The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective

Alzheimer’s disease (AD) and obstructive sleep apnea (OSA) are highly prevalent, chronic conditions with intriguing, yet poorly understood epidemiological overlap. To date, the amount of OSA syndrome present in patients with AD across literature remains unknown. To address this question, we collecte...

Full description

Bibliographic Details
Main Authors: Farnoosh eEmamian, Habibolah eKhazaie, Masoud eTahmasian, Guy D. Leschziner, Mary J. Morrell, Ging-Yuek R. Hsiung, Ivana eRosenzweig, Amir A Sepehry
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-04-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00078/full
_version_ 1811298154822238208
author Farnoosh eEmamian
Farnoosh eEmamian
Habibolah eKhazaie
Masoud eTahmasian
Guy D. Leschziner
Guy D. Leschziner
Mary J. Morrell
Mary J. Morrell
Ging-Yuek R. Hsiung
Ivana eRosenzweig
Ivana eRosenzweig
Amir A Sepehry
author_facet Farnoosh eEmamian
Farnoosh eEmamian
Habibolah eKhazaie
Masoud eTahmasian
Guy D. Leschziner
Guy D. Leschziner
Mary J. Morrell
Mary J. Morrell
Ging-Yuek R. Hsiung
Ivana eRosenzweig
Ivana eRosenzweig
Amir A Sepehry
author_sort Farnoosh eEmamian
collection DOAJ
description Alzheimer’s disease (AD) and obstructive sleep apnea (OSA) are highly prevalent, chronic conditions with intriguing, yet poorly understood epidemiological overlap. To date, the amount of OSA syndrome present in patients with AD across literature remains unknown. To address this question, we collected all available published clinical data and analyzed them through a quantitative meta-analytical approach. The results of our quantitative meta-analysis suggest that the aggregate odds ratio for OSA in AD versus healthy control was 5.05 and homogeneous. This reflects that patients with AD have a five times higher chance of presenting with OSA than cognitively non-impaired individuals of similar age. Moreover, these data suggest that around half of patients with AD have experienced OSA at some point after their initial diagnosis. The additive impact of progressive changes in sleep quality and structure, changes in cerebral blood flow and the cellular redox status in OSA patients may all be contributing factors to cognitive decline and may further aggravate AD progression. It is hoped that the high OSA rate in AD patients, as suggested by the findings of our meta-analysis, might provide a sufficient clinical incentive to alert clinicians the importance of screening patients for OSA in AD, and stimulate further research in this area.
first_indexed 2024-04-13T06:15:27Z
format Article
id doaj.art-800d7a2053cd4dc4aac532e2c827bc02
institution Directory Open Access Journal
issn 1663-4365
language English
last_indexed 2024-04-13T06:15:27Z
publishDate 2016-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Aging Neuroscience
spelling doaj.art-800d7a2053cd4dc4aac532e2c827bc022022-12-22T02:58:51ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652016-04-01810.3389/fnagi.2016.00078184744The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspectiveFarnoosh eEmamian0Farnoosh eEmamian1Habibolah eKhazaie2Masoud eTahmasian3Guy D. Leschziner4Guy D. Leschziner5Mary J. Morrell6Mary J. Morrell7Ging-Yuek R. Hsiung8Ivana eRosenzweig9Ivana eRosenzweig10Amir A Sepehry11Sleep Disorders Research Center, Kermanshah University of Medical SciencesDepartment of Psychiatry, Razi Hospital, University of Social Welfare and Rehabilitation SciencesSleep Disorders Research Center, Kermanshah University of Medical SciencesSleep Disorders Research Center, Kermanshah University of Medical SciencesSleep Disorders Centre, Guy’s and St Thomas’ HospitalSleep and Brain Plasticity Centre, Department of Neuroimaging, IOPPN, King's College and Imperial CollegeSleep Disorders Centre, Guy’s and St Thomas’ HospitalAcademic Unit of Sleep and Breathing, National Heart and Lung Institute, Imperial College London, UK and NIHR Respiratory Disease Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College LondonDivision of Neurology, Faculty of Medicine, University of British ColumbiaSleep Disorders Centre, Guy’s and St Thomas’ HospitalSleep and Brain Plasticity Centre, Department of Neuroimaging, IOPPN, King's College and Imperial CollegeDivision of Neurology, Faculty of Medicine, University of British ColumbiaAlzheimer’s disease (AD) and obstructive sleep apnea (OSA) are highly prevalent, chronic conditions with intriguing, yet poorly understood epidemiological overlap. To date, the amount of OSA syndrome present in patients with AD across literature remains unknown. To address this question, we collected all available published clinical data and analyzed them through a quantitative meta-analytical approach. The results of our quantitative meta-analysis suggest that the aggregate odds ratio for OSA in AD versus healthy control was 5.05 and homogeneous. This reflects that patients with AD have a five times higher chance of presenting with OSA than cognitively non-impaired individuals of similar age. Moreover, these data suggest that around half of patients with AD have experienced OSA at some point after their initial diagnosis. The additive impact of progressive changes in sleep quality and structure, changes in cerebral blood flow and the cellular redox status in OSA patients may all be contributing factors to cognitive decline and may further aggravate AD progression. It is hoped that the high OSA rate in AD patients, as suggested by the findings of our meta-analysis, might provide a sufficient clinical incentive to alert clinicians the importance of screening patients for OSA in AD, and stimulate further research in this area.http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00078/fullMeta-analysisAlzheimer’s diseaseobstructive sleep apneaprevalence.sleep-disordered breathing
spellingShingle Farnoosh eEmamian
Farnoosh eEmamian
Habibolah eKhazaie
Masoud eTahmasian
Guy D. Leschziner
Guy D. Leschziner
Mary J. Morrell
Mary J. Morrell
Ging-Yuek R. Hsiung
Ivana eRosenzweig
Ivana eRosenzweig
Amir A Sepehry
The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
Frontiers in Aging Neuroscience
Meta-analysis
Alzheimer’s disease
obstructive sleep apnea
prevalence.
sleep-disordered breathing
title The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
title_full The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
title_fullStr The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
title_full_unstemmed The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
title_short The association between Obstructive Sleep Apnea and Alzheimer's Disease: a Meta-analysis perspective
title_sort association between obstructive sleep apnea and alzheimer 39 s disease a meta analysis perspective
topic Meta-analysis
Alzheimer’s disease
obstructive sleep apnea
prevalence.
sleep-disordered breathing
url http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00078/full
work_keys_str_mv AT farnoosheemamian theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT farnoosheemamian theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT habibolahekhazaie theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT masoudetahmasian theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT guydleschziner theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT guydleschziner theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT maryjmorrell theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT maryjmorrell theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT gingyuekrhsiung theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT ivanaerosenzweig theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT ivanaerosenzweig theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT amirasepehry theassociationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT farnoosheemamian associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT farnoosheemamian associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT habibolahekhazaie associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT masoudetahmasian associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT guydleschziner associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT guydleschziner associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT maryjmorrell associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT maryjmorrell associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT gingyuekrhsiung associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT ivanaerosenzweig associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT ivanaerosenzweig associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective
AT amirasepehry associationbetweenobstructivesleepapneaandalzheimer39sdiseaseametaanalysisperspective