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Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score
INTRODUCTION: Although previous studies have addressed the association between smoking and obstructive sleep apnea (OSA), there are few studies on the association between electronic cigarette use and OSA. Thus, we aimed to evaluate the association between the dual use of electronic and conventional...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID)
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498501/ https://www.ncbi.nlm.nih.gov/pubmed/37712077 http://dx.doi.org/10.18332/tid/169727 |
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author | Lee, Seung Hyun Kim, Seung Hoon |
author_facet | Lee, Seung Hyun Kim, Seung Hoon |
author_sort | Lee, Seung Hyun |
collection | PubMed |
description | INTRODUCTION: Although previous studies have addressed the association between smoking and obstructive sleep apnea (OSA), there are few studies on the association between electronic cigarette use and OSA. Thus, we aimed to evaluate the association between the dual use of electronic and conventional cigarettes and OSA. METHODS: Data from 7350 participants of the 2019–2021 Korean National Health and Nutrition Examination Survey were analyzed in this population-based study. The STOP-Bang score was calculated using eight items: snoring, tiredness, observed apnea, high blood pressure, body mass index, age, neck circumference, and sex. The main independent variable was smoking behavior. A multiple logistic regression analysis was performed. Subgroup analysis was conducted to analyze the association between smoking behavior in detail and OSA, and stratified analyses were additionally performed. RESULTS: Of the 7350 participants, 417 (5.7%) had a high risk of OSA, according to the STOP-Bang score. Compared to the non-smoker group, the dual user group had a 2.46-fold increase in the odds of OSA (adjusted odds ratio, AOR = 2.45; 95% CI: 1.04-5.79). Current non-smokers who were dual users in the past had increased odds of having OSA (AOR=3.61; 95% CI: 1.32–9.92). In the stratified analyses, dual cigarette use was significantly associated with OSA in females and those with a low physical activity level. CONCLUSIONS: Dual users and cigarette-only users had an increased probability of developing OSA. Even if they are not currently smoking or vaping, individuals who were dual users in the past were associated with a higher risk of OSA. The association between dual cigarette use and OSA was more pronounced in females and those with a low physical activity level. While intervening for obstructive sleep apnea or investigating risk factors, new smoking methods such as vaping and dual use should be considered along with conventional smoking. |
format | Online Article Text |
id | pubmed-10498501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) |
record_format | MEDLINE/PubMed |
spelling | pubmed-104985012023-09-14 Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score Lee, Seung Hyun Kim, Seung Hoon Tob Induc Dis Research Paper INTRODUCTION: Although previous studies have addressed the association between smoking and obstructive sleep apnea (OSA), there are few studies on the association between electronic cigarette use and OSA. Thus, we aimed to evaluate the association between the dual use of electronic and conventional cigarettes and OSA. METHODS: Data from 7350 participants of the 2019–2021 Korean National Health and Nutrition Examination Survey were analyzed in this population-based study. The STOP-Bang score was calculated using eight items: snoring, tiredness, observed apnea, high blood pressure, body mass index, age, neck circumference, and sex. The main independent variable was smoking behavior. A multiple logistic regression analysis was performed. Subgroup analysis was conducted to analyze the association between smoking behavior in detail and OSA, and stratified analyses were additionally performed. RESULTS: Of the 7350 participants, 417 (5.7%) had a high risk of OSA, according to the STOP-Bang score. Compared to the non-smoker group, the dual user group had a 2.46-fold increase in the odds of OSA (adjusted odds ratio, AOR = 2.45; 95% CI: 1.04-5.79). Current non-smokers who were dual users in the past had increased odds of having OSA (AOR=3.61; 95% CI: 1.32–9.92). In the stratified analyses, dual cigarette use was significantly associated with OSA in females and those with a low physical activity level. CONCLUSIONS: Dual users and cigarette-only users had an increased probability of developing OSA. Even if they are not currently smoking or vaping, individuals who were dual users in the past were associated with a higher risk of OSA. The association between dual cigarette use and OSA was more pronounced in females and those with a low physical activity level. While intervening for obstructive sleep apnea or investigating risk factors, new smoking methods such as vaping and dual use should be considered along with conventional smoking. European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2023-09-13 /pmc/articles/PMC10498501/ /pubmed/37712077 http://dx.doi.org/10.18332/tid/169727 Text en © 2023 Lee S.H. and Kim S.H. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. |
spellingShingle | Research Paper Lee, Seung Hyun Kim, Seung Hoon Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title_full | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title_fullStr | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title_full_unstemmed | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title_short | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
title_sort | association of dual use of cigarettes with obstructive sleep apnea assessed by the stop-bang score |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498501/ https://www.ncbi.nlm.nih.gov/pubmed/37712077 http://dx.doi.org/10.18332/tid/169727 |
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