- 13+ Vitamin D Life pages have SLEEP APNEA in the title
- Sleep Apnea and Vitamin D Deficiency - Mercola interview Gominak Feb 2024
- Review of Obstructive Sleep Apnea and Vitamin D - Feb 2024
- Obstructive sleep apnea and vitamin D: an updated systematic review and meta-analysis – Sept 2023
- 10% of Americans have sleep apnea (but only half are aware of it)
13+ Vitamin D Life pages have SLEEP APNEA in the title
This list is automatically updated
Sleep Apnea and Vitamin D Deficiency - Mercola interview Gominak Feb 2024
86 minutes dual, connected epidemics: Low D, Sleep Apnea
 Transcript
Vitamin D is important for hibernation then should also be important for deep sleep
Vitamin D needed to stop movements (needed for deep sleep)
She has helped >5,000 people
Fit bits are very good at monitoring deep sleep
Vitamin D levels of 60-80 ng are needed if you do not have good B vitamins (oral or gut)
B vitamins are very important - only need 40-60 ng of Vitamin D
B vitamins also made by Microbiome - including gut
His notes on the video
- There’s a synergy between vitamin D deficiency and poor sleep, both of which are at epidemic proportions in many parts of the world.
- Lack of vitamin D causes impairment in your brain stem, which in turn can impair your sleep.
- Vitamin D is also a crucial component required to make acetylcholine, a neurotransmitter that allows you to get “paralyzed” so that deep sleep can occur.
- B vitamins also play an important role in sleep. Ideally, you need to normalize your gut microbiome so that your gut bacteria make all the B vitamins your body and brain need.
- To normalize your gut microbiome, maintain a vitamin D level of 40 ng/mL or higher and take a B50 or B100 supplement for three months.
See also Restless Legs Syndrome dramatically reduced by vitamin D, etc
Review of Obstructive Sleep Apnea and Vitamin D - Feb 2024
Exploring the link between vitamin D deficiency and obstructive sleep apnea: A comprehensive review
Review J Sleep Res . 2024 Feb 27:e14166. doi: 10.1111/jsr.14166
Nan Yao 1, Chenyuan Ma 2, Ruixue Dou 3, Chao Shen 4, Ye Yuan 5, Wei Li 4, Jun Qu 1
Relevant Studies - presence and severity
Relevant Studies - risk
Despite the high prevalence and significant health burden of obstructive sleep apnea (OSA), its underlying pathophysiology remains incompletely understood. This comprehensive review explores the emerging connection between vitamin D deficiency and OSA, discusses potential mechanisms underlying this association, and explores the therapeutic implications of these findings. Recent research has consistently highlighted the high incidence of vitamin D deficiency among patients with OSA, which often occurs independently of geographical location. This suggests that factors beyond lack of sunlight exposure may be involved. This review also discusses how reduced vitamin D may be associated with more severe manifestations of OSA. In addition, it explores the potentiality of using vitamin D supplements as a therapeutic strategy for OSA, noting that some studies have found improvements in sleep quality and a reduction in OSA severity. Potential mechanisms are proposed, including the role of vitamin D deficiency in promoting inflammation, oxidative stress, hypoxia, impairing immune function, muscle function, and gene polymorphism of vitamin D receptors, all of which could contribute to the pathogenesis of obstructive sleep apnea. The paper underscores the need for future research to validate these observations, to determine optimal vitamin D supplementation dosage and duration, to explore potential side effects and risks, and to investigate potential interactions with other treatments.
 Download the PDF from Vitamin D Life
Obstructive sleep apnea and vitamin D: an updated systematic review and meta-analysis – Sept 2023
Hormones (Athens). 2023 Sep 14. doi: 10.1007/s42000-023-00481-3
Huai Heng Loh 1 2, Quan Hziung Lim 3, Waye Hann Kang 4, Anne Yee 5, Mei Ching Yong 6, Norlela Sukor 7 8
PURPOSE : Obstructive sleep apnea (OSA) is a chronic, sleep-related breathing disorder which leads to increased cardiovascular risks. Vitamin D deficiency is associated with various cardiometabolic complications, including increased cardiovascular morbidity and mortality. We aimed to analyze the difference in serum 25-hydroxyvitamin D (25-OHD) level, prevalence of vitamin D insufficiency and deficiency, and the effect of CPAP treatment on serum 25-OHD levels among adult patients with OSA.
