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The association between cigarette smoking and obstructive sleep apnea.
Tob Induc Dis. 2019; 17:27.TI

Abstract

INTRODUCTION

Obstructive sleep apnea (OSA) is a serious sleep disorder characterized by repetitive episodes of paused or shallow breathing during sleep. Patients with OSA often have excessive daytime sleepiness. The role of cigarette smoking in OSA remains controversial. The aim of this study was to examine the relationship between cigarette smoking and OSA.

METHODS

In this retrospective chart review, we reviewed 18-month sleep laboratory charts in central Taiwan. We collected data regarding sleep, current cigarette smoking status, sex, age, body mass index (BMI), neck circumference, Epworth Sleepiness Scale score, and polysomnographic sleep parameters. In total, 733 subjects were recruited; among these, 151 were smokers and 582 were non-smokers.

RESULTS

Smokers had significantly higher apnea-hypopnea index (p<0.001) for non-rapid eye movement sleep stage, higher apnea-hypopnea index (p<0.001) for total sleep time, and higher snore frequency (p<0.001) in t-test analysis. They also demonstrated higher Epworth Sleepiness Scale scores, shorter sleep times, lower percentage of slow-wave (deep) sleep, and longer snore times. However, no significant association was found between cigarette smoking and OSA after adjusting for sex, age, and BMI (OR=1.02, 95% CI: 0.66-1.57).

CONCLUSIONS

We did not find any significant association between cigarette smoking and OSA after adjusting for age, sex, and BMI. Further well-designed prospective controlled cohort studies might clarify the relationship between cigarette smoking and OSA.

Authors+Show Affiliations

Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan. Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan. School of Medicine, Chung Shan Medical University, Taichung, Taiwan.Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan. School of Medicine, Chung Shan Medical University, Taichung, Taiwan.Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan. School of Medicine, Chung Shan Medical University, Taichung, Taiwan.Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan.Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan. Department of Psychiatry & Brain Disease Research Center, China Medical University Hospital, Taichung, Taiwan. Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31582938

Citation

Hsu, Wen-Yu, et al. "The Association Between Cigarette Smoking and Obstructive Sleep Apnea." Tobacco Induced Diseases, vol. 17, 2019, p. 27.
Hsu WY, Chiu NY, Chang CC, et al. The association between cigarette smoking and obstructive sleep apnea. Tob Induc Dis. 2019;17:27.
Hsu, W. Y., Chiu, N. Y., Chang, C. C., Chang, T. G., & Lane, H. Y. (2019). The association between cigarette smoking and obstructive sleep apnea. Tobacco Induced Diseases, 17, 27. https://doi.org/10.18332/tid/105893
Hsu WY, et al. The Association Between Cigarette Smoking and Obstructive Sleep Apnea. Tob Induc Dis. 2019;17:27. PubMed PMID: 31582938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between cigarette smoking and obstructive sleep apnea. AU - Hsu,Wen-Yu, AU - Chiu,Nan-Ying, AU - Chang,Cheng-Chen, AU - Chang,Ting-Gang, AU - Lane,Hsien-Yuan, Y1 - 2019/04/05/ PY - 2019/01/21/received PY - 2019/03/21/revised PY - 2019/03/22/accepted PY - 2019/10/5/entrez PY - 2019/10/5/pubmed PY - 2019/10/5/medline KW - apnea–hypopnea index KW - cigarette smoking KW - obstructive sleep apnea KW - risk factor SP - 27 EP - 27 JF - Tobacco induced diseases JO - Tob Induc Dis VL - 17 N2 - INTRODUCTION: Obstructive sleep apnea (OSA) is a serious sleep disorder characterized by repetitive episodes of paused or shallow breathing during sleep. Patients with OSA often have excessive daytime sleepiness. The role of cigarette smoking in OSA remains controversial. The aim of this study was to examine the relationship between cigarette smoking and OSA. METHODS: In this retrospective chart review, we reviewed 18-month sleep laboratory charts in central Taiwan. We collected data regarding sleep, current cigarette smoking status, sex, age, body mass index (BMI), neck circumference, Epworth Sleepiness Scale score, and polysomnographic sleep parameters. In total, 733 subjects were recruited; among these, 151 were smokers and 582 were non-smokers. RESULTS: Smokers had significantly higher apnea-hypopnea index (p<0.001) for non-rapid eye movement sleep stage, higher apnea-hypopnea index (p<0.001) for total sleep time, and higher snore frequency (p<0.001) in t-test analysis. They also demonstrated higher Epworth Sleepiness Scale scores, shorter sleep times, lower percentage of slow-wave (deep) sleep, and longer snore times. However, no significant association was found between cigarette smoking and OSA after adjusting for sex, age, and BMI (OR=1.02, 95% CI: 0.66-1.57). CONCLUSIONS: We did not find any significant association between cigarette smoking and OSA after adjusting for age, sex, and BMI. Further well-designed prospective controlled cohort studies might clarify the relationship between cigarette smoking and OSA. SN - 1617-9625 UR - https://www.unboundmedicine.com/medline/citation/31582938/The_association_between_cigarette_smoking_and_obstructive_sleep_apnea_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31582938/ DB - PRIME DP - Unbound Medicine ER -
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