{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:25:57Z","timestamp":1790252757168,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Using continuous thoracic impedance measurements, sleep apnea can be long\u2010time monitored via an electronic device sensor. In the ACaSA trial, 233 patients implanted with a cardiac pacemaker (MicroPort CRM, Clamart, France) were prospectively observed between March 2022 and July 2024. For each night of follow\u2010up, the burden of device\u2010detected sleep apnea (DDSA) was measured via transthoracic impedance, defined by a respiratory disturbance index (RDI) \u2265\u200920 events per sleeping hour. Local meteorological data including maximum ambient diurnal temperature, humidity, precipitation and air pressure change were extracted from the national weather system and linked to the individual patient's place of residence. The association between these weather conditions and RDI in the following night was estimated using a generalised linear mixed effects model. Overall, 74,031 patient\u2010nights of 210 individuals (median age 75.7\u2009years [IQR 69.9\u201381.3], 77 [36.7%] female) with a median follow up of 593 nights (IQR 348\u2013755) were analysed. In a multivariate regression analysis, ambient maximum diurnal temperature was independently associated with presence of DDSA. Following days with a maximum of 30\u00b0C, the odds of experiencing severe DDSA increased by 1.34 (95% CI: 1.17\u20131.54,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) compared to days with only 10\u00b0C. Higher relative humidity increased the odds for suffering from severe DDSA as well (OR 1.19 [1.07\u20131.33] in 90% relative humidity vs. 65% humidity;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.007). These associations of ambient maximum diurnal temperature and relative humidity with severe DDSA the following night need further investigations, in particular in view of upcoming global climate changes.\n                  <\/jats:p>","DOI":"10.1111\/jsr.70024","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:08:19Z","timestamp":1740010099000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Weather\u2010Associated Variations of Device\u2010Detected Severe Sleep Apnea in Cardiac Pacemaker Patients"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4889-2177","authenticated-orcid":false,"given":"Valentin","family":"Bilgeri","sequence":"first","affiliation":[{"name":"Department of Internal Medicine III Medical University of Innsbruck  Innsbruck 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Erich","family":"Pfeifer","sequence":"additional","affiliation":[{"name":"Landesinstitut f\u00fcr integrierte Versorgung Tirol Tirol Kliniken  Innsbruck Austria"},{"name":"Division for Digital Medicine and Telehealth University for Health Sciences, Medical Informatics and Technology (UMIT\u2010Tirol)  Hall in Tirol Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Willeit","sequence":"additional","affiliation":[{"name":"Institute of Clinical Epidemiology, Public Health, Health Economics, Medical Statistics and Informatics Medical University of Innsbruck  Innsbruck Austria"},{"name":"Department of Public Health and Primary Care University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4456-1822","authenticated-orcid":false,"given":"Fabian","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Deutsches Herzzentrum der Charit\u00e9  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4259-8824","authenticated-orcid":false,"given":"Ambra","family":"Stefani","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center for Sleep Medicine Medical University of Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1894-7641","authenticated-orcid":false,"given":"Birgit","family":"H\u00f6gl","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center for Sleep Medicine Medical University of Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2126-9696","authenticated-orcid":false,"given":"Herbert","family":"Formayer","sequence":"additional","affiliation":[{"name":"Institute of Meteorology and Climatology BOKU University  Vienna 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