Methods: We pooled data from 18 observational studies involving 5592 individuals. Baseline parameters that might have contributed to the significant differences observed were also analyzed.
Results: Patients with OSA had significantly lower serum 25-OHD levels (pooled d + - 0.74 [95% CI: - 1.19 to - 0.28], p < 0.01) and higher prevalence of vitamin D deficiency (pooled log (odds ratio) 0.98 [95% CI: 0.30 to 1.67], p < 0.01) compared to those without OSA. Subgroup analysis demonstrated that these differences were significant only in moderate OSA and severe OSA. Neither age nor BMI nor geographical latitude contributed significantly to the differences observed in serum 25-OHD levels. The use of CPAP did not lead to significant changes in serum 25-OHD levels.
Conclusion: Patients with OSA have lower serum 25-OHD levels with a higher prevalence of vitamin D deficiency, regardless of age or BMI, pointing to an independent association between vitamin D and OSA.
References
- Rundo JV (2019) Obstructive sleep apnea basics. Cleve Clin J Med 86(9 Suppl 1):2–9 - PubMed - DOI
- Epstein LJ et al (2009) Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5(3):263–276 - PubMed - DOI
- Surani SR (2014) Diabetes, sleep apnea, obesity and cardiovascular disease: why not address them together? World J Diabetes 5(3):381–384 - PubMed - PMC - DOI
- Gami AS, Caples SM, Somers VK (2003) Obesity and obstructive sleep apnea. Endocrinol Metab Clin North Am 32(4):869–894 - PubMed - DOI
- Holick MF (2009) vitamin D status: measurement, interpretation, and clinical application. Ann Epidemiol 19(2):73–78 - PubMed - DOI
- Wang TJ et al (2008) vitamin D deficiency and risk of cardiovascular disease. Circulation 117(4):503–511 - PubMed - DOI
- Cosentino N et al (2021) vitamin D and cardiovascular disease: current evidence and future perspectives. Nutrients 13(10):3603 - PubMed - PMC - DOI
- Holick MF et al (2011) Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 96(7):1911–1930 - PubMed - DOI
- Romano F et al (2020) vitamin D and sleep regulation: is there a role for vitamin D? Curr Pharm Des 26(21):2492–2496 - PubMed - DOI
- Archontogeorgis K et al (2018) The role of vitamin D in obstructive sleep apnoea syndrome. Breathe (Sheff) 14(3):206–215 - PubMed - DOI
- Loh HH, Sukor N (2023) Obstructive sleep apnea and vitamin D level: Has the dust settled? Clin Respir J 1(16). https://doi.org/10.1111/crj.13593
- Li X, He J, Yun J (2020) The association between serum vitamin D and obstructive sleep apnea: an updated meta-analysis. Respir Res 21(1):294 - PubMed - PMC - DOI
- Neighbors CLP et al (2018) vitamin D and obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med 43:100–108 - PubMed - DOI
- Herzog R et al (2013) Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health 13:154 - PubMed - PMC - DOI
- Lechat B et al (2022) Multinight prevalence, variability, and diagnostic misclassification of obstructive sleep apnea. Am J Respir Crit Care Med 205(5):563–569 - PubMed - DOI
- Bouloukaki I et al (2021) vitamin D deficiency in patients evaluated for obstructive sleep apnea: is it associated with disease severity? Sleep Breath 25(2):1109–1117 - PubMed - DOI
- Goswami U et al (2016) vitamin D concentrations and obstructive sleep apnea in a multicenter cohort of older males. Ann Am Thorac Soc 13(5):712–718 - PubMed - PMC - DOI
