ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019
Objective Relationship Between Sleep Apnea and Frequency of Snoring Assessed by Machine Learning.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06594627 (Smart Pillows for Enhancing Sleep Quality_Pilot Study), which is not on this map. Cited by 25 papers.
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.
Smart Pillows for Enhancing Sleep Quality_Pilot Study
Who cites it
25 citing papers in PubMed, 55 citations in OpenAlex.
- Clinical and Biochemical Features Associated with Coexisting Primary Aldosteronism in Patients with Obstructive Sleep Apnea: A Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2026Article
- Early Screening of Sleep-Disordered Breathing Using Metaheuristic-Optimized Extreme Learning Machines.Diagnostics (Basel, Switzerland) · 2026Article
- Temporal snoring metrics and obstructive sleep apnea severity: nonlinear associations and data-driven inflection points in a clinical cohort.Sleep & breathing = Schlaf & Atmung · 2026Article
- Possible predictors of apneic-events during sleep: advanced snoring sound analysis.Sleep & breathing = Schlaf & Atmung · 2026Article
- Multicenter Validation of an AI-Based Snoring Model vs. Wearables for Diagnosing Sleep Apnea.Nature and science of sleep · 2026Article
- Validation of RBDtector: An Open-Source Automated Software for Scoring REM Sleep Without Atonia.Journal of sleep research · 2025Article
- Predicting patient-reported outcomes of radiofrequency uvulopalatoplasty with tonsillectomy in adult obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2025Article
- Patient centered outcomes of transoral robotic surgery for obstructive sleep apnea: a retrospective analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Automatic detection of obstructive sleep apnea based on speech or snoring sounds: a narrative review.Journal of thoracic disease · 2024Review
- Sex-specific associations between habitual snoring and cancer prevalence: insights from a US Cohort Study.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Validation of Downloadable Mobile Snore Applications by Polysomnography (PSG).Nature and science of sleep · 2024Article
- Diagnosing OSA and Insomnia at Home Based Only on an Actigraphy Total Sleep Time and RIP Belts an Algorithm "Nox Body Sleep™".Nature and science of sleep · 2024Article
- Sex Differences in the Relationship Between Self-Reporting of Snoring and Cardiovascular Risk:An Analysis of NHANES.Nature and science of sleep · 2024Article
- Diagnosis of Obstructive Sleep Apnea Using Feature Selection, Classification Methods, and Data Grouping Based Age, Sex, and Race.Diagnostics (Basel, Switzerland) · 2023Article
- Efficient Deep Learning Based Hybrid Model to Detect Obstructive Sleep Apnea.Sensors (Basel, Switzerland) · 2023Article
- Sleep traits and risk of end-stage renal disease: a mendelian randomization study.BMC medical genomics · 2023Article
- Sleep Architecture and Sleep-Related Breathing Disorders of Seafarers on Board Merchant Ships: A Polysomnographic Pilot Field Study on the High Seas.International journal of environmental research and public health · 2023Observational
- Snoring Index and Neck Circumference as Predictors of Adult Obstructive Sleep Apnea.Healthcare (Basel, Switzerland) · 2022Article
- RBDtector: an open-source software to detect REM sleep without atonia according to visual scoring criteria.Scientific reports · 2022Article
- Investigating the Association Between Seven Sleep Traits and Nonalcoholic Fatty Liver Disease: Observational and Mendelian Randomization Study.Frontiers in genetics · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesSnoring is perceived to be directly proportional to sleep apnea severity, especially obstructive sleep apnea (OSA), but this notion has not been thoroughly and objectively evaluated, despite its popularity in clinical practice. This might lead to overdiagnosis or underdiagnosis of OSA. The goal of this study is to examine this notion and objectively quantify the relationship between sleep apnea and snoring detected using advanced signal processing algorithms.
methodsWe studied adults referred for polysomnography, from which the apnea-hypopnea index (AHI) was derived. Breath sounds were recorded simultaneously, from which snoring was accurately quantified using acoustic analysis of breath sounds and machine-learning computer algorithms. The snore index (SI) was calculated as the number of snores per hour of sleep.
resultsIn 235 patients, the mean AHI was 20.2 ± 18.8 and mean SI was 320.2 ± 266.7 events/h. On the one hand, the overall correlation between SI and AHI was weak but significant (
conclusionsSnoring on its own is probably of limited usefulness in assessing sleep apnea presence and severity, because of its weak relationship with AHI. Thus, the complaint of snoring should be interpreted with caution to avoid unnecessary referrals for sleep apnea testing. Conversely, clinicians should be aware of the possibility of missing diagnosis of patients with sleep apnea who have minimal snoring.
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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.