Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score
Introduction Although previous studies have addressed the association between smoking and obstructive sleep apnea (OSA), there are few studies on the association between electronic cigarette use and OSA. Thus, we aimed to evaluate the association between the dual use of electronic and conventional c...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-09-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/Association-of-dual-use-of-cigarettes-with-obstructive-sleep-apnea-assessed-by-the,169727,0,2.html |
| _version_ | 1827784229879021568 |
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| author | Seung Hyun Lee Seung Hoon Kim |
| author_facet | Seung Hyun Lee Seung Hoon Kim |
| author_sort | Seung Hyun Lee |
| collection | DOAJ |
| description | Introduction
Although previous studies have addressed the association between
smoking and obstructive sleep apnea (OSA), there are few studies on the
association between electronic cigarette use and OSA. Thus, we aimed to evaluate
the association between the dual use of electronic and conventional cigarettes
and OSA.
Methods
Data from 7350 participants of the 2019–2021 Korean National Health
and Nutrition Examination Survey were analyzed in this population-based study.
The STOP-Bang score was calculated using eight items: snoring, tiredness,
observed apnea, high blood pressure, body mass index, age, neck circumference,
and sex. The main independent variable was smoking behavior. A multiple logistic
regression analysis was performed. Subgroup analysis was conducted to analyze
the association between smoking behavior in detail and OSA, and stratified
analyses were additionally performed.
Results
Of the 7350 participants, 417 (5.7%) had a high risk of OSA, according to
the STOP-Bang score. Compared to the non-smoker group, the dual user group
had a 2.46-fold increase in the odds of OSA (adjusted odds ratio, AOR = 2.45; 95% CI: 1.04-5.79). Current non-smokers who were dual users in the past had
increased odds of having OSA (AOR=3.61; 95% CI: 1.32–9.92). In the stratified
analyses, dual cigarette use was significantly associated with OSA in females and
those with a low physical activity level.
Conclusions
Dual users and cigarette-only users had an increased probability of
developing OSA. Even if they are not currently smoking or vaping, individuals
who were dual users in the past were associated with a higher risk of OSA. The
association between dual cigarette use and OSA was more pronounced in females
and those with a low physical activity level. While intervening for obstructive sleep
apnea or investigating risk factors, new smoking methods such as vaping and dual
use should be considered along with conventional smoking. |
| first_indexed | 2024-03-11T15:59:19Z |
| format | Article |
| id | doaj.art-da33e525b13947c78dbe4cb34694e805 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-11T15:59:19Z |
| publishDate | 2023-09-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-da33e525b13947c78dbe4cb34694e8052023-10-25T08:34:47ZengEuropean PublishingTobacco Induced Diseases1617-96252023-09-0121September11110.18332/tid/169727169727Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang scoreSeung Hyun Lee0Seung Hoon Kim1https://orcid.org/0000-0002-7704-6213Department of Education and Training, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Republic of KoreaDepartment of Preventive Medicine, Eulji University School of Medicine, Daejeon, Republic of KoreaIntroduction Although previous studies have addressed the association between smoking and obstructive sleep apnea (OSA), there are few studies on the association between electronic cigarette use and OSA. Thus, we aimed to evaluate the association between the dual use of electronic and conventional cigarettes and OSA. Methods Data from 7350 participants of the 2019–2021 Korean National Health and Nutrition Examination Survey were analyzed in this population-based study. The STOP-Bang score was calculated using eight items: snoring, tiredness, observed apnea, high blood pressure, body mass index, age, neck circumference, and sex. The main independent variable was smoking behavior. A multiple logistic regression analysis was performed. Subgroup analysis was conducted to analyze the association between smoking behavior in detail and OSA, and stratified analyses were additionally performed. Results Of the 7350 participants, 417 (5.7%) had a high risk of OSA, according to the STOP-Bang score. Compared to the non-smoker group, the dual user group had a 2.46-fold increase in the odds of OSA (adjusted odds ratio, AOR = 2.45; 95% CI: 1.04-5.79). Current non-smokers who were dual users in the past had increased odds of having OSA (AOR=3.61; 95% CI: 1.32–9.92). In the stratified analyses, dual cigarette use was significantly associated with OSA in females and those with a low physical activity level. Conclusions Dual users and cigarette-only users had an increased probability of developing OSA. Even if they are not currently smoking or vaping, individuals who were dual users in the past were associated with a higher risk of OSA. The association between dual cigarette use and OSA was more pronounced in females and those with a low physical activity level. While intervening for obstructive sleep apnea or investigating risk factors, new smoking methods such as vaping and dual use should be considered along with conventional smoking.http://www.tobaccoinduceddiseases.org/Association-of-dual-use-of-cigarettes-with-obstructive-sleep-apnea-assessed-by-the,169727,0,2.htmlcigarette smokingelectronic cigarettesdual use of cigarettesobstructive sleep apneasnoring |
| spellingShingle | Seung Hyun Lee Seung Hoon Kim Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score Tobacco Induced Diseases cigarette smoking electronic cigarettes dual use of cigarettes obstructive sleep apnea snoring |
| title | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
| title_full | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
| title_fullStr | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
| title_full_unstemmed | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
| title_short | Association of dual use of cigarettes with obstructive sleep apnea assessed by the STOP-Bang score |
| title_sort | association of dual use of cigarettes with obstructive sleep apnea assessed by the stop bang score |
| topic | cigarette smoking electronic cigarettes dual use of cigarettes obstructive sleep apnea snoring |
| url | http://www.tobaccoinduceddiseases.org/Association-of-dual-use-of-cigarettes-with-obstructive-sleep-apnea-assessed-by-the,169727,0,2.html |
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