{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:01:22Z","timestamp":1790312482585,"version":"4.1.0"},"reference-count":58,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,6,18]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Obstructive sleep apnea (OSA) is a common sleep disorder associated with cardiovascular risks. This study aimed to assess the prevalence of probable OSA and its relationship with cardiovascular risks and diseases focusing on age\u2010stratified young adults (20\u201340\u2009years) and older (&gt;40\u2009years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      The study used a cross\u2010sectional design, analyzing data from the National Health and Nutrition Examination Survey conducted between 2013 and 2018, comprising 9887 community\u2010dwelling adults aged \u226520\u2009years. Probable OSA was determined on the basis of self\u2010report of OSA\u2010related symptoms (eg, snoring, gasping\/breath cessation while sleeping). Cardiovascular risk factors, including hypertension, diabetes, hyperlipidemia, and metabolic syndrome, were evaluated according to established guidelines. Cardiovascular diseases (CVDs) included self\u2010reported heart conditions, including congestive heart failure, coronary heart disease, angina, heart attacks, and strokes. Individuals with probable OSA showed a significantly higher prevalence of health conditions, including hypertension (adjusted prevalence ratio [aPR], 1.19;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), diabetes (aPR, 1.17;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      : 0.01), metabolic syndrome (aPR, 1.14;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), heart attack (aPR, 1.63;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.01), stroke (aPR, 1.41;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      : 0.03), and any CVD event (aPR, 1.36;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      : 0.01) after adjusting for relevant factors. Young adults with probable OSA showed higher prevalence rates of any CVD events (aPR, 3.44;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), hypertension (aPR, 1.45;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), metabolic syndrome (aPR, 1.25;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), and angina (aPR, 10.39;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">The study suggests early identification and management of OSA in individuals at risk for CVD. While cross\u2010sectional, it emphasizes that health care providers should recognize OSA as significantly associated with CVDs and its precursor risks in young adults, stressing proactive care and screening to reduce CVD risk in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.033810","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T08:48:14Z","timestamp":1717663694000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Obstructive Sleep Apnea and Its Cardiac Implications in the United States: An Age\u2010Stratified Analysis Between Young and\u00a0Older Adults"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8921-3525","authenticated-orcid":false,"given":"Chance","family":"Strenth","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-1985","authenticated-orcid":false,"given":"Anna","family":"Wani","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupini","family":"Alla","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7254-5849","authenticated-orcid":false,"given":"Safia","family":"Khan","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9935-740X","authenticated-orcid":false,"given":"Frank David","family":"Schneider","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6869-8968","authenticated-orcid":false,"given":"Bhaskar","family":"Thakur","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas","place":["Dallas"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072-1439.2015.06.11"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.3514"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/AITC201912030"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.23.3015"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.002"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30198-5"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.05.009"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-0933"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2012.02255.x"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201801-0204PP"},{"key":"e_1_3_1_12_2","volume-title":"Global Health Estimates: Life Expectancy and Leading Causes of Death and Disability","author":"World Health Organization","year":"2023","unstructured":"World Health Organization . 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