Obstructive sleep apnea as a risk factor for silent cerebral infarction
- Authors
- Cho, Eo Rin; Kim, Hyun; Seo, Hyung Suk; Suh, Sooyeon; Lee, Seung Ku; Shin, Chol
- Issue Date
- 8월-2013
- Publisher
- WILEY
- Keywords
- basal ganglia; lacunar infarction; obstructive sleep apnea; risk factors; silent cerebral infarction; stroke
- Citation
- JOURNAL OF SLEEP RESEARCH, v.22, no.4, pp.452 - 458
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF SLEEP RESEARCH
- Volume
- 22
- Number
- 4
- Start Page
- 452
- End Page
- 458
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/102499
- DOI
- 10.1111/jsr.12034
- ISSN
- 0962-1105
- Abstract
- Previous studies have suggested that obstructive sleep apnea (OSA) may be a risk factor for stroke. In this study, we assessed that OSA is an independent risk factor of silent cerebral infarction (SCI) in the general population, and in a non-obese population. This study recruited a total of 746 participants (252 men and 494 women) aged 50-79 years as part of the Korean Genome and Epidemiology Study (KoGES); they underwent polysomnography, brain magnetic resonance imaging and health screening examinations. SCI was assessed by subtypes and brain regions, and lacunar infarction represented lesions <15 mm in size in the penetrating arteries. Moderate-severe OSA was determined by apnea-hypopnea index >= 15. The results indicated that 12.06% had moderate-severe OSA, 7.64% of participants had SCI and 4.96% had lacunar infarction. Moderate-severe OSA was associated positively with SCI [odds ratio (OR): 2.44, 95% confidence interval (CI): 1.03-5.80] and lacunar infarction (OR: 3.48, 95% CI: 1.31-9.23) in the age >= 65-year group compared with those with non-OSA. Additionally, in the basal ganglia, OSA was associated with an increase in the odds for SCI and lacunar infarction in all age groups, and especially in the >= 65-year age group. In the non-obese participants, OSA was also associated positively with SCI in the >= 65-year age group, lacunar infarction in all age groups, and especially in the >= 65-year age group. There was also a positive association with the basal ganglia. Moderate-severe OSA was associated positively with SCI and lacunar infarction in elderly participants. Treatment of OSA may reduce new first-time cerebrovascular events and recurrences.
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