Evidence map›Paper›PMID 41197640›Full record

SynthesisExperimental physiology2026

The hypoxic ventilatory response and arousal burden predict the magnitude of ventilatory long-term facilitation in humans with obstructive sleep apnoea.

Jason H Mateika, Danny Hammo, Dylan M Kissane, Ali Azarbarzin

Abstract readMeta-Analysis
In one paragraph

Synthesis in Experimental physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

Jason H MateikaJohn D. Dingell Veterans Affairs Medical Center, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0001-6453-3568
Danny HammoJohn D. Dingell Veterans Affairs Medical Center, Detroit, Michigan, USA.
Dylan M KissaneJohn D. Dingell Veterans Affairs Medical Center, Detroit, Michigan, USA.
Ali AzarbarzinDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Funding

American Academy of Sleep Medicine Foundation 287-SR-22National Institute of Heart, Lung and Blood R01HL085537National Institute of Heart, Lung and Blood R01HL153874United States Department of Veterans Affairs I01CX000125United States Department of Veterans Affairs IK6CX002287
6 · The paper itself

Abstract

The magnitude of progressive augmentation (PA) and ventilatory long-term facilitation (vLTF) are two forms of respiratory plasticity that are enhanced in some humans with obstructive sleep apnoea (OSA). This response might be linked to repeated nocturnal exposure to intermittent hypoxia or other traits connected to OSA. A meta-analysis was completed using data from 91 OSA participants who completed one of two mild intermittent hypoxia protocols during wakefulness. Two iterations of a subset regression analysis were completed to identify the best model that predicted the magnitude of PA or vLTF. Novel (e.g., arousal and hypoxic burden) or standard indicators of sleep apnoea (e.g., apnoea/hypopnoea index), anthropometric variables, protocol elements and physiological variables measured during wake and sleep were included as independent variables. After model selection, a multiple linear regression analysis was used to identify the most impactful variables in the model. The hypoxic ventilatory response (HVR) alone (R = 0.589, P < 0.001) or in combination with the arousal index (R = 0.625, P < 0.015 for both variables) predicted the magnitude of PA, whilst the HVR in combination with the arousal burden (R = 0.602, P < 0.001) or arousal index (R = 0.593, P < 0.002 for all variables) predicted the magnitude of vLTF. The HVR and markers of arousal are strong predictors of the magnitude of PA and vLTF. In contrast, markers of apnoea severity, including the hypoxic burden, did not add to the ability to predict the magnitude of PA or vLTF.

Indexed as

ArousalHypoxiaPulmonary VentilationSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedSleepWakefulnessarousalintermittent hypoxiaobstructive sleep apnoearespiratory plasticity

Identifiers

PMID41197640
PMCPMC12949180

What OpenQuestion holds

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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.