- Ma D et al (2020) The relationship of serum 25-hydroxyvitamin-D level with severity of obstructive sleep apnea in patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes 13:1391–1398 - PubMed - PMC - DOI
- Qiao Y et al (2018) Bone metabolic markers in patients with obstructive sleep apnea syndrome. Chin Med J (English Edition) 131(16):1898–1903
- Salepci B et al (2017) vitamin D deficiency in patients referred for evaluation of obstructive sleep apnea. J Clin Sleep Med 13(4):607–612 - PubMed - PMC - DOI
- Archontogeorgis K et al (2018) vitamin D levels in middle-aged patients with obstructive sleep apnoea syndrome. Curr Vasc Pharmacol 16(3):289–297 - PubMed - DOI
- Bhatt SP, Guleria R, Vikram NK (2021) The effect of the severity of obstructive sleep apnea on leukocyte telomere length, 25 hydroxy vitamin D, and parathyroid hormonal concentrations in Asian Indians. Front Neurol 12:682739 - PubMed - PMC - DOI
- Bozkurt NC et al (2012) The relation of serum 25-hydroxyvitamin-D levels with severity of obstructive sleep apnea and glucose metabolism abnormalities. Endocrine 41(3):518–525 - PubMed - DOI
- Erden ES et al (2014) Investigation of serum bisphenol A, vitamin D, and parathyroid hormone levels in patients with obstructive sleep apnea syndrome. Endocrine 45(2):311–318 - PubMed - DOI
- Kerley CP et al (2016) Serum vitamin D is significantly inversely associated with disease severity in Caucasian adults with obstructive sleep apnea syndrome. Sleep 39(2):293–300 - PubMed - PMC - DOI
- Kirac D et al (2019) Different VDR, VDBP genotypes and vitamin D levels may effect obstructive sleep apnea syndrome. Cell Mol Biol (Noisy-le-grand) 65(1):46–51 - PubMed - DOI
- Klobučníková K et al (2017) Carotid intima-media thickness is not associated with homocysteine and vitamin D levels in obstructive sleep apnea. Scand J Clin Lab Invest 77(4):263–266 - PubMed - DOI
- Kotsiou OS et al (2022) Association between Interleukin-6 and vitamin D serum levels in patients with obstructive sleep apnea syndrome and impact of long-term continuous positive airway pressure therapy on biomarker levels. Respir Physiol Neurobiol 296:103806 - PubMed - DOI
- Liguori C et al (2015) Continuous positive airway pressure treatment increases serum vitamin D levels in male patients with obstructive sleep apnea. J Clin Sleep Med 11(6):603–607 - PubMed - PMC - DOI
- Mete T et al (2013) Obstructive sleep apnea syndrome and its association with vitamin D deficiency. J Endocrinol Invest 36(9):681–685 - PubMed
- Sadaf S et al (2021) Effect of obstructive sleep apnea on bone mineral density. Turk Toraks Dergisi / Turk Thorac J 22(4):301–310 - DOI
- Siachpazidou DI et al (2021) Serum vitamin D levels in patients with obstructive sleep apnea syndrome and level changes after continuous positive airway pressure therapy. Sleep Breath 25(2):657–668 - PubMed - DOI
- Toujani S et al (2017) vitamin D deficiency and interleukin-17 relationship in severe obstructive sleep apnea–hypopnea syndrome. Ann Thorac Med 12(2):107–113 - PubMed - PMC - DOI
- Theorell-Haglöw J et al (2018) Changes of vitamin D levels and bone turnover markers after CPAP therapy: a randomized sham-controlled trial. J Sleep Res 27(4):e12606 - PubMed - DOI
- Liguori C et al (2017) vitamin D status of male OSAS patients improved after long-term CPAP treatment mainly in obese subjects. Sleep Med 29:81–85 - PubMed - DOI
