The Association between Obstructive Sleep Apnea and Hypertension by Race/Ethnicity in a Nationally Representative Sample

Details

• Alternative Title:
  J Clin Hypertens (Greenwich)
• Personal Author:
  Sands, Megan ; Grandner, Michael ; Whinnery, Julia ; Keenan, Brendan T. ; Jackson, Nick ; Gurubhagavatula, Indira
• Description:
  Background
  
  The association between OSA and hypertension by race/ethnicity has not been well characterized in a national sample.
  
  Subjects
  
  Adult participants in the 2007–2008 National Health and Nutrition Examination Survey.
  
  Methods
  
  We reviewed self-reports of sleep apnea diagnosis, snorting, gasping or stopping breathing during sleep and snoring to derive whether OSA was probable (pOSA). Multivariable logistic regression determined whether pOSA predicted hypertension in the cohort, and BMI and ethno-racial strata.
  
  Results
  
  pOSA predicted hypertension in several groups: 1) Within BMI strata, there was a significant association among overweight individuals [OR (95% CI) =1.82 (1.26–2.62)]; 2) In race/ethnicity subgroups, the association was significant among Hispanic/Latinos [OR (95% CI) =1.69 (1.13, 2.53)] and whites [OR (95% CI) =1.40 (1.07, 1.84)]; 3) In models stratified by both race/ethnicity and weight, pOSA predicted hypertension among overweight Black/African Americans [OR (95% CI) =4.74 (1.86–12.03)], overweight whites [OR (95% CI) =1.65 (1.06, 2.57)], and obese Hispanic/Latino participants [OR (95% CI) =2.01 (1.16, 3.49)].
  
  Conclusions
  
  A simple, self-report tool for OSA was strongly associated with hypertension, and may serve as a potential future opportunity for OSA diagnosis.
  
  
• Subjects:
  Adult Black People Body Mass Index Cohort Studies Cross-Sectional Studies Female Hispanic Or Latino Humans Male Middle Aged Nutrition Surveys Obesity Prevalence Sleep Apnea, Obstructive White People

  More +
• Source:
  J Clin Hypertens (Greenwich). 15(8):593-599.
• Pubmed ID:
  23889723
• Pubmed Central ID:
  PMC3733493
• Document Type:
  Journal Article
• Funding:
  K23 HL110216/HL/NHLBI NIH HHS/United States ; K23HL110216/HL/NHLBI NIH HHS/United States ; R01-OH009149/OH/NIOSH CDC HHS/United States ; R21 ES022931/ES/NIEHS NIH HHS/United States ; R21ES022931/ES/NIEHS NIH HHS/United States ; T32HL07713-19/HL/NHLBI NIH HHS/United States ; UL1RR024134/RR/NCRR NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  15
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:501af7951598ce044b769d00d6c9584bced60e6ecfa01b094df4e18670b1f7eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/29701/cdc_29701_DS1.pdf
• File Type:
  [PDF - 241.80 KB ]