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Sleep and Breathing

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12.05.2020 | Sleep Breathing Physiology and Disorders • Original Article

Association between sleep-disordered breathing and lower extremity artery disease: a meta-analysis

verfasst von: Yuhong Chen, Xiaocheng Li, Liming Zhao, Gang Wu

Erschienen in: Sleep and Breathing | Ausgabe 1/2021

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Abstract

Objective

Previous studies suggest a relationship between sleep disordered breathing (SDB) and lower extremity artery disease (LEAD) though disagreements remain. This study was performed to assess the association between SDB and LEAD in a metaanalysis.

Methods

PubMed and Embase databases were searched for observational studies. A random-effects model incorporating between-study heterogeneity was used to pool the data.

Results

The search revealed 7 studies including 152,885 participants. Patients with SDB had higher odds of LEAD (risk ratio [RR] = 1.32, 95% confidence interval [CI] = 1.07 to 1.63, p = 0.01, I² = 66%) compared to non-SDB participants. In subgroup analyses, SDB was related to higher odds of LEAD in patients with stroke or diabetes (RR = 3.28, p < 0.001) than in a community-derived population (RR = 1.17, p = 0.08; p for subgroup difference < 0.001). Furthermore, the odds of LEAD was increased in patients with moderate (RR = 1.34, 95% CI = 1.04 to 1.73, p = 0.02) or severe SDB (RR = 1.81, 95% CI = 1.08 to 3.03, p = 0.02), but not in those with mild SDB (RR = 0.94, 95% CI = 0.69 to 1.29, p = 0.71). Differences in study design or methods for LEAD diagnosis did not appear to affect the association between SDB and LEAD.

Conclusions

Patients with SDB have higher odds of LEAD compared to non-SDB participants.

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Titel: Association between sleep-disordered breathing and lower extremity artery disease: a meta-analysis
verfasst von: Yuhong Chen
Xiaocheng Li
Liming Zhao
Gang Wu
Publikationsdatum: 12.05.2020
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 1/2021
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-020-02096-z

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Association between sleep-disordered breathing and lower extremity artery disease: a meta-analysis

Abstract

Objective

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Results

Conclusions

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