Evidence map›Paper›PMID 25790940›Full record

Observational studyRespiration; international review of thoracic diseases2015

Impacts of comorbidities on the association between arterial stiffness and obstructive sleep apnea in the elderly.

Tae Kim, Chung Suk Lee, Sang Don Lee, Suk-Hoon Kang, Ji Won Han, Atul Malhotra, Ki Woong Kim, In-Young Yoon

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Respiration; international review of thoracic diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Impact of sleep-disordered breathing on overnight changes in arterial stiffness in patients with acute heart failure.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Hypertension is the crucial link between obstructive sleep apnea and arterial stiffness.Journal of clinical hypertension (Greenwich, Conn.) · 2022
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Tae KimDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Gyeonggi-do, Korea.
Chung Suk Lee
Sang Don Lee
Suk-Hoon Kang
Ji Won Han
Atul Malhotra
Ki Woong Kim
In-Young Yoon
Seoul National University Bundang Hospital · KRArmed Forces Capital Hospital · KRSeoul National University · KRUniversity of California San Diego · USVeterans Health Service Medical Center · KR

Funding

Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Assessment of Upper Airway Mechanics Using Newer EMG TechniquesK24HL093218 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2009 to 2013
$857k
NHLBI NIH HHS K24 HL093218NHLBI NIH HHS R01 HL085188
6 · The paper itself

Abstract

backgroundAlthough the impact of obstructive sleep apnea (OSA) on cardiovascular risk is reasonably well established in middle-aged patients, the debate persists as to whether OSA also increases this risk in the elderly. Arterial stiffness has been used as an early independent predictor of cardiovascular risk. STUDY

objectivesWe sought to determine whether OSA has significant effects on the arterial stiffness in the elderly population and evaluate the impact of comorbidities on the association between arterial stiffness and OSA.

methodsWe performed a cross-sectional study in a university hospital. Elderly participants (≥60 years) were invited to participate in our study between November 2010 and January 2013. OSA was diagnosed using gold standard polysomnography and arterial stiffness was assessed by brachial-ankle pulse wave velocity (baPWV), cardio-ankle vascular index (CAVI) and central systolic and diastolic blood pressure (cSBP and cDBP). The high-sensitivity C-reactive protein (hs-CRP) level was also measured.

resultsWe found no significant association between the severity of OSA and the arterial stiffness-related parameters cSBP, cDBP, baPWV, CAVI and hs-CRP. However, in patients with no comorbid medical conditions or use of medications (n = 101), we showed a modest association between OSA and arterial stiffness-related parameters and hs-CRP.

conclusionWe conclude that OSA is associated with increased arterial stiffness in an otherwise healthy elderly population, although the association was obviated by comorbidities and medications perhaps due to ceiling effects.

Indexed as

Vascular StiffnessAgedComorbidityCross-Sectional StudiesFemaleHumansMaleMiddle AgedPolysomnographyRepublic of KoreaSleep Apnea, Obstructive

Identifiers

PMID25790940
PMCPMC4846579
OpenAlexW2069837550

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.