Evidence map›Paper›PMID 41497332›Full record

ArticleERJ open research2026

Dose-response relationship between obstructive sleep apnoea severity and C-reactive protein levels: data from the European Sleep Apnoea Database.

Ludger Grote, Haralampos Gouveris, Lea Lethuillier, Johan Verbraecken, Ozen K Basoglu, Sophia Schiza, Ondrej Ludka, Silke Ryan, Pavol Joppa, Francesco Fanfulla and 7 more

Abstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Ludger GroteCentre for Sleep and Wake Disorders, Institute of Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-7405-1682
Haralampos GouverisSleep Medicine and Neurostimulation Centre, Department of Otorhinolaryngology, University Medical Centre, Mainz, Germany.ORCID https://orcid.org/0000-0001-7299-7346
Lea LethuillierGrenoble Alpes University, HP2 Laboratory, INSERM U1300 and Grenoble Alpes University Hospital, Grenoble, France.
Johan VerbraeckenMultidisciplinary Sleep Disorders Centre, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0002-6087-678X
Ozen K BasogluEge University, Department of Respiratory Medicine, Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0001-8168-6611
Sophia SchizaUniversity of Crete, Sleep Disorders Unit, Department of Respiratory Medicine, Heraklion, Greece.
Ondrej LudkaDepartment of General Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Silke RyanDepartment of Respiratory Medicine, St Vincent's University Hospital, School of Medicine, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-0963-255X
Pavol JoppaDepartment of Respiratory Medicine and Tuberculosis, Faculty of Medicine, P.J. Safarik University, Kosice, Slovakia.ORCID https://orcid.org/0000-0001-5055-0682
Francesco FanfullaUnità Operativa diMedicina del Sonno, Istituto Clinici Scientifici Maugeri di Pavia e Montescano IRCCS, Pavia, Italy.
Stefan MihaicutaCentre for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, University of Medicine and Pharmacy, Timisoara, Romania.ORCID https://orcid.org/0000-0001-8897-8342
Tarja SaaresrantaTurku University Hospital, Division of Medicine, Department of Pulmonary Diseases, and Sleep Research Centre, Department of Pulmonary Diseases and Clinical Allergology, University of Turku, Turku, Finland.
Pawel SliwinskiInstitute of Tuberculosis and Lung Diseases, 2nd Department of Respiratory Medicine, Warsaw, Poland.ORCID https://orcid.org/0000-0002-1195-784X
Jan HednerCentre for Sleep and Wake Disorders, Institute of Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Jean Louis PepinGrenoble Alpes University, HP2 Laboratory, INSERM U1300 and Grenoble Alpes University Hospital, Grenoble, France.
Sebastien BaillyGrenoble Alpes University, HP2 Laboratory, INSERM U1300 and Grenoble Alpes University Hospital, Grenoble, France.ORCID https://orcid.org/0000-0002-2179-4650
ESADA Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Obstructive sleep apnoea (OSA) characterised by intermittent hypoxia promotes systemic inflammation. This study evaluated the association between OSA severity and circulating C-reactive protein (CRP) levels as marker of systemic inflammation in a pan-European patient cohort. Methods: This cross-sectional analysis of the multicentre European Sleep Apnoea Database (ESADA) cohort used inverse probability weighted regression adjustment for multiple covariates within a linear mixed-effects model (LMEM) to test the independent association between OSA severity and CRP levels. Covariates included anthropometrics and comorbidities. Study centre and year of analysis accounted for methodological variability in CRP analysis. Results: 18 445 subjects (71% male, median age 53 years (interquartile range 44-62), median apnoea-hypopnoea index (AHI) 22.1 events per h (9-44.9)) were included. CRP (median 3.0 mg·L Conclusions: Our results showed a consistent and robust dose-response relationship between OSA severity and systemic inflammation independent of usual confounders. The combination of OSA and obesity amplified the association. Future studies should address whether elevated CRP could serve as a prognostic marker for subsequent cardiovascular events in OSA.

Identifiers

PMID41497332
PMCPMC12766470

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.