Impact of C-reactive protein, triglyceride, glucose and systemic immune-inflammation indices on obstructive sleep apnea in older adults with depression

ObjectiveBoth the C-reactive protein (CRP), triglyceride, glucose index (CTI) and the systemic immune-inflammation index (SII) are easily accessible, cost-effective, and rapid indices derived from biochemical examinations. The study aimed to identify the roles of the CTI and SII in older adults with comorbid obstructive sleep apnea (OSA) and depression.MethodsThe study included 52 older patients with depression coexisting with OSA and 108 patients with depression but without OSA. The CTI was calculated using the following equation: 0.412 × Ln (CRP) (mg/dL) + Ln [triglyceride (mg/dL) × fasting glucose (mg/dL)/2]. The SII was calculated using the formula: platelet × neutrophil/lymphocyte.ResultsA greater proportion of men and a higher mean body mass index were found in older adults with comorbid OSA and depression compared to those with depression only (p < 0.05). Older adults with comorbid OSA and depression also showed higher levels of fasting glucose, triglycerides, CRP, the triglyceride, glucose (TyG) index, and the CTI than those with depression alone. We also found that older adults with comorbid OSA and depression had higher neutrophil counts, a higher neutrophil-to-lymphocyte ratio (NLR), and a higher platelet-to-lymphocyte ratio (PLR), and an increased SII compared to those with depression alone. Logistic regression analysis demonstrated that male sex and higher CTI and SII values were correlated with the presence of OSA in patients with depression.ConclusionThe study demonstrated that higher CTI and SII values may be associated with comorbid OSA and depression in older adults.