Higher ambient temperatures may worsen obstructive sleep apnea:A nationwide smartwatch-based analysis of 6.2 million person-days

扫码查看

原文链接

NETL
NSTL
万方数据

外文摘要：Obstructive sleep apnea(OSA)is a serious type of sleep disorder that can lead to cardiometabolic and neurocognitive diseases.We utilized smart device-based photoplethysmography technology to collect sleep data from the Chinese population from 2019 to 2022.Distributed lag nonlinear models combined with a generalized nonlinear model or a linear mixed effects model were used to investigate the short-term associations between daily temperature and indicators of OSA severity.We included a total of 6,232,056 d of sleep monitoring data from 51,842 participants with moderate to severe risk of OSA from 313 Chinese cities.The relationships between ambient temperature and OSA exacerbation,apnea-hypopnea index(AHI),and minimum oxygen saturation(MinSpO2)were almost linear and present only on the same day.Higher temperatures were associated with a greater risk of OSA exacerbation,with an 8.4％(95％confidence interval(CI):7.6％-9.3％)increase per 10 ℃ increase in temperature.A 10 ℃ increase in daily temperature corresponded to an AHI increase of 0.70 events/h(95％CI:0.65-0.76)and a MinSpO2 decrease of 0.18％(95％CI:0.16％-0.19％).Exposure to elevated temperatures during the night can also lead to adverse effects.The effects of higher temperatures on OSA severity were stron-ger among men,participants with a body mass index ≥ 24 kg/m2,those aged 45 years and older,indi-viduals with a history of hypertension and diabetes,and during the cold season.This large-scale,nationwide,longitudinal study provides robust evidence suggesting that higher ambient temperatures mav immediately worsen OSA.

外文关键词：

Obstructive sleep apneaTemperatureApnea-hypopnea indexOxygen saturationSmart device

作者：

Anni Li、Qingli Zhang、Yuan Yao、Xinlei Zhu、Cong Liu、Yutao Guo、Haidong Kan、Renjie Chen

展开 >

作者单位：

School of Public Health,Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment,Fudan University,Shanghai 200032,China

Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China

Department of Pulmonary Vessel and Thrombotic Disease,Sixth Medical Center,Chinese PLA General Hospital,Beijing 100048,China

Institute for Hospital Management Research,Chinese PLA General Hospital,Beijing 100048,China

Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China

School of Public Health,Hengyang Medical School,University of South China,Hengyang 421001,China

展开 >

基金：

Shanghai Municipal Science and Technology Major ProjectShanghai B&R Joint Laboratory ProjectShanghai International Science and Technology Partnership ProjectShanghai Committee of Science and TechnologyShanghai 3-year Public Health Action Plan

项目编号：

2023SHZDZX02222307503002123078020021TQ015GWV1-11.2-YQ32

出版年：

2024

DOI：

10.1016/j.scib.2024.05.016

科学通报(英文版)

中国科学院

科学通报(英文版)

CSTPCD

ISSN：1001-6538

年,卷(期)：2024.69(13)