1. Snoring increases the development of coronary artery disease: a systematic review with meta-analysis of observational studies
- Author
-
Jing Bai, Yifei Chen, Haoran Wang, Junxiang Liu, Yangzhen Shao, Yafei Shen, and Dongliang Liu
- Subjects
medicine.medical_specialty ,Population ,CAD ,Coronary artery disease ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,cardiovascular diseases ,Risk factor ,education ,education.field_of_study ,business.industry ,Apnea ,medicine.disease ,nervous system diseases ,respiratory tract diseases ,Obstructive sleep apnea ,030228 respiratory system ,Otorhinolaryngology ,Meta-analysis ,Observational study ,Neurology (clinical) ,medicine.symptom ,business ,psychological phenomena and processes ,030217 neurology & neurosurgery - Abstract
Snoring is one of the cardinal presentations of obstructive sleep apnea (OSA) and is more common than OSA. Abundant evidence has suggested a robust association between OSA and coronary artery disease (CAD). However, whether or not snoring alone is related to a higher risk of CAD is unknown. This study systematically reviewed observational studies with meta-analysis to evaluate the linkage between snoring and CAD. We searched PubMed and Embase and retrieved 13 articles focusing on the relationship between snoring and CAD. These articles included a total of 151,366 participants and 9099 CAD patients. Quantitative analysis indicated that snoring was associated with a 28% (RR: 1.28, 95% CI: 1.13 to 1.45, P < 0.001) increase in the risk of developing CAD. Snorers are exposed to a 28% increased risk for CAD. Although the association may be partly mediated through OSA, most snorers are not affected by apnea. Given the high prevalence of snoring and the disease burden of CAD in the general population, screening for snoring may be worthwhile for the early prevention of CAD.
- Published
- 2021
- Full Text
- View/download PDF