- Ayyıldız F et al (2021) The effects of vitamin D supplemantation on prognosis in patients with mild obstructive sleep apnea syndrome. Turk J Med Sci 51(5):2524–2533 - PubMed - DOI
- Kerley CP et al (2017) vitamin D improves selected metabolic parameters but not neuropsychological or quality of life indices in OSA: a pilot study. J Clin Sleep Med 13(1):19–26 - PubMed - PMC - DOI
- Gronewold J et al (2019) Sleep-disordered breathing in hospitalized geriatric patients with mild dementia and its association with cognition, emotion and mobility. Int J Environ Res Public Health Electron Resour 16(5):09
- Archontogeorgis K et al (2018) Metabolic syndrome and vitamin D levels in patients with obstructive sleep apnea syndrome. Metab Syndr Relat Disord 16(4):190–196 - PubMed - DOI
- Upala S, Sanguankeo A (2015) Association between 25-hydroxyvitamin D and obstructive sleep apnea: a systematic review and meta-analysis. J Clin Sleep Med 11(11):1347–1347 - PubMed - PMC - DOI
- Bennour I et al (2022) vitamin D and obesity/adiposity–a brief overview of recent studies. Nutrients 14(10):2049 - PubMed - PMC - DOI
- Moy FM, Bulgiba A (2011) High prevalence of vitamin D insufficiency and its association with obesity and metabolic syndrome among Malay adults in Kuala Lumpur. Malaysia BMC Public Health 11:735 - PubMed - DOI
- Vranic L, Mikolasevic I, Milic S (2019) vitamin D deficiency: consequence or cause of obesity? Medicina (Kaunas) 55(9):541 - PubMed - DOI
- Duan L et al (2020) Effects of vitamin D supplementation on general and central obesity: results from 20 randomized controlled trials involving apparently healthy populations. Ann Nutr Metab 76(3):153–164 - PubMed - DOI
- Romero-Corral A et al (2010) Interactions between obesity and obstructive sleep apnea: implications for treatment. Chest 137(3):711–719 - PubMed - PMC - DOI
- Riha RL (2009) Genetic aspects of the obstructive sleep apnoea/hypopnoea syndrome – is there a common link with obesity? Respiration 78(1):5–17 - PubMed - DOI
- Kuvat N, Tanriverdi H, Armutcu F (2020) The relationship between obstructive sleep apnea syndrome and obesity: a new perspective on the pathogenesis in terms of organ crosstalk. Clin Respir J 14(7):595–604 - PubMed - DOI
- Fan Z et al (2019) Independent association of vitamin D and insulin resistance in obstructive sleep apnea. Ann Endocrinol (Paris) 80(5–6):319–323 - PubMed - DOI
- Gonzalez-Muniesa P et al (2017) Obesity. Nat Rev Dis Primers 3:17034 - PubMed - DOI
- Thacher TD, Clarke BL (2011) vitamin D insufficiency. Mayo Clin Proc 86(1):50–60 - PubMed - PMC - DOI
- Lopez A-G, Kerlan V, Desailloud R (2021) Non-classical effects of vitamin D: non-bone effects of vitamin D. Ann Endocrinol 82(1):43–51 - DOI
- Maniero C et al (2011) Primary hyperparathyroidism with concurrent primary aldosteronism. Hypertension 58(3):341–346 - PubMed - DOI
- Gabryelska A et al (2020) Patients with obstructive sleep apnea present with chronic upregulation of serum HIF-1alpha protein. J Clin Sleep Med 16(10):1761–1768 - PubMed - PMC - DOI
- Ben-Shoshan M et al (2007) 1alpha,25-Dihydroxyvitamin D3 (calcitriol) inhibits hypoxia-inducible factor-1/vascular endothelial growth factor pathway in human cancer cells. Mol Cancer Ther 6(4):1433–1439 - PubMed - DOI
- McCarty DE et al (2014) The link between vitamin D metabolism and sleep medicine. Sleep Med Rev 18(4):311–319 - PubMed - DOI
- Patil SP et al (2007) Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest 132(1):325–337 - PubMed - DOI
