Sleep-Disordered Breathing and Caffeine Consumption
Open accessAbstract
Background Sleepiness is one of the most burdensome symptoms of sleep-disordered breathing (SDB). While caffeine is frequently used to avert sleepiness, the association between SDB and caffeine use has not been thoroughly explored. The current study examined whether SDB is associated with caffeine consumption and if factors such as sex, age, and daytime sleepiness explain or modify the association.Methods Data from the Sleep Heart Health Study, a community-based study on the consequences of SDB, were used to characterize the association between SDB and caffeine intake. SDB was assessed with full-montage polysomnography. Caffeine use was quantified as the number of cans of soda or the cups of coffee or tea consumed daily. The Epworth Sleepiness Scale was used to assess daytime sleepiness. Multivariable negative binomial regression models were used to characterize the independent association between SDB and caffeine use.Results Caffeinated soda, but not tea or coffee, intake was independently associated with SDB severity. Compared with participants without SDB, the relative ratios for caffeinated soda consumption in women with mild, moderate, and severe SDB were 1.20 (CI, 1.03-1.41), 1.46 (CI, 1.14-1.87), and 1.73 (CI, 1.23-2.42), respectively. For men, an association was only noted with severe SDB and caffeinated soda use. Age did not modify the SDB-caffeine association, and sleepiness could not explain the observed associations.Conclusions SDB is independently associated with caffeinated soda use in the general community. Identifying excessive caffeine used in SDB has potential significance given the cardiovascular effects of caffeine and untreated SDB.
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In men, there is only an association between caffeinated soda and severe SDB.
“Women with SDB have the strongest correlations between caffeinated soda and OSA. There was only an association between caffeinated soda and severe SDB in men.524 Coffee and tea consumption were not associated with SDB.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [524]
Coffee and tea consumption are not associated with SDB.
“Women with SDB have the strongest correlations between caffeinated soda and OSA. There was only an association between caffeinated soda and severe SDB in men.524 Coffee and tea consumption were not associated with SDB.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [524]
In the SHHS, women with SDB have the strongest correlations between caffeinated soda and OSA.
“Women with SDB have the strongest correlations between caffeinated soda and OSA. There was only an association between caffeinated soda and severe SDB in men.524 Coffee and tea consumption were not associated with SDB.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [524]
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- Authors
- Aurora, R. N., Crainiceanu, C., Caffo, B., & Punjabi, N. M.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Punjabi, Naresh M.
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 142
- Issue
- 3
- Pages
- 631-638
- ISSN
- 0012-3692 (ISSN-L)
- PMC
- PMC3435136
- OpenAlex
- W2163619279
- Cited by
- 23
- References
- 31
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 4 · 2019: 3 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- CHEST Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (HL086862, HL075078)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep-disordered breathing, caffeine consumption, daytime sleepiness, sex differences, Sleep Heart Health Study
- MeSH terms
- Age Factors, Aged, Caffeine, Carbonated Beverages, Coffee, Data Collection, Drinking Behavior, Female, Humans, Male, Middle Aged, Retrospective Studies, Sex Factors, Sleep Apnea Syndromes, Tea, Prevalence, Polysomnography
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