ArticleAnnals of the American Thoracic Society2019
The Association of Ambient Air Pollution with Sleep Apnea: The Multi-Ethnic Study of Atherosclerosis.
Article in Annals of the American Thoracic Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Air pollution and sleep health in middle-aged and older adults: A systematic review and meta-analysis.Sleep medicine reviews · 2025Pooled it
- Is exposure to chemical pollutants associated with sleep outcomes? A systematic review.Sleep medicine reviews · 2023Pooled it
- The Association between Childhood Exposure to Ambient Air Pollution and Obesity: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Air pollution exposure and adverse sleep health across the life course: A systematic review.Environmental pollution (Barking, Essex : 1987) · 2020Pooled it
- Night-To-Night Variability in Sleep Apnea Is Associated With Persistence and Burden of Device-Detected Atrial Fibrillation.Journal of sleep research · 2026Article
- Neighborhood air pollution is associated with attenuated neurocognitive maturation over early adolescence.Developmental cognitive neuroscience · 2026Article
- Article
- Intermediate- and Long-Term Exposure to PMToxics · 2026Article
- Article
- Associations of long-term PMBMC public health · 2026Article
- Associations between reservoir bedroom dust allergen levels and sleep symptoms in school-age children.Sleep health · 2026Article
- Shared mechanisms linking PMFrontiers in sleep · 2026Review
- Hypertension and Racial/Ethnic Disparities in Sleep Outcomes among Adults in the 2011-2023 National Health and Nutrition Examination Survey.American journal of hypertension · 2026Article
- Interventions to Address Sleep Disparities in the United States: A Narrative Review.Current sleep medicine reports · 2026Article
- Dietary diversity modifies the association between household solid fuel use and sleep health in older adults.Frontiers in nutrition · 2026Article
- Sleep disruption from inhalation of biomass smoke: a basis for coincident hypertension?Particle and fibre toxicology · 2025Article
- Health disparities in neurology.Nature reviews. Neurology · 2025Review
- Early-life NOThe Lancet regional health. Western Pacific · 2025Article
- Effects of Particulate Matter on Obstructive Sleep Apnea and Obesity.Journal of rhinology : official journal of the Korean Rhinologic Society · 2025Review
- Effect of indoor air quality on potential risk of obstructive sleep apnea: results from Korea National Health and Nutrition Examination Survey.BMC public health · 2025Article
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
rationaleAir pollution may influence sleep through airway inflammation or autonomic nervous system pathway alterations. Epidemiological studies may provide evidence of relationships between chronic air pollution exposure and sleep apnea.
objectivesTo determine whether ambient-derived pollution exposure is associated with obstructive sleep apnea and objective sleep disruption.
methodsWe analyzed data from a sample of participants in MESA (Multi-Ethnic Study of Atherosclerosis) who participated in both the Sleep and Air studies. Mean annual and 5-year exposure levels to nitrogen dioxide (NO
resultsThe participants (n = 1,974) were an average age of 68 (±9) years, 46% male, 36% white, 24% Hispanic, 28% black, and 12% Asian; 48% had sleep apnea and 25% had a sleep efficiency of ≤88%. A 10 ppb annual increase in NO
conclusionsIndividuals with higher annual NO
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Registered trials
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.