Evidence map›Paper›PMID 36530623›Full record

ArticleFrontiers in neurology2022

Associations between risk of Alzheimer's disease and obstructive sleep apnea, intermittent hypoxia, and arousal responses: A pilot study.

Cheng-Yu Tsai, Sheng-Ming Wu, Yi-Chun Kuan, Yin-Tzu Lin, Chia-Rung Hsu, Wen-Hua Hsu, Yi-Shin Liu, Arnab Majumdar, Marc Stettler, Chien-Ming Yang and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Sleep Abnormalities and Risk of Alzheimer's Disease.Current neurology and neuroscience reports · 2025
    Review
  5. Review
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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

16 authors at 6 institutions in 2 countries.

Cheng-Yu TsaiDepartment of Civil and Environmental Engineering, Imperial College London, London, United Kingdom.
Sheng-Ming WuDivision of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Yi-Chun KuanSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Yin-Tzu LinDepartment of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Chia-Rung HsuDepartment of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Wen-Hua HsuSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Yi-Shin LiuSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Arnab MajumdarDepartment of Civil and Environmental Engineering, Imperial College London, London, United Kingdom.
Marc StettlerDepartment of Civil and Environmental Engineering, Imperial College London, London, United Kingdom.
Chien-Ming YangDepartment of Psychology, National Chengchi University, Taipei, Taiwan.
Kang-Yun LeeDivision of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Dean WuSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Hsin-Chien LeeDepartment of Psychiatry, Taipei Medical University Hospital, Taipei, Taiwan.
Cheng-Jung WuDepartment of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Jiunn-Horng KangResearch Center of Artificial Intelligence in Medicine, Taipei Medical University, Taipei, Taiwan.
Wen-Te LiuDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Taipei Medical University-Shuang Ho Hospital · TWTaipei Medical University · TWImperial College London · GBTaipei Medical University Hospital · TWChang Gung Memorial Hospital · TWNational Chengchi University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Obstructive sleep apnea (OSA) may increase the risk of Alzheimer's disease (AD). However, potential associations among sleep-disordered breathing, hypoxia, and OSA-induced arousal responses should be investigated. This study determined differences in sleep parameters and investigated the relationship between such parameters and the risk of AD. Methods: Patients with suspected OSA were recruited and underwent in-lab polysomnography (PSG). Subsequently, blood samples were collected from participants. Patients' plasma levels of total tau (T-Tau) and amyloid beta-peptide 42 (Aβ Results: We included 36 patients in this study, of whom 18 and 18 were assigned to the low- and high-risk groups, respectively. The average apnea-hypopnea index (AHI), apnea, hypopnea index [during rapid eye movement (REM) and non-REM (NREM) sleep], and oxygen desaturation index (≥3%, ODI-3%) values of the high-risk group were significantly higher than those of the low-risk group. Similarly, the mean arousal index and respiratory arousal index (R-ArI) of the high-risk group were significantly higher than those of the low-risk group. Sleep-disordered breathing indices, oxygen desaturation, and arousal responses were significantly associated with an increased risk of AD. Positive associations were observed among the AHI, ODI-3%, R-ArI, and computed product. Conclusions: Recurrent sleep-disordered breathing, intermittent hypoxia, and arousal responses, including those occurring during the NREM stage, were associated with AD risk. However, a longitudinal study should be conducted to investigate the causal relationships among these factors.

Indexed as

Alzheimer's diseaseamyloid beta-peptide 42arousal responseobstructive sleep apneasleep-disordered breathingtotal tau

Identifiers

PMID36530623
PMCPMC9747943
OpenAlexW4310984283

What OpenQuestion holds

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LicenceCC BY
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.