Evidence map›Paper›PMID 37940353›Full record

ArticleBMJ open respiratory research2023

Association between air pollutant exposure, body water distribution and sleep disorder indices in individuals with low-arousal-threshold obstructive sleep apnoea.

Cheng-Yu Tsai, Ming Liu, Huei-Tyng Huang, Wen-Hua Hsu, Yi-Chun Kuan, Arnab Majumdar, Kang-Yun Lee, Po-Hao Feng, Chien-Hua Tseng, Kuan-Yuan Chen and 4 more

Abstract read
In one paragraph

Article in BMJ open respiratory research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Impact of Ambient Air Pollution on Obstructive Sleep Apnea Surgery: A Longitudinal Study.ORL; journal for oto-rhino-laryngology and its related specialties · 2025
    Article
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

14 authors.

Cheng-Yu TsaiDepartment of Civil and Environmental Engineering, Imperial College London, London, UK.
Ming LiuDepartment of Biology, University of Oxford, Oxford, UK.
Huei-Tyng HuangDepartment of Medical Physics and Biomedical Engineering, University College London, London, UK.
Wen-Hua HsuSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Yi-Chun KuanSleep Center, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan.
Arnab MajumdarDepartment of Civil and Environmental Engineering, Imperial College London, London, UK.
Kang-Yun LeeDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan.
Po-Hao FengDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan.
Chien-Hua TsengDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan.
Kuan-Yuan ChenDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan.
Jiunn-Horng KangResearch Center of Artificial Intelligence in Medicine, Taipei Medical University College of Medicine, Taipei, Taiwan.
Hsin-Chien LeeDepartment of Psychiatry, Taipei Medical University Hospital, Taipei, Taiwan.
Cheng-Jung WuDepartment of Otolaryngology, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei, Taiwan.
Wen-Te LiuDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital Ministry of Health and Welfare, New Taipei City, Taiwan lion5835@gmail.com.ORCID 0000-0003-1281-8718

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAir pollution may alter body water distribution, it may also be linked to low-arousal-threshold obstructive sleep apnoea (low-ArTH OSA). Here, we explored the mediation effects of air pollution on body water distribution and low-ArTH OSA manifestations.

methodsIn this retrospective study, we obtained sleep centre data from healthy participants and patients with low-ArTH OSA (N=1924) in northern Taiwan. Air pollutant exposure at different time intervals (1, 3, 6 and 12 months) was estimated using the nearest station estimation method, and government air-quality data were also obtained. Regression models were used to assess the associations of estimated exposure, sleep disorder indices and body water distribution with the risk of low-ArTH OSA. Mediation analysis was performed to explore the relationships between air pollution, body water distribution and sleep disorder indices.

resultsFirst, exposure to particulate matter (PM) with a diameter of ≤10 µm (PM

conclusionAir pollution can directly increase sleep disorder indices (AHI, ODI and ArI) and alter body water distribution, thus mediating the risk of low-ArTH OSA.

Indexed as

Air PollutantsSleep Apnea, ObstructiveArousalBody WaterHumansOxygenParticulate MatterRetrospective StudiesWaterAir PollutantsOxygenParticulate MatterWatersleep apnoea

Identifiers

PMID37940353
PMCPMC10632889

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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.