{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T09:07:24Z","timestamp":1776589644696,"version":"3.51.2"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004156","name":"Mahidol University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004156","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sleep Breath"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify polysomnographic predictors of adherence to positive airway pressure (PAP) therapy in adults with obstructive sleep apnea (OSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cohort study of adults with moderate to severe OSA who underwent full-night diagnostic polysomnography and initiated PAP therapy. Participants with previous PAP titration studies were excluded. Baseline demographic and polysomnographic variables were extracted, and adherence was defined as PAP use\u2009\u2265\u20094\u00a0h\/night on \u2265\u200970% of nights. Logistic regression identified factors independently associated with adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 100 enrolled patients, 61 met the adherence criteria. Compared with adherent patients, nonadherent patients did not differ in apnea\u2013hypopnea index, oxygen desaturation index, lowest oxygen saturation, or low arousal threshold. Rapid eye movement\u2013related OSA was significantly more prevalent in the nonadherent group and was the only independent predictor of nonadherence (adjusted odds ratio, 2.52; 95% confidence interval, 1.04\u20136.22;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rapid eye movement\u2013related OSA was the only independent predictor of poor adherence to PAP therapy. Sleep stage\u2013specific phenotyping may therefore assist in personalizing adherence-enhancing strategies. Prospective studies are warranted to validate these findings and evaluate targeted interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11325-025-03507-9","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T16:05:05Z","timestamp":1762790705000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Polysomnographic parameters predicting positive airway pressure adherence"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5567-5871","authenticated-orcid":false,"given":"Nattarin","family":"Nilrat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4029-6657","authenticated-orcid":false,"given":"Wish","family":"Banhiran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2743-4688","authenticated-orcid":false,"given":"Phawin","family":"Keskool","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chawanont","family":"Pimolsri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7670-3763","authenticated-orcid":false,"given":"Navarat","family":"Kasemsuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"3507_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2025.106742","volume":"135","author":"H Shahid","year":"2025","unstructured":"Shahid H, Rana MH, Manzoor A, Shakeel N, Shahid Z, Sial F (2025) Hypertension and sleep apnea as contributor to mortality trends in the United States: CDC WONDER data analysis. 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They also report no relevant non-financial interests, such as personal or professional relationships, affiliations, knowledge, or beliefs related to the subject matter.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"351"}}