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. 2020 Sep 29;15:e65. doi: 10.15420/ecr.2020.10

Table 1: Prospective Longitudinal Studies of Incident Hypertension in Patients with Obstructive Sleep Apnoea.

Authors Study Type of Study Patients (n) Follow-up(Years) Comparisons Associations
OR [95% CI] Adjusted OR [95% CI]
Peppard et al. 2000[15] WSCS Prospective 709 4 AHI <5 (versus 0)
AHI 5–14.9
AHI ≥15
1.42 [1.13–1.78]
2.03 [1.29–3.17]
2.89 [1.46–5.64]
O’Connor et al. 2009[16] SHHS Prospective 2,470 5.2 AHI 15–29.9 (versus 0–4.9)
AHI ≥30
1.54 [1.12–2.11]*
2.19 [1.39–3.44]*
1.12 [0.80–1.56]†
1.51 [0.91–2.46]†
Cano-Pumarega et al. 2011[17] VSC Prospective 1,180 7.5 RDI 3–6.9 (versus 0–2.9)
RDI 7–13.9
RDI ≥14
1.49 [1.09–2.03]
1.84 [1.30–2.61]
2.61 [1.75–3.89]
1.09 [0.78–1.52]‡
0.94 [0.64–1.39]‡
1.00 [0.63–1.57]‡
Guillot et al. 2013[18] SYNAPSE Prospective 372 3 AHI ≥30 2.21 [1.43–3.43] 1.77 [1.11–2.80]§
Marín et al. 2012[19] ZSCS Prospective 1,889 12.2 Ineligible for CPAP (n=462)
Declined CPAP (n=195)
Non-adherent to CPAP (n=98)
Treated with CPAP (n=824)
1.63 [1.25–2.12]||,¶
2.89 [2.18–3.84]||,¶
2.70 [1.90–3.83]||,¶
1.47 [1.24–1.88]||,¶
1.46 [1.12–1.91]||,**
2.54 [1.90–3.39]||,**
2.20 [1.90–3.39]||,**
1.01 [0.78–1.31]||,**
Appleton et al. 2016[20] MAILES Prospective 391 4.6 AHI ≥20
AHI ≥30

1.95 [1.04–3.63]††
2.24 [1.04–4.81]††

*Adjusted for age, sex, race and time since baseline. †Adjusted for age, sex, race, time since baseline and BMI. ‡Adjusted for age, sex and BMI. §Adjusted for sex, obesity, type 2 diabetes and dyslipidaemia. ||HRs for new-onset hypertension (per 100 person-years). ¶Adjusted for AHI, age and sex. **Adjusted for AHI, age, sex, SBP/DBP and BMI. ††Adjusted for age, waist circumference, smoking, alcohol, AHINREM and weight gain over the follow-up period. AHI = apnoea-hypopnoea index; CPAP = continuous positive airway pressure; NREM = non-rapid eye movement; OSA = obstructive sleep apnoea; RDI = respiratory disturbance index; SBP/DBP = systolic/diastolic blood pressure.