Table 1.
1. Differences in structural and physiological risk factors | • Structural ○ Craniofacial dimensions ○ Size of soft tissue structures ■ Possible link between obesity and fat deposition • Physiological ○ Collapsibility of the upper airway (Pcrit) ○ Upper airway dilator muscle response to negative pharyngeal pressure ○ Overall loop gain of ventilator control system. ○ Arousal threshold to airway narrowing. ○ Heart rate response to arousals |
2. Differences in Clinical Characteristics | • Ethnic differences • Gender differences • Differences in clinical presentation: OSA subgroups based on symptoms: disturbed sleep, minimally symptomatic, excessively sleepy |
3. Differences in molecular signatures | • OMIC data correlated to physiological data (e.g. arousals and oxygen desaturations) • OMIC data correlated to consequences (e.g. genes of pathways associated with cancer) |
4. Differences in consequences of OSA | • Physiological differences (e.g. arousal index and heart rate response to arousals) may predict consequences (e.g. hypertension) • Individuals have variable increased risk of cardiovascular, metabolic and neurodegenerative diseases and cancer. |