Evidence map›Paper›PMID 41216973›Full record

ArticleJournal of sleep research2026

Excessive Daytime Sleepiness, but Not Insomnia Is Associated With Dyslipidaemia in Patients With Obstructive Sleep Apnoea Participating in ESADA.

Andras Bikov, Sebastien Bailly, Ulla Anttalainen, Tarja Saaresranta, Ozen K Basoglu, Sophia Schiza, Izolde Bouloukaki, Pawel Sliwinski, Athanasia Pataka, Dries Testelmans and 5 more

Abstract read
In one paragraph

Article in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

15 authors.

Andras BikovWythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0002-8983-740X
Sebastien BaillyGrenoble Alpes University, Inserm, CHU Grenoble Alpes, Grenoble, France.
Ulla AnttalainenDivision of Medicine, Department of Pulmonary Diseases, Turku University Hospital and Sleep Research Centre, Turku, Finland.
Tarja SaaresrantaDivision of Medicine, Department of Pulmonary Diseases, Turku University Hospital and Sleep Research Centre, Turku, Finland.
Ozen K BasogluDepartment of Respiratory Medicine, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID 0000-0001-8168-6611
Sophia SchizaSleep Disorders Center, Department of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, Greece.
Izolde BouloukakiSleep Disorders Center, Department of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, Greece.
Pawel SliwinskiSecond Department of Respiratory Medicine, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland.
Athanasia PatakaRespiratory Failure Unit, G Papanikolaou Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Dries TestelmansDepartment of Pneumology, University Hospitals Leuven, Leuven, Belgium.
Francesco FanfullaSleep Medicine Unit-Istituti Clinici Scientifici Maugeri-Istituto Scientifico di Pavia e Montescano IRCCS, Pavia, Italy.
Haralampos GouverisENT Department at Mainz University Hospital, Mainz, Germany.
Ludger GroteCenter for Sleep and Wake Disorders, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-7405-1682
Stefan MihaicutaCenter for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania.
ESADA collaborators

Funding

BayerEli Lilly and CompanyEuropean Respiratory Society CRCEuropean Union COST Action B26LU-ALF ALF-GBG 1006211Phillips Respironics FoundationResMed FoundationSwedish Heart and Lung Foundation 20240848
6 · The paper itself

Abstract

Excessive daytime sleepiness (EDS) as well as insomnia have been associated with a higher risk for cardiovascular disease in patients with obstructive sleep apnoea (OSA). The link is not fully understood but may involve dyslipidaemia. The aim of the study was to analyse if the EDS and insomnia phenotypes were associated with deranged serum lipid values in patients with OSA recruited from a European real-world cohort. Patients with OSA and a full lipid profile participating in the ESADA database were analysed (n = 12,153). Based on their symptoms, they were categorised into EDS (n = 3123), EDS + insomnia (n = 2091), insomnia (n = 2862) and non-EDS non-insomnia (n = 4077) subgroups. Nonparametric ANCOVA adjusted for age, body mass index, smoking, alcohol, study site, apnoea-hypopnoea index and time spent with saturation below 90%, followed by Dunn's test and Bonferroni correction, was used to compare lipid values between the groups. The analyses were also performed in predefined subgroups. There were significant differences in total cholesterol (TC), LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C) and triglyceride (TG) values between the four groups (all p < 0.01). Patients with EDS had the highest TC (5.11 ± 1.08 vs. 5.00 ± 1.10, 5.03 ± 1.12, 5.04 ± 1.10 mmol/L, EDS vs. EDS + insomnia, insomnia, non-EDS non-insomnia, respectively), LDL-C (3.12 ± 0.97 vs. 3.01 ± 0.98, 3.02 ± 1.00, 3.09 ± 0.98 mmol/L) and TG (1.86 ± 1.04 vs. 1.76 ± 0.97, 1.69 ± 0.90, 1.75 ± 0.93 mmol/L) values and the lowest HDL-C results (1.18 ± 0.33 vs. 1.21 ± 0.34, 1.26 ± 0.38, 1.20 ± 0.34). Interestingly, patients with insomnia had the highest HDL-C values. EDS is significantly associated with dyslipidaemia in patients with OSA. Further studies are warranted to understand the link in detail and to translate it into clinical practice.

Indexed as

Disorders of Excessive SomnolenceDyslipidemiasSleep Apnea, ObstructiveSleep Initiation and Maintenance DisordersAdultAgedCohort StudiesEuropeFemaleHumansLipidsMaleMiddle AgedTriglyceridesLipidsTriglyceridesapnoeacardiovascular diseaseinsomnialipidssleepsleepiness

Identifiers

PMID41216973
PMCPMC13193397

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.