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Cited by 191

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Obstructive Sleep Apnea as a Risk Factor for Cerebral White Matter Change in a Middle-Aged and Older General Population

Open access
Kim, Hyun, Yun, Chang-Ho, Thomas, Robert Joseph, Lee, Seung Hoon, Seo, Hyung Suk, Cho, Eo Rin, Lee, Seung Ku, Yoon, Dae Wui, Suh, Sooyeon, Shin, Chol·2013·Sleep
DOI 10.5665/sleep.2632
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Abstract

STUDY OBJECTIVE: Obstructive sleep apnea (OSA) contributes to the development of systemic hypertension, and hypertension strongly predicts the development of white matter change (WMC). Thus, it is plausible that OSA mediates WMC. The goal of the current study is to determine whether a contextual relationship exists between OSA and cerebral WMC. DESIGN: Cross-sectional analyses conducted in a population-based study. SETTING: Korean community-based sample from the Korean Genome and Epidemiology Study (KoGES) who attended examinations in 2011 at a medical center. PARTICIPANTS: There were 503 individuals (mean ± SD, age 59.63 ± 7.48 y) who were free of previously diagnosed cardiovascular and neurologic diseases. MEASUREMENTS AND RESULTS: Participants underwent 1-night polysomnography and were classified as no OSA (obstructive apnea-hypopnea index [AHI] < 5, n = 289), mild OSA (AHI 5-15, n = 161), and moderate to severe OSA (AHI ≥ 15, n = 53). WMC was identified with brain magnetic resonance imaging (MRI) and was found in 199 individuals (39.56%). Multivariate logistic regression analyses adjusted for covariates revealed that moderate to severe OSA was significantly associated with the presence of WMC (odds ratio [OR] 2.08, 95%, confidence interval [CI] 1.05-4.13) compared with no OSA. Additional adjustment of hypertension to the model did not alter the significance of the association (OR 2.03, 95% CI 1.02-4.05). CONCLUSIONS: Moderate to severe OSA is an independent risk factor for WMC in middle-aged and older individuals. Thus, early recognition and treatment of OSA could reduce the risk of stroke and vascular dementia.

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Metadata

Authors
Kim, H., Yun, C.-H., Thomas, R. J., Lee, S. H., Seo, H. S., Cho, E. R., Lee, S. K., Yoon, D. W., Suh, S., & Shin, C.
Venue
Sleep
Publisher
Oxford University Press (OUP)
Published
2013-05-01
Volume
36
Issue
5
Pages
709-715
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
DOI
10.5665/sleep.2632
OpenAlex
W2085364084
Cited by
191
References
15
FWCI
11.43
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Obstructive Sleep Apnea as a Risk Factor for Cerebral White Matter Change in a Middle-Aged and Older General Population. https://app.cochat.ai/papers/10.5665/sleep.2632
The paper
Kim, H., Yun, C.-H., Thomas, R. J., Lee, S. H., Seo, H. S., Cho, E. R., Lee, S. K., Yoon, D. W., Suh, S., & Shin, C. (2013). Obstructive Sleep Apnea as a Risk Factor for Cerebral White Matter Change in a Middle-Aged and Older General Population. Sleep. https://doi.org/10.5665/sleep.2632

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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