{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:48:20Z","timestamp":1791870500755,"version":"4.3.4"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Hypertension"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>There is a strong association between obstructive sleep apnea and hypertension, but the effects of obstructive sleep apnea symptoms on the risk of incident hypertension are not well documented. The aim of this prospective study was to examine whether snoring and sleepiness are associated with incident hypertension.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Data from the French population-based CONSTANCES cohort were analyzed. Normotensive participants, aged 18 to 69 years, were included between 2012 and 2016 and screened for snoring, morning fatigue, and daytime sleepiness in 2017 using items of the Berlin Questionnaire. We used Cox models, adjusted for multiple potential confounders, including body mass index, baseline blood pressure, sleep duration, and depressive symptoms, to compute hazards ratios of incidentally treated hypertension.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Among 34\u2005727 subjects, the prevalence of self-reported habitual snoring, morning fatigue, and excessive daytime sleepiness (\u22653\u00d7 a week for each) was 23.6%, 16.6%, and 19.1%, respectively. During a median follow-up of 3.1 years (interquartile range, 3.0\u20133.5), the incidence of treated hypertension was 3.8%. The risk of de novo treated hypertension was higher in participants who reported habitual snoring (adjusted hazard ratio, 1.17 [95% CI, 1.03\u20131.32]) and excessive daytime sleepiness (adjusted hazard ratio, 1.42 [95% CI, 1.24\u20131.62]), and increased with the weekly frequency of symptoms, with a dose-dependent relationship (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              <jats:sub>trend<\/jats:sub>\n              \u22640.02 for all symptoms).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Self-reported snoring and excessive daytime sleepiness are associated with an increased risk of developing hypertension. Identification of snoring and daytime sleepiness may be a useful public health screening tool in primary care for hypertension prevention.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/hypertensionaha.124.23007","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T09:02:16Z","timestamp":1725440536000},"page":"2286-2297","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Association of Snoring and Daytime Sleepiness With Subsequent Incident Hypertension: A Population-Based Cohort Study"],"prefix":"10.1161","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-3707","authenticated-orcid":true,"given":"Pauline","family":"Balagny","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Paris Saclay University, Universit\u00e9 de Versailles Saint-Quentin-en-Yvelines, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM), Unit\u00e9 Mixte de Service 011 Population-based Cohorts Unit, France (P.B., S.K., M.G., M.Z., E.W.)."},{"name":"Assistance Publique des Hopitaux de Paris H\u00f4pital Bichat, Service de Physiologie Explorations Fonctionnelles, Paris, France (P.B., E.V.-P., J.F., M.-P.O.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9356-7302","authenticated-orcid":true,"given":"Emmanuelle","family":"Vidal-Petiot","sequence":"additional","affiliation":[{"name":"Assistance Publique des Hopitaux de Paris H\u00f4pital Bichat, Service de Physiologie Explorations Fonctionnelles, Paris, France (P.B., E.V.-P., J.F., M.-P.O.)."},{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, INSERM U1148, Laboratory for Vascular Translational Science, France (E.V.-P., P.G.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6041-9602","authenticated-orcid":true,"given":"Sofiane","family":"Kab","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Paris Saclay University, Universit\u00e9 de Versailles Saint-Quentin-en-Yvelines, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM), Unit\u00e9 Mixte de Service 011 Population-based Cohorts Unit, France (P.B., S.K., M.G., M.Z., E.W.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5575-3913","authenticated-orcid":true,"given":"Justine","family":"Frija","sequence":"additional","affiliation":[{"name":"Assistance Publique des Hopitaux de Paris H\u00f4pital Bichat, Service de Physiologie Explorations Fonctionnelles, Paris, France (P.B., E.V.-P., J.F., M.-P.O.)."},{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM Neurodiderot, France (J.F., M.-P.O.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6896-2941","authenticated-orcid":true,"given":"Philippe Gabriel","family":"Steg","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, INSERM U1148, Laboratory for Vascular Translational Science, France (E.V.-P., P.G.S.)."},{"name":"AP-HP, H\u00f4pital Bichat, D\u00e9partement de Cardiologie, Paris, France (P.G.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6161-5880","authenticated-orcid":true,"given":"Marcel","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Paris Saclay University, Universit\u00e9 de Versailles Saint-Quentin-en-Yvelines, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM), Unit\u00e9 Mixte de Service 011 Population-based Cohorts Unit, France (P.B., S.K., M.G., M.Z., 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