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Erschienen in: Sleep and Breathing 3/2019

13.02.2019 | Sleep Breathing Physiology and Disorders • Original Article

Self-reported snoring and incident cardiovascular disease events: results from the Jackson Heart Study

verfasst von: David M. Rosen, Vaishnavi Kundel, Michael Rueschman, Robert Kaplan, Na Guo, James G. Wilson, Yuan-I Min, Susan Redline, Neomi Shah

Erschienen in: Sleep and Breathing | Ausgabe 3/2019

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Abstract

Purpose

Evidence suggests that snoring is associated with increased risk for cardiovascular disease (CVD) events such as myocardial infarction and stroke. Limited data exists pertaining to this association among African Americans. We therefore examined the association between self-reported habitual snoring and incident CVD in the Jackson Heart Study (JHS), a population-based cohort study of African Americans.

Methods

Self-reported data on snoring and risk factors for CVD were collected at baseline (2000–2004). Participants were followed prospectively for the development of incident CVD. Habitual snoring was defined as present if the participants reported it as “often” or “almost always” or absent if reported as “sometimes,” “never,” or “seldom.” A CVD event included stroke, myocardial infarction, coronary revascularization procedure, or fatal CHD event. Cox proportional hazards models assessed the independent association between self-reported habitual snoring and incident CVD event adjusting for multiple covariates, including age, sex, hypertension, body mass index, diabetes, hypercholesterolemia, and smoking status.

Results

The snorer group consisted of 787 participants (mean age 52.1 years) and the nonsnorer group consisted of 3708 participants (mean age 54.9 years). Frequency of incident CVD events in the snorer group was not significantly different from the nonsnorer group. The fully adjusted hazard ratio for a CVD event in the snorer group was 1.01 (95% confidence interval [0.69, 1.47], p value of 0.96).

Conclusion

In conclusion, self-reported habitual snoring was not associated with incident CVD among this large African American cohort. Future studies providing objective data on snoring and sleep apnea may provide more information on the snoring-CVD association among African Americans.

