Evidence map›Paper›PMID 41762331›Full record

Observational studySleep & breathing = Schlaf & Atmung2026

Associations Between Obstructive Sleep Apnea, Obesity, and Indices of Cardiovascular Health Among a Cross-Sectional Sample of Adults Residing in the Southeastern United States.

Grant T Malone, Adam P Knowlden, Sarah M Flora, Hayley V MacDonald

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Grant T MaloneDepartment of Kinesiology, The University of Alabama, Tuscaloosa, AL, USA. gmalone@crimson.ua.edu.ORCID 0000-0002-0243-8386
Adam P KnowldenDepartment of Health Science, The University of Alabama, Tuscaloosa, AL, USA.
Sarah M FloraDepartment of Health Science, The University of Alabama, Tuscaloosa, AL, USA.
Hayley V MacDonaldDepartment of Kinesiology, The University of Alabama, Tuscaloosa, AL, USA.

Funding

Adiposity and Sleep-Associated Cardiometabolic Disease Risk FactorsK01HL145128 · NHLBI · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI KNOWLDEN, ADAM · 2019 to 2023
$754k
NHLBI NIH HHS K01HL145128
6 · The paper itself

Abstract

purposeCardiovascular disease is among the most common diseases in the United States; however, relationships between obstructive sleep apnea (OSA), obesity, and cardiovascular health are not fully understood. This study aimed to examine differences in OSA severity and cardiovascular health indices across body mass index (BMI) classifications, and to investigate associations among OSA, BMI, and arterial stiffness in a sample of adults from the southeastern United States.

methodsThis analysis is part of the ongoing Short Sleep Undermines Cardiometabolic Health-Public Health Observational Study (SLUMBRx-PONS) study. Data included 75 adults assessed for anthropometrics, OSA severity, quantified via apnea-hypopnea index (AHI), and noninvasive cardiovascular health indices including resting mean arterial pressure (MAP), carotid-femoral pulse wave velocity (cfPWV), and augmentation index (AIx75).

resultsCompared to individuals at normal weight, adults with obesity presented with significantly higher AHI, MAP, cfPWV, and AIx75 values. While AHI and cfPWV were not directly associated, after adjusting for sex and MAP, we found a BMI-mediated negative association between age and cfPWV, which was strongest among younger adults with elevated BMI. Additionally, adjusting for age and MAP, AHI was positively associated with AIx75, also mediated by BMI, with the greatest effect observed at higher BMI levels.

conclusionThese results suggest that obesity is a key contributor to poor cardiovascular health in the southeastern United States. Moreover, the relationship between OSA and arterial stiffness may be BMI-dependent and varies by measurement selection. Obesity and measurement selection should be primary considerations for arterial stiffness in cardiovascular risk assessment.

Indexed as

Cardiovascular DiseasesObesitySleep Apnea, ObstructiveVascular StiffnessAdultBody Mass IndexCross-Sectional StudiesFemaleHumansMaleMiddle AgedPulse Wave AnalysisSoutheastern United StatesArterial StiffnessCardiovascular RiskDisease PreventionObesityObstructive Sleep Apnea

Identifiers

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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.