;code = 54
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 7;code = 55
char = .;code = 46
char = 3;code = 51
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 9;code = 57
char = 5;code = 53
char = 6;code = 54
char = ;;code = 59
char = U;code = 85
char = /;code = 47
char = m;code = 109
char = l;code = 108
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = 1;code = 49
char = 5;code = 53
char = );code = 41
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = H;code = 72
char = O;code = 79
char = M;code = 77
char = A;code = 65
char = -;code = 45
char = I;code = 73
char = R;code = 82
char = ;code = 32
char = (;code = 40
char = 7;code = 55
char = .;code = 46
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 4;code = 52
char = .;code = 46
char = 0;code = 48
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 5;code = 53
char = .;code = 46
char = 4;code = 52
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 7;code = 55
char = 7;code = 55
char = ;;code = 59
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 4;code = 52
char = .;code = 46
char = 1;code = 49
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 0;code = 48
char = .;code = 46
char = 0;code = 48
char = 1;code = 49
char = 6;code = 54
char = );code = 41
char = ;code = 32
char = w;code = 119
char = h;code = 104
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = m;code = 109
char = p;code = 112
char = a;code = 97
char = r;code = 114
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = <;code = 60
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = 5;code = 53
char = &;code = 38
char = #;code = 35
char = 1;code = 49
char = 6;code = 54
char = 0;code = 48
char = ;;code = 59
char = e;code = 101
char = v;code = 118
char = /;code = 47
char = h;code = 104
char = ,;code = 44
char = ;code = 32
char = b;code = 98
char = u;code = 117
char = t;code = 116
char = ;code = 32
char = n;code = 110
char = o;code = 111
char = ;code = 32
char = a;code = 97
char = s;code = 115
char = s;code = 115
char = o;code = 111
char = c;code = 99
char = i;code = 105
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = w;code = 119
char = a;code = 97
char = s;code = 115
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = u;code = 117
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = t;code = 116
char = w;code = 119
char = e;code = 101
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = A;code = 65
char = H;code = 72
char = I;code = 73
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = ;code = 32
char = N;code = 78
char = A;code = 65
char = S;code = 83
char = H;code = 72
char = ;code = 32
char = (;code = 40
char = 8;code = 56
char = 1;code = 49
char = .;code = 46
char = 0;code = 48
char = %;code = 37
char = ;code = 32
char = v;code = 118
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = 7;code = 55
char = 8;code = 56
char = .;code = 46
char = 9;code = 57
char = %;code = 37
char = ;;code = 59
char = ;code = 32
char = p;code = 112
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = =;code = 61
char = &;code = 38
char = #;code = 35
char = 8;code = 56
char = 2;code = 50
char = 0;code = 48
char = 1;code = 49
char = ;;code = 59
char = 1;code = 49
char = .;code = 46
char = 0;code = 48
char = 0;code = 48
char = 0;code = 48
char = );code = 41
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = o;code = 111
char = x;code = 120
char = i;code = 105
char = h;code = 104
char = e;code = 101
char = m;code = 109
char = o;code = 111
char = g;code = 103
char = l;code = 108
char = o;code = 111
char = b;code = 98
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = d;code = 100
char = e;code = 101
char = s;code = 115
char = a;code = 97
char = t;code = 116
char = u;code = 117
char = r;code = 114
char = a;code = 97
char = t;code = 116
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result sql = BACKGROUND : Obesity is associated with obstructive sleep apnea (OSA) and nonalcoholic fatty liver disease (NAFLD). It has been shown that OSA could be an independent risk factor for NAFLD. OSA could cause not only insulin resistance but worse NAFLD through nocturnal hypoxemia. This study aimed to evaluate the frequency of OSA and NAFLD in obese patients and the relationship between OSA, insulin resistance, and severity of steatohepatitis (nonalcoholic steatohepatitis (NASH)).
METHODS : Forty obese patients submitted to bariatric surgery were evaluated. Sleep studies, fasting blood glucose, serum insulin, homeostasis model assessment (HOMA-IR), and liver enzymes were measured. Liver biopsies were evaluated for features of NAFLD including degrees of steatosis, inflammation, cellular ballooning, and fibrosis. NASH was diagnosed in those with steatosis + ballooning or steatosis + fibrosis. The diagnosis of OSA was based on an apnea/hypopnea index (AHI) ≥ 5 events/hours.
RESULTS : OSA was present in 32 (80.0%), NAFLD in 33 (82.5%), and NASH in 32 (80.0%) patients. Patients with AHI ≥ 15 ev/h had higher serum insulin levels (30.0 ± 12.8 vs. 22.6 ± 17.3 μU/ml; p = 0.015) and HOMA-IR (7.5 ± 4.0 vs. 5.4 ± 4.1; p = 0.016) when compared with those with AHI < 15 ev/h, but no association was found between AHI and NASH (81.0% vs. 78.9%; p = 1.000) or oxihemoglobin desaturation <84% and NASH (81.2% vs. 70.8%; p = 0.709) when these groups were compared.
