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Impact of temperature on obstructive sleep apnoea in three different climate zones of Europe: Data from the European Sleep Apnoea Database (ESADA)
R. Staats, S. Bailly, MR. Bonsignore, S. Ryan, RL. Riha, S. Schiza, J. Verbraecken, OK. Basoglu, T. Saaresranta, A. Pataka, O. Ludka, C. Lombardi, JA. Hedner, L. Grote, European Sleep Apnoea Database (ESADA) collaborators
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
Free Medical Journals
od 1992 do Před 1 rokem
Wiley Free Content
od 1997 do Před 1 rokem
PubMed
33840143
DOI
10.1111/jsr.13315
Knihovny.cz E-zdroje
- MeSH
- index tělesné hmotnosti MeSH
- kohortové studie MeSH
- lidé MeSH
- obstrukční spánková apnoe * diagnóza epidemiologie MeSH
- syndromy spánkové apnoe * MeSH
- teplota MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Recent studies indicate that ambient temperature may modulate obstructive sleep apnoea (OSA) severity. However, study results are contradictory warranting more investigation in this field. We analysed 19,293 patients of the European Sleep Apnoea Database (ESADA) cohort with restriction to the three predominant climate zones according to the Köppen-Geiger climate classification: Cfb (warm temperature, fully humid, warm summer), Csa (warm temperature, summer dry, hot summer), and Dfb (snow, fully humid, warm summer). Average outside temperature values were obtained and several hierarchical regression analyses were performed to investigate the impact of temperature on the apnea-hypopnea index (AHI), oxygen desaturation index (ODI), time of oxygen saturation <90% (T90) and minimum oxygen saturation (MinSpO2 ) after controlling for confounders including age, body mass index, gender, and air conditioning (A/C) use. AHI and ODI increased with higher temperatures with a standardised coefficient beta (β) of 0.28 for AHI and 0.25 for ODI, while MinSpO2 decreased with a β of -0.13 (all results p < .001). When adjusting for climate zones, the temperature effect was only significant in Cfb (AHI: β = 0.11) and Dfb (AHI: β = 0.08) (Model 1: p < .001). The presence of A/C (3.9% and 69.3% in Cfab and Csa, respectively) demonstrated only a minor increase in the prediction of the variation (Cfb: AHI, R2 +0.003; and Csa: AHI, R2 +0.007; both p < .001). Our present study indicates a limited but consistent influence of environmental temperature on OSA severity and this effect is modulated by climate zones.
Center of Sleep and Wake Disorders Sahlgrenska Academy Gothenburg University Göteborg Sweden
Department of Cardiology University Hospital Brno Brno Czech Republic
Department of Chest Diseases Ege University Izmir Turkey
Department of Medicine and Surgery University of Milano Bicocca Milan Italy
Department of Pneumology University Hospital de Santa Maria CHULN Lisbon Portugal
Department of Sleep Medicine Royal Infirmary Edinburgh Edinburgh UK
Division of Medicine Department of Pulmonary Diseases Turku University Hospital Turku Finland
Faculdade de Medicina Instituto de Saúde Ambiental Universidade de Lisboa Lisbon Portugal
International Clinical Research Center St Ann's University Hospital Brno Czech Republic
Multidisciplinary Sleep Disorders Centre Antwerp University Hospital Antwerp Belgium
PROMISE Dept University of Palermo Palermo Italy
Pulmonary Department Sleep Disorders Center Sahlgrenska University Hospital Gothenbrug Sweden
Université Grenoble Alpes INSERM HP2 and Grenoble University Hospital Grenoble France
Citace poskytuje Crossref.org
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