Evidence map›Paper›PMID 29224135›Full record

ArticleSleep & breathing = Schlaf & Atmung2018

Serum ferritin and obstructive sleep apnea-epidemiological study.

Elin H Thorarinsdottir, Erna S Arnardottir, Bryndis Benediktsdottir, Christer Janson, Isleifur Olafsson, Allan I Pack, Thorarinn Gislason, Brendan T Keenan

Open access · greenAbstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Association Between Serum Trace Elements and Obstructive Sleep Apnea in Iranian Adults: Multiple-exposure Models.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Serum Ferritin Levels in Severe Obstructive Sleep Apnea.Diagnostics (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Observational
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 4 institutions in 3 countries.

Elin H ThorarinsdottirFaculty of Medicine, The National University of Iceland, Reykjavík, Iceland.
Erna S ArnardottirFaculty of Medicine, The National University of Iceland, Reykjavík, Iceland.
Bryndis BenediktsdottirFaculty of Medicine, The National University of Iceland, Reykjavík, Iceland.
Christer JansonDepartment of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Isleifur OlafssonDepartment of Clinical Biochemistry, Landspitali-The National University Hospital of Iceland, Reykjavík, Iceland.
Allan I PackCenter for Sleep and Circadian Neurobiology and Division of Sleep Medicine/ Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Thorarinn GislasonFaculty of Medicine, The National University of Iceland, Reykjavík, Iceland. thorarig@landspitali.is.ORCID http://orcid.org/0000-0002-6773-9876
Brendan T KeenanCenter for Sleep and Circadian Neurobiology and Division of Sleep Medicine/ Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
University of Iceland · ISNational University Hospital of Iceland · ISSleepMed · USUppsala University · SE

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 2009 to 2020
$23.7M
Family Linkage Study of Obstructive Sleep ApneaR01HL072067 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN IAN · 2003 to 2007
$5.7M
NHLBI NIH HHS P01 HL094307NHLBI NIH HHS R01 HL072067NIH HHS HL72067
6 · The paper itself

Abstract

purposeFerritin is an intracellular iron storage protein and a marker of inflammation. Studies have shown that subjects with obstructive sleep apnea (OSA) have higher levels of circulating pro-inflammatory cytokines, but little is known about the association between ferritin and OSA. The aims of the study were to evaluate serum ferritin (S-Ferritin) levels in OSA patients compared to levels in the general population and also examine the effect of obesity level and treatment with positive airway pressure (PAP) on S-Ferritin levels.

methodsThe OSA subjects (n = 796) were part of the Icelandic Sleep Apnea Cohort. The control subjects (n = 637) were randomly chosen Icelanders who participated in an epidemiological study. Propensity score (PS) methodologies were employed to minimize selection bias and strengthen causal inferences when comparing non-randomized groups. S-Ferritin levels were measured and all participants answered the same detailed questionnaire about sleep and health. Only OSA patients underwent a sleep study and were re-invited for a 2-year follow-up.

resultsS-Ferritin levels were significantly higher in OSA males than controls (213.3 vs. 197.3 μg/L, p = 0.007). However, after adjusting for confounders and using our PS methodology, no significant difference was found. S-Ferritin levels were not correlated with severity of OSA, obesity level, or clinical symptoms. Also, no significant change in S-Ferritin levels was found with 2 years of PAP treatment.

conclusionsS-Ferritin levels are comparable in OSA patients and controls and do not change consistently with obesity level or PAP treatment in our sample.

Indexed as

Continuous Positive Airway PressureFemaleFerritinsFollow-Up StudiesHumansIcelandMaleMiddle AgedProspective StudiesSleep Apnea, ObstructiveFerritinsBOLDFerritinInflammationISACOSA

Identifiers

PMID29224135
PMCPMC6996026
OpenAlexW2774508975

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.