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Association of Mild Obstructive Sleep Apnea With Cognitive Performance, Excessive Daytime Sleepiness, and Quality of Life in the General Population: The Korean Genome and Epidemiology Study (KoGES)

Authors
Kim, HyunThomas, Robert J.Yun, Chang-HoAu, RhodaLee, Seung KuLee, SungheeShin, Chol
Issue Date
1-5월-2017
Publisher
OXFORD UNIV PRESS INC
Keywords
obstructive sleep apnea; cognition; daytime sleepiness; general population
Citation
SLEEP, v.40, no.5
Indexed
SCIE
SCOPUS
Journal Title
SLEEP
Volume
40
Number
5
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/83499
DOI
10.1093/sleep/zsx012
ISSN
0161-8105
Abstract
Study Objectives: Research points to impaired cognitive performance in sleep clinic patients with obstructive sleep apnea (OSA). However, inconsistent findings from various epidemiologic studies make this relationship less generalizable. The current study investigated the association between OSA and functional outcome measures, such as cognition, daytime sleepiness, and quality of life, in a Korean general population sample. Methods: A total of 1492 participants from the Korean Genome and Epidemiology Study (KoGES) were included in the analyses. The presence of OSA measured by overnight polysomnography (PSG) was defined by apnea-hypopnea index (AHI) > 5. Cognitive performance was determined with scores from a comprehensive neuropsychological battery. Excessive daytime sleepiness and quality of life were additionally measured through subjective reports. Results: After adjusting for various demographic and medical characteristics, OSA was independently associated with lower performance in the Digit Symbol Test (52.73 +/- 17.08 vs. 58.72 +/- 18.03, OSA vs. not, p =.02). Hypoxia measures were not related to cognitive performance. OSA was associated with higher odds of displaying excessive daytime sleepiness (odds ratio = 1.72, 95% CI: 1.05-2.80), but there was no significant relationship between OSA and quality of life. Conclusions: Cognition was unexpectedly unaffected overall. However, OSA was associated with impairment in a multidomain test that taps skills generally associated with frontal lobe function. The results suggest that research on protective and adaptive brain mechanisms to OSA stress can provide unique insights into the brain-sleep interface. As the study runs longitudinally, it will enable future studies on the impact of OSA on cognitive decline.
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