Evidence map›Paper›PMID 42730061›Full record

ArticleNature and science of sleep2026

The Effect of Different Sleep Positions on the Severity of Obstructive Sleep Apnea: A Retrospective Study.

Rahaf A Jereisat, Hala Qaryouti, Hakam Alsawalha, Alfred Maksoud, Yazan Abdeen

Abstract read
In one paragraph

Article in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Rahaf A JereisatInternal Medicine Department, University of Houston/ HCA Healthcare Clear Lake, Houston, TX, USA.ORCID 0009-0002-5396-675X
Hala QaryoutiInternal Medicine Department, University of Houston/ HCA Healthcare Clear Lake, Houston, TX, USA.
Hakam AlsawalhaInternal Medicine Department, University of Houston/ HCA Healthcare Clear Lake, Houston, TX, USA.
Alfred MaksoudInternal Medicine Department, University of Houston/ HCA Healthcare Clear Lake, Houston, TX, USA.ORCID 0009-0005-9431-9809
Yazan AbdeenInternal Medicine Department, University of Houston/ HCA Healthcare Clear Lake, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Obstructive sleep apnea is a risk factor for cardiovascular diseases. Positional sleep apnea is a subtype of obstructive sleep apnea where severity is influenced by the patient's sleeping position. Previous studies have compared supine to non-supine positions; the effect of right lateral versus left lateral position remains in question. Our objective is to study and compare the severity of obstructive sleep apnea across different sleeping positions. Methods: We conducted a retrospective, single-centered study on 338 adult patients (age ≥18 years) diagnosed with Obstructive Sleep Apnea on home sleep study test in the time period between January 2023 and January 2025 in an outpatient community clinic. Linear mixed-effects models were used for statistical analyses. Results: The mean age of the participants was 55.29 years, with an average AHI of 29.54. Supine position was associated with a higher AHI than prone position (Adjusted model SE= 1.06, p=0.001). However, there were no significant differences between left and right positions across different patients (p =0.327) nor within the same patient (SE 1.31, P 0.65). Comparing sleep positions that were observed more than 20% of the time showed that supine positioning was associated with a significantly higher AHI than right-lateral positioning (CI 15.08-20.61; P<0.001) and left-lateral positioning (95% CI 14.49-20.23; P<0.001). No significant difference was identified between left- and right-lateral positioning (95% CI -2.64 to 3.61; P=0.762). Conclusion: There was no statistically significant difference between right lateral and left lateral positions on sleep apnea severity, whereas supine position had the highest AHI in comparison to all sleeping positions. Positional therapy remains a valid option for patients with supine‑predominant OSA. Further large scale studies are recommended to compare the true nature and severity of sleep apnea of each sleeping position.

Indexed as

Home sleep studyobstructive sleep apneapositional apnea

Identifiers

PMID42730061
PMCPMC13565386

What OpenQuestion holds

Textmetadata
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.