Open AccessThe Association Between Obstructive Sleep Apnea and Hypertension by Race/Ethnicity in a Nationally Representative Sample
Author(s) -
SandsLincoln Megan,
Grandner Michael,
Whinnery Julia,
Keenan Brendan T.,
Jackson Nick,
Gurubhagavatula Indira
Publication year - 2013
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12144
Subject(s) - medicine , overweight , obstructive sleep apnea , odds ratio , body mass index , ethnic group , confidence interval , demography , sleep apnea , logistic regression , obesity , cohort , gerontology , sociology , anthropology
The association between obstructive sleep apnea ( OSA) and hypertension by race/ethnicity has not been well characterized in a national sample. Adult participants in the 2007–2008 N ational H ealth and N utrition E xamination S urvey were reviewed by self‐report of sleep apnea diagnosis, snorting, gasping or stopping breathing during sleep, and snoring to derive whether OSA was probable ( pOSA ). Multivariable logistic regression determined whether pOSA predicted hypertension in the overall cohort, and by body mass index ( BMI) group and ethno‐racial strata. pOSA predicted hypertension in several groups: (1) Within BMI strata, there was a significant association among overweight individuals [odds ratio [ OR], 1.82; 95% confidence interval [ CI] , 1.26–2.62); (2) In race/ethnicity subgroups, the association was significant among Hispanic/Latinos ( OR, 1.69; 95% CI, 1.13–2.53) and whites ( OR , 1.40; 95% CI, 1.07–1.84); (3) In models stratified by both race/ethnicity and BMI, pOSA predicted hypertension among overweight b lack/ A frican A mericans ( OR , 4.74; 95% CI , 1.86–12.03), overweight whites ( OR, 1.65; 95% CI , 1.06–2.57), and obese H ispanic/ L atino participants ( OR, 2.01; 95% CI, 1.16–3.49). A simple, self‐report tool for OSA was strongly associated with hypertension, and may serve as a potential future opportunity for OSA diagnosis.