ArticleSleep health2021
Snoring severity is associated with carotid vascular remodeling in young adults with overweight and obesity.
Article in Sleep health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Multi night digital assessment of sleep disordered breathing is associated with accelerated vascular aging.NPJ digital medicine · 2026Article
- Is There Any Relationship Between Primary Snoring and Carotid Intima-Media Thickness? A Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Plasma β-Endorphin and Neuropeptide Y as Candidate Biomarkers for Predicting Obstructive Sleep Apnea Syndrome: A Preliminary Study.Canadian respiratory journal · 2025Article
- Correlation between healthy sleep score and risk of cardia-cerebrovascular disease among people with type 2 diabetes: a prospective cohort study.Frontiers in cardiovascular medicine · 2025Article
- Association between sleep regularity and arterial stiffness among middle-age adults in Southwestern China.BMC public health · 2024Article
- Article
- Positive correlation between snoring and dyslipidemia in adults: results from NHANES.Lipids in health and disease · 2023Article
- A Prediction Nomogram for Severe Obstructive Sleep Apnea in Snoring Patients: A Retrospective Study.Nature and science of sleep · 2023Article
- Association of self-reported snoring with decreased retinal thickness and vessel density.Frontiers in physiology · 2022Article
- Implications of Obstructive Sleep-related Breathing Disorder in Dentistry: Focus on Snoring and Obstructive Sleep Apnea.Dental research and oral health · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSnoring is often used as a surrogate measure for obstructive sleep apnea (OSA), a sleep disorder associated with cardiovascular disease (CVD) risk. Whether snoring is linked to CVD independent of OSA remains unclear. We aimed to explore the snoring and subclinical CVD association in adults with and without OSA.
methodsWe conducted a cross-sectional study in 122 overweight/obese participants (24% male; mean age 40.1 years) attending the 24-month follow-up visit of a lifestyle intervention. Using home-based objective measures of sleep-disordered breathing, we stratified participants into 3 snoring/OSA categories using the snoring index (SI), a measure of snoring vibration, and oxygen desaturation index (ODI): (1) OSA (ODI ≥ 5), (2) non-OSA heavy snorer (ODI <5, above-median SI), and (3) non-OSA low snorer (ODI <5, below-median SI). Vascular measures including pulse wave velocity ([PWV]; carotid-femoral [cf], femoral-ankle [fa], brachial-ankle [ba]), carotid intima-media thickness (IMT), and carotid interadventitial diameter (IAD) were compared across snoring/OSA categories. Linear regressions assessed the association between snoring and subclinical CVD independent of traditional CVD risk factors.
resultsCompared to non-OSA low snorers, common carotid IMT and IAD were higher in non-OSA heavy snorers, and faPWV, IMT, and IAD were higher among those with OSA. The difference between non-OSA heavy snorers and low snorers persisted after adjusting for age, race, sex, blood pressure, body mass index, lipids, and insulin resistance (P < .05 for IMT and IAD).
conclusionsIn overweight/obese young to middle-aged adults, objectively measured snoring was related to vascular remodeling in those without OSA. Snoring may contribute to CVD risk but warrants further examination in larger prospective cohorts.
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