Markus Krüger1, Anne Obst2, Olaf Bernhardt3, Ralf Ewert2, Thomas Penzel4, Beate Stubbe2, Ingo Fietze4,5, Tatyana Ivanovska6, Reiner Biffar7, Amro Daboul7. 1. Zentrum Für Zahn-, Mund und Kieferheilkunde, Universitätsmedizin Greifswald, Greifswald, Germany. markuskr@uni-greifswald.de. 2. Klinik Und Poliklinik Für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Germany. 3. Department of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry, and Pediatric Dentistry, University Medicine Greifswald, Greifswald, Germany. 4. Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, Berlin, Germany. 5. The Federal State Autonomous Educational Institution of Higher Education, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia. 6. Fakultät Für Elektrotechnik, Medien Und Informatik, Ostbayerische Technische Hochschule Amberg-Weiden, Amberg, Germany. 7. Zentrum Für Zahn-, Mund und Kieferheilkunde, Universitätsmedizin Greifswald, Greifswald, Germany.
Abstract
PURPOSE: Socioeconomic factors are known to modulate health. Concerning sleep apnea, influences of income, education, work, and living in a partnership are established. However, results differ between national and ethnic groups. Results also differ between various clinical studies and population-based approaches. The goal of our study was to determine if such factors can be verified in the population of Pomerania, Germany. METHODS: A subgroup from the participants of the population-based Study of Health in Pomerania volunteered for an overnight polysomnography. Their data were subjected to an ordinal regressions analysis with age, sex, body mass index (BMI), income, education, work, and life partner as predictors for the apnea-hypopnea index. RESULTS: Among the subgroup (N = 1209) from the population-based study (N = 4420), significant effects were found for age, sex, and BMI. There were no significant effects for any of the socioeconomic factors. CONCLUSION: Significant effects for well-established factors as age, sex, and BMI show that our study design has sufficient power to verify meaningful associations with sleep apnea. The lack of significant effects for the socioeconomic factors suggests their clinical irrelevance in the tested population.
PURPOSE: Socioeconomic factors are known to modulate health. Concerning sleep apnea, influences of income, education, work, and living in a partnership are established. However, results differ between national and ethnic groups. Results also differ between various clinical studies and population-based approaches. The goal of our study was to determine if such factors can be verified in the population of Pomerania, Germany. METHODS: A subgroup from the participants of the population-based Study of Health in Pomerania volunteered for an overnight polysomnography. Their data were subjected to an ordinal regressions analysis with age, sex, body mass index (BMI), income, education, work, and life partner as predictors for the apnea-hypopnea index. RESULTS: Among the subgroup (N = 1209) from the population-based study (N = 4420), significant effects were found for age, sex, and BMI. There were no significant effects for any of the socioeconomic factors. CONCLUSION: Significant effects for well-established factors as age, sex, and BMI show that our study design has sufficient power to verify meaningful associations with sleep apnea. The lack of significant effects for the socioeconomic factors suggests their clinical irrelevance in the tested population.
Authors: Adam V Benjafield; Najib T Ayas; Peter R Eastwood; Raphael Heinzer; Mary S M Ip; Mary J Morrell; Carlos M Nunez; Sanjay R Patel; Thomas Penzel; Jean-Louis Pépin; Paul E Peppard; Sanjeev Sinha; Sergio Tufik; Kate Valentine; Atul Malhotra Journal: Lancet Respir Med Date: 2019-07-09 Impact factor: 30.700
Authors: Ingo Fietze; Naima Laharnar; Anne Obst; Ralf Ewert; Stephan B Felix; Carmen Garcia; Sven Gläser; Martin Glos; Carsten Oliver Schmidt; Beate Stubbe; Henry Völzke; Sandra Zimmermann; Thomas Penzel Journal: J Sleep Res Date: 2018-10-01 Impact factor: 3.981
Authors: Richard J Schwab; Michael Pasirstein; Robert Pierson; Adonna Mackley; Robert Hachadoorian; Raanan Arens; Greg Maislin; Allan I Pack Journal: Am J Respir Crit Care Med Date: 2003-05-13 Impact factor: 21.405