- Moraes W et al (2014) Effects of aging on sleep structure throughout adulthood: a population-based study. Sleep Med 15(4):401–409 - PubMed - DOI
- Silva MDS et al (2022) Associations of the severity of obstructive sleep apnea with age-related comorbidities: a population-based study. Front Neurol 13:802 - DOI
- Martin S et al (1997) The effect of age, sex, obesity and posture on upper airway size. Eur Respir J 10(9):2087–2090 - PubMed - DOI
- Kweder H, Eidi H (2018) vitamin D deficiency in elderly: risk factors and drugs impact on vitamin D status. Avicenna J Med 8(4):139–146 - PubMed - PMC - DOI
- Gallagher JC (2013) vitamin D and aging. Endocrinol Metab Clin North Am 42(2):319–332 - PubMed - PMC - DOI
- Ebeling PR et al (1992) Evidence of an age-related decrease in intestinal responsiveness to vitamin D: relationship between serum 1,25-dihydroxyvitamin D3 and intestinal vitamin D receptor concentrations in normal women. J Clin Endocrinol Metab 75(1):176–182 - PubMed
- Chalcraft JR et al (2020) vitamin D synthesis following a single bout of sun exposure in older and younger men and women. Nutrients 12(8):2237 - PubMed - PMC - DOI
- Norman AW (2006) Minireview: vitamin D receptor: new assignments for an already busy receptor. Endocrinology 147(12):5542–5548 - PubMed - DOI
- Mitri J, Muraru MD, Pittas AG (2011) vitamin D and type 2 diabetes: a systematic review. Eur J Clin Nutr 65(9):1005–1015 - PubMed - PMC - DOI
- Gedik O, Akalin S (1986) Effects of vitamin D deficiency and repletion on insulin and glucagon secretion in man. Diabetologia 29(3):142–145 - PubMed - DOI
- Barchetta I, Cimini FA, Cavallo MG (2020) vitamin D and metabolic dysfunction-associated fatty liver disease (MAFLD): an update. Nutrients 12(11):3302 - PubMed - PMC - DOI
- Bikle DD, Schwartz J (2019) vitamin D binding protein, total and free vitamin D levels in different physiological and pathophysiological conditions. Front Endocrinol (Lausanne) 10:317 - PubMed - DOI
- Pazarli AC, Ekiz T, İnönüKöseoğlu H (2019) Association between 25-hydroxyvitamin D and bone mineral density in people with obstructive sleep apnea syndrome. J Clin Densitom 22(1):39–46 - PubMed - DOI
- Qiao Y et al (2018) Bone metabolic markers in patients with obstructive sleep apnea syndrome. Chin Med J (Engl) 131(16):1898–1903 - PubMed - DOI
- Ragia G et al (2019) Genetics of obstructive sleep apnea: vitamin D receptor gene variation affects both vitamin D serum concentration and disease susceptibility. OMICS 23(1):45–53 - PubMed - DOI
- Sadaf S et al (2021) Effect of obstructive sleep apnea on bone mineral density. Turk Thorac J 22(4):301–310 - PubMed - PMC - DOI
- Archontogeorgis K et al (2022) vitamin D levels in patients with overlap syndrome, is it associated with disease severity? J Pers Med 12(10):1693 - PubMed - PMC - DOI
- Archontogeorgis K et al (2019) Reduced serum vitamin D levels are associated with insulin resistance in patients with obstructive sleep apnea syndrome. Medicina (Kaunas) 55(5):174 - PubMed - DOI
- Theorell-Haglow J et al (2018) Changes of vitamin D levels and bone turnover markers after CPAP therapy: a randomized sham-controlled trial. J Sleep Res 27(4):e12606 - PubMed - DOI
- Siachpazidou DI et al (2020) 25-hydroxyvitamin D levels in patients with obstructive sleep apnea and continuous positive airway pressure treatment: a brief review. Sleep Sci 13(1):78–83 - PubMed - PMC