Trial registration

Identification Number: NCT00005485
Literatur
2.
Zurück zum Zitat Young PP, Palta M et al (1997) Population-based study of sleep-disordered breathing as a risk factor for hypertension. Arch Intern Med 157:1746–1752CrossRefPubMed Young PP, Palta M et al (1997) Population-based study of sleep-disordered breathing as a risk factor for hypertension. Arch Intern Med 157:1746–1752CrossRefPubMed
3.
Zurück zum Zitat Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342:1378–1384CrossRefPubMed Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342:1378–1384CrossRefPubMed
4.
Zurück zum Zitat Yaggi H, Mohsenin V (2003) Sleep-disordered breathing and stroke. Clin Chest Med 24:223–237CrossRefPubMed Yaggi H, Mohsenin V (2003) Sleep-disordered breathing and stroke. Clin Chest Med 24:223–237CrossRefPubMed
5.
6.
Zurück zum Zitat Shahar E, Whitney CW, Redline S et al (2001) Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 163:19–25CrossRefPubMed Shahar E, Whitney CW, Redline S et al (2001) Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 163:19–25CrossRefPubMed
11.
Zurück zum Zitat Marshall NS, Wong KK, Liu PY et al (2008) Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep 31:1079–1085CrossRefPubMedPubMedCentral Marshall NS, Wong KK, Liu PY et al (2008) Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep 31:1079–1085CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Hu FB, Willett WC, Manson JE et al (2000) Snoring and risk of cardiovascular disease in women. J Am Coll Cardiol 35:308–313CrossRefPubMed Hu FB, Willett WC, Manson JE et al (2000) Snoring and risk of cardiovascular disease in women. J Am Coll Cardiol 35:308–313CrossRefPubMed
14.
Zurück zum Zitat Drager LF, Lorenzi-Filho G (2008) Heavy snoring and carotid atherosclerosis: is there more than an association? Sleep 31:1335 discussion 1337PubMedPubMedCentral Drager LF, Lorenzi-Filho G (2008) Heavy snoring and carotid atherosclerosis: is there more than an association? Sleep 31:1335 discussion 1337PubMedPubMedCentral
15.
Zurück zum Zitat Lee SA, Amis TC, Byth K et al (2008) Heavy snoring as a cause of carotid artery atherosclerosis. Sleep 31:1207–1213PubMedPubMedCentral Lee SA, Amis TC, Byth K et al (2008) Heavy snoring as a cause of carotid artery atherosclerosis. Sleep 31:1207–1213PubMedPubMedCentral
19.
Zurück zum Zitat Taylor HA Jr (2005) Ethn Dis 15:S6-1–S6-3 Taylor HA Jr (2005) Ethn Dis 15:S6-1–S6-3
20.
Zurück zum Zitat Fuqua SR, Wyatt SB, Andrew ME et al (2005) Recruiting African-American research participation in the Jackson Heart Study: methods, response rates, and sample description. Ethn Dis 15:S6-18–S6-29 Fuqua SR, Wyatt SB, Andrew ME et al (2005) Recruiting African-American research participation in the Jackson Heart Study: methods, response rates, and sample description. Ethn Dis 15:S6-18–S6-29
21.
Zurück zum Zitat Payne TJ, Wyatt SB, Mosley TH et al (2005) Sociocultural methods in the Jackson Heart Study: conceptual and descriptive overview. Ethn Dis 15:S6-38–S6-48 Payne TJ, Wyatt SB, Mosley TH et al (2005) Sociocultural methods in the Jackson Heart Study: conceptual and descriptive overview. Ethn Dis 15:S6-38–S6-48
22.
Zurück zum Zitat Carpenter MA, Crow R, Steffes M et al (2004) Laboratory, reading center, and coordinating center data management methods in the Jackson Heart Study. Am J Med Sci 328:131–144 S0002-9629(15)33984-7CrossRefPubMed Carpenter MA, Crow R, Steffes M et al (2004) Laboratory, reading center, and coordinating center data management methods in the Jackson Heart Study. Am J Med Sci 328:131–144 S0002-9629(15)33984-7CrossRefPubMed
23.
Zurück zum Zitat Keku E, Rosamond W, Taylor HA Jr et al (2005) Cardiovascular disease event classification in the Jackson Heart Study: methods and procedures. Ethn Dis 15:S6-62–S6-70 Keku E, Rosamond W, Taylor HA Jr et al (2005) Cardiovascular disease event classification in the Jackson Heart Study: methods and procedures. Ethn Dis 15:S6-62–S6-70
25.
Zurück zum Zitat Nieto FJ, Young TB, Lind BK et al (2000) Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA 283:1829–1836CrossRefPubMed Nieto FJ, Young TB, Lind BK et al (2000) Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA 283:1829–1836CrossRefPubMed
26.
Zurück zum Zitat Hiestand DM, Britz P, Goldman M, Phillips B (2006) Prevalence of symptoms and risk of sleep apnea in the US population: results from the national sleep foundation sleep in America 2005 poll. Chest 130:780–786CrossRefPubMed Hiestand DM, Britz P, Goldman M, Phillips B (2006) Prevalence of symptoms and risk of sleep apnea in the US population: results from the national sleep foundation sleep in America 2005 poll. Chest 130:780–786CrossRefPubMed
27.
Zurück zum Zitat Kump K, Whalen C, Tishler PV et al (1994) Assessment of the validity and utility of a sleep-symptom questionnaire. Am J Respir Crit Care Med 150:735–741CrossRefPubMed Kump K, Whalen C, Tishler PV et al (1994) Assessment of the validity and utility of a sleep-symptom questionnaire. Am J Respir Crit Care Med 150:735–741CrossRefPubMed
Metadaten
Titel
Self-reported snoring and incident cardiovascular disease events: results from the Jackson Heart Study
verfasst von
David M. Rosen
Vaishnavi Kundel
Michael Rueschman
Robert Kaplan
Na Guo
James G. Wilson
Yuan-I Min
Susan Redline
Neomi Shah
Publikationsdatum
13.02.2019
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 3/2019
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-018-01776-1

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