دورية أكاديمية
أعرض في EDS

History of obstructive sleep apnea associated with incident cognitive impairment in white but not black individuals in a US national cohort study.

التفاصيل البيبلوغرافية
العنوان: History of obstructive sleep apnea associated with incident cognitive impairment in white but not black individuals in a US national cohort study.
المؤلفون: Sawyer RP; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA. Electronic address: sawyerrl@ucmail.uc.edu., Bennett A; Biostatistics Department, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35233, USA., Blair J; Biostatistics Department, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35233, USA., Molano J; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Timmerman E; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Foster F; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Karkoska K; Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Hyacinth HI; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Manly JJ; Department of Neurology, Gertrude H. Sergievsky Center, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, NY, 10032, USA., Howard VJ; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35233, USA., Petrov ME; Center for Innovation in Healthy & Resilient Aging, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, 85004, USA., Hoffmann CM; Department of Psychiatry & Behavioral Sciences, University of California, San Francisco, San Francisco, CA, 94143, USA., Yu F; Center for Innovation in Healthy & Resilient Aging, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA., Demel SL; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Aziz Y; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Hooper D; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Hill EJ; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Johnson J; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Pounders J; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA., Shatz R; Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA.
المصدر: Sleep medicine [Sleep Med] 2023 Dec; Vol. 112, pp. 1-8. Date of Electronic Publication: 2023 Oct 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 100898759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5506 (Electronic) Linking ISSN: 13899457 NLM ISO Abbreviation: Sleep Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam ; New York : Elsevier Science, c2000-
مواضيع طبية MeSH: Sleep Apnea, Obstructive*/complications , Sleep Apnea, Obstructive*/epidemiology , Sleep Apnea, Obstructive*/diagnosis , Sleep Apnea Syndromes* , Cognitive Dysfunction*/epidemiology, Humans ; Cohort Studies ; White
مستخلص: Background: We sought to determine if risk for obstructive sleep apnea (OSA), a history of OSA, and/or treatment of OSA has a different association with incident cognitive impairment or cognitive decline in Black individuals and White individuals.
Methods: To determine whether the risk for OSA, a history of OSA, and/or treatment of OSA has a different association with incident cognitive impairment or cognitive decline in Black individuals and White individuals; data from the REasons for Geographic and Racial Differences in Stroke (REGARDS) was used. Participants that completed the sleep questionnaire module, had baseline cognitive assessment, and at least one cognitive assessment during follow-up were included. Risk of OSA was determined based on Berlin Sleep Questionnaire. History of sleep apnea was determined based on structured interview questions. Optimally treated OSA was defined as treated sleep apnea as at least 4 h of continuous positive airway pressure use per night for ≥5 nights per week.
Results: In 19,017 participants stratified by race, White participants with history of OSA were 1.62 times more likely to have incident cognitive impairment compared to White participants without history of OSA after adjusting for demographic characteristics, history, and lifestyle factors (OR = 1.62, 95% CI = 1.05-2.50, p-value = 0.03). This relationship was not seen in Black participants (OR = 0.92, 95% CI = 0.60-1.43, p-value = 0.72).
Discussion: A previous diagnosis of OSA is associated with incident cognitive impairment in White Americans but not Black Americans. Further investigations are required to determine the mechanism for this difference.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
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معلومات مُعتمدة: L60 MD013112 United States MD NIMHD NIH HHS; R01 AG072592 United States AG NIA NIH HHS; U01 NS041588 United States NS NINDS NIH HHS
فهرسة مساهمة: Keywords: Cognitive impairment; Obstructive sleep apnea; Racial disparities
تواريخ الأحداث: Date Created: 20231006 Date Completed: 20231130 Latest Revision: 20240508
رمز التحديث: 20240508
مُعرف محوري في PubMed: PMC11071160
DOI: 10.1016/j.sleep.2023.09.021
PMID: 37801859
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-5506
DOI:10.1016/j.sleep.2023.09.021