J 2021

Impact of temperature on obstructive sleep apnoea in three different climate zones of Europe: Data from the European Sleep Apnoea Database (ESADA)

STAATS, Richard, Sebastien BAILLY, Maria Rosaria BONSIGNORE, Silke RYAN, Renata L. RIHA et. al.

Basic information

Original name

Impact of temperature on obstructive sleep apnoea in three different climate zones of Europe: Data from the European Sleep Apnoea Database (ESADA)

Authors

STAATS, Richard, Sebastien BAILLY, Maria Rosaria BONSIGNORE, Silke RYAN, Renata L. RIHA, Sophia SCHIZA, Johan VERBRAECKEN, Ozen K. BASOGLU, Tarja SAARESRANTA, Athanasia PATAKA, Ondřej LUDKA, Carolina LOMBARDI, Jan Anders HEDNER and Ludger GROTE

Edition

Journal of Sleep Research, 2021, 0962-1105

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 5.296

Organization unit

Faculty of Medicine

Keywords in English

climate zone; environment; sleep-related breathing disorders

Tags

International impact, Reviewed
Změněno: 29/3/2022 12:59, Mgr. Tereza Miškechová

Abstract

V originále

Recent studies indicate that ambient temperature may modulate obstructive sleep apnoea (OSA) severity. However, study results are contradictory warranting more investigation in this field. We analysed 19,293 patients of the European Sleep Apnoea Database (ESADA) cohort with restriction to the three predominant climate zones according to the Köppen–Geiger climate classification: Cfb (warm temperature, fully humid, warm summer), Csa (warm temperature, summer dry, hot summer), and Dfb (snow, fully humid, warm summer). Average outside temperature values were obtained and several hierarchical regression analyses were performed to investigate the impact of temperature on the apnea–hypopnea index (AHI), oxygen desaturation index (ODI), time of oxygen saturation <90% (T90) and minimum oxygen saturation (MinSpO2) after controlling for confounders including age, body mass index, gender, and air conditioning (A/C) use. AHI and ODI increased with higher temperatures with a standardised coefficient beta (β) of 0.28 for AHI and 0.25 for ODI, while MinSpO2 decreased with a β of −0.13 (all results p < .001). When adjusting for climate zones, the temperature effect was only significant in Cfb (AHI: β = 0.11) and Dfb (AHI: β = 0.08) (Model 1: p < .001). The presence of A/C (3.9% and 69.3% in Cfab and Csa, respectively) demonstrated only a minor increase in the prediction of the variation (Cfb: AHI, R2 +0.003; and Csa: AHI, R2 +0.007; both p < .001). Our present study indicates a limited but consistent influence of environmental temperature on OSA severity and this effect is modulated by climate zones.