CONCLUSIONS : Obese patients had elevated OSA and NAFLD frequencies. OSA was associated with insulin resistance but not with the severity of NASH.
Publication: Obes Surg 2010 Nov ;20(11)::1536-43. :doi: 10.1007/s11695-010-0212-1.
Publication Date: 2010 Nov
Study Author(s): Daltro, Carla;Cotrim, Helma P;Alves, Erivaldo;de Freitas, Luiz Antônio;Araújo, Leila;Boente, Leonardo;Leal, Rafael;Portugal, Thaís;
Institution: Department of Internal Medicine, Bahiana School of Medicine and Public Health, Rua Clarival do Prado Valladares, 264/803, Salvador, Bahia, 41.820-700, Brazil. [email protected]
Shortcut link to this study:
Publication Date: 2010 Nov
Study Author(s): Daltro, Carla;Cotrim, Helma P;Alves, Erivaldo;de Freitas, Luiz Antônio;Araújo, Leila;Boente, Leonardo;Leal, Rafael;Portugal, Thaís;
Institution: Department of Internal Medicine, Bahiana School of Medicine and Public Health, Rua Clarival do Prado Valladares, 264/803, Salvador, Bahia, 41.820-700, Brazil. [email protected]
Shortcut link to this study:
BACKGROUND : Obesity is associated with obstructive sleep apnea (OSA) and nonalcoholic fatty liver disease (NAFLD). It has been shown that OSA could be an independent risk factor for NAFLD. OSA could cause not only insulin resistance but worse NAFLD through nocturnal hypoxemia. This study aimed to evaluate the frequency of OSA and NAFLD in obese patients and the relationship between OSA, insulin resistance, and severity of steatohepatitis (nonalcoholic steatohepatitis (NASH)).
METHODS : Forty obese patients submitted to bariatric surgery were evaluated. Sleep studies, fasting blood glucose, serum insulin, homeostasis model assessment (HOMA-IR), and liver enzymes were measured. Liver biopsies were evaluated for features of NAFLD including degrees of steatosis, inflammation, cellular ballooning, and fibrosis. NASH was diagnosed in those with steatosis + ballooning or steatosis + fibrosis. The diagnosis of OSA was based on an apnea/hypopnea index (AHI) ≥ 5 events/hours.
RESULTS : OSA was present in 32 (80.0%), NAFLD in 33 (82.5%), and NASH in 32 (80.0%) patients. Patients with AHI ≥ 15 ev/h had higher serum insulin levels (30.0 ± 12.8 vs. 22.6 ± 17.3 μU/ml; p = 0.015) and HOMA-IR (7.5 ± 4.0 vs. 5.4 ± 4.1; p = 0.016) when compared with those with AHI < 15 ev/h, but no association was found between AHI and NASH (81.0% vs. 78.9%; p = 1.000) or oxihemoglobin desaturation <84% and NASH (81.2% vs. 70.8%; p = 0.709) when these groups were compared.
CONCLUSIONS : Obese patients had elevated OSA and NAFLD frequencies. OSA was associated with insulin resistance but not with the severity of NASH.
METHODS : Forty obese patients submitted to bariatric surgery were evaluated. Sleep studies, fasting blood glucose, serum insulin, homeostasis model assessment (HOMA-IR), and liver enzymes were measured. Liver biopsies were evaluated for features of NAFLD including degrees of steatosis, inflammation, cellular ballooning, and fibrosis. NASH was diagnosed in those with steatosis + ballooning or steatosis + fibrosis. The diagnosis of OSA was based on an apnea/hypopnea index (AHI) ≥ 5 events/hours.
RESULTS : OSA was present in 32 (80.0%), NAFLD in 33 (82.5%), and NASH in 32 (80.0%) patients. Patients with AHI ≥ 15 ev/h had higher serum insulin levels (30.0 ± 12.8 vs. 22.6 ± 17.3 μU/ml; p = 0.015) and HOMA-IR (7.5 ± 4.0 vs. 5.4 ± 4.1; p = 0.016) when compared with those with AHI < 15 ev/h, but no association was found between AHI and NASH (81.0% vs. 78.9%; p = 1.000) or oxihemoglobin desaturation <84% and NASH (81.2% vs. 70.8%; p = 0.709) when these groups were compared.
CONCLUSIONS : Obese patients had elevated OSA and NAFLD frequencies. OSA was associated with insulin resistance but not with the severity of NASH.
PMID: 20556538
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