Evidence map›Paper›PMID 33813674›Full record

ArticleSleep & breathing = Schlaf & Atmung2022

Association of adherence to the Mediterranean diet and physical activity habits with the presence of insomnia in patients with obstructive sleep apnea.

Ioanna Kechribari, Meropi D Kontogianni, Michael Georgoulis, Kallirroi Lamprou, Elena Critselis, Emmanouil Vagiakis, Nikos Yiannakouris

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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  9. Association betweenNutrients · 2023
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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

7 authors at 2 institutions in 1 country.

Ioanna KechribariDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 70 El. Venizelou Street, 17671, Athens, Greece. ikexrimparh@yahoo.gr.ORCID 0000-0001-7953-968X
Meropi D KontogianniDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 70 El. Venizelou Street, 17671, Athens, Greece.
Michael GeorgoulisDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 70 El. Venizelou Street, 17671, Athens, Greece.
Kallirroi LamprouCenter of Sleep Disorders, 1st Department of Critical Care, "Evangelismos" General Hospital, Athens, Greece.
Elena CritselisDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 70 El. Venizelou Street, 17671, Athens, Greece.
Emmanouil VagiakisCenter of Sleep Disorders, 1st Department of Critical Care, "Evangelismos" General Hospital, Athens, Greece.
Nikos YiannakourisDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 70 El. Venizelou Street, 17671, Athens, Greece. nyiannak@hua.gr.
Harokopio University of Athens · GREvangelismos Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInsomnia and obstructive sleep apnea (OSA) are among the most prevalent sleep disorders and frequently co-occur, defining the sleep apnea-insomnia syndrome. However, data exploring associations between insomnia and lifestyle habits in patients with OSA are lacking. Therefore, the aim of the present study was to investigate potential associations between insomnia presence and individual lifestyle parameters in patients with mild/moderate-to-severe OSA evaluated by attended polysomnography.

methodsThese are secondary analyses, using data from a cross-sectional study among 269 Greek patients with OSA. Clinical, anthropometric, socioeconomic, and lifestyle data were collected for all participants. Insomnia presence was evaluated through the validated psychometric instrument "Athens Insomnia Scale" (AIS). Adherence to the Mediterranean diet was estimated with the MedDietScale index and physical activity habits were assessed through a validated questionnaire. Backward stepwise multiple logistic regression analysis was used to estimate the association between lifestyle habits (i.e., adherence to the Mediterranean diet and physical activity) and the likelihood of having insomnia, while adjusting for potential confounders.

resultsOf 269 patients newly diagnosed with OSA (aged 21-70 years; 73% men), 146 (54%) were categorized as having insomnia. In multivariable models, higher adherence to the Mediterranean diet and engagement in physical activity for ≥ 30 min/day were both associated with a lower likelihood of having insomnia (odds ratio (95% confidence intervals): 0.40 (0.18-0.91) and 0.49 (0.28-0.86), respectively).

conclusionsResults add to the limited data on the role of lifestyle in insomnia and should be further explored both in epidemiological and clinical studies.

Indexed as

ExerciseHealthy LifestyleAdultAgedCross-Sectional StudiesDiet, MediterraneanFemaleHumansMaleMiddle AgedRisk FactorsSeverity of Illness IndexSleep Apnea, ObstructiveSleep Initiation and Maintenance DisordersYoung AdultComorbid insomnia and obstructive sleep apneaMediterranean dietPhysical activity

Identifiers

PMID33813674
OpenAlexW3143490365

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.