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. Author manuscript; available in PMC: 2021 Oct 16.
Published in final edited form as: Sleep Med Rev. 2018 Jun 11;42:59–67. doi: 10.1016/j.smrv.2018.05.007

Table 2.

Additional details from included studies

Author and date of Publication AHI Definition Changes in Sleep Duration following alcohol use
TST (SD) Alcohol Night Placebo Night P value of difference
Differences based on Sleep Stage
REM AHIR(SD) NREM AHI N(SD) P value of difference
Differences based on hours following alcohol consumption
Hours from sleep onset AHIA/SpO2A alcohol(SD) AHIp/SpO2p placebo(SD) P value of difference
Arnedt et al 2017 30 NA 425.25(42.60)
436.69(31.02)
NS
NA NA
Block et al 1986 19 Apnea: cessation of flow at the nose and mouth for ≥10 s
Hypopnea: Decreased flow and chest movement with oxygen desaturation
Desaturation was thought to be clinically significant when a decrease of 4 >% from the preceding baseline occurred
319.48 (61.01)
338.31 (70.59)
NS
NA NA
Block et al 1987 20 Apnea: cessation of flow at the nose and mouth for ≥10 s
Hypopnea: Decreased flow and chest movement with oxygen desaturation
Desaturation was thought to be clinically significant when a decrease of >4% from the preceding baseline occurred
357 (34)
281.5 (59.82)
P <0.05
NA NA
Brander et al 1992 21 No AHI reported NA NA SpO2 was lower in the first 2 h after alcohol consumption*
Collop et al 1994 22 Apnea: cessation of airflow at the mouth and nose for ≥10 s
Hypopnea: 50% diminution in airflow accompanied by oxygen desaturation of ≥4%
403.7 (24)
346.1 (75.7)
P <0.05
NA 1st 3 hours:
AHIA=23.8 (7.7)
AHIP=7.37 (1.7)
P <0.05
Herzog et al 2004 23 Apnea: 20% reduction to complete cessation of respiratory airflow for >10 s
Hypopnea: 50% reduction in airflow
NA NA NA
Herzog et al 2004 23 Apnea: cessation of nasal pressure recording for ≥10 s
Hypopnea: ≥30% reduction of nasal pressure for ≥10 s with ≥4% desaturation from baseline, with ≥90% of the event’s duration meeting the amplitude reduction criteria for hypopnea
354 (62.5)
354 (65.3)
NS
Izumi et al 2005 24 Apnea: >10 second pause in ventilation
Hypopnea: ≥30% reduction in airflow
NA NA In the latter half of the night:
AHIA=5.5(5.5)
AHIP=1.3(1.6)
P<0.001
In the early half of the night:
SpO2A=94.8(1.4)
SpO2P=95.7(1.3)
P<0.001∞
Kido et al 2016 25 Not Available 482.9 (41.3)
474.1 (38.2)
NS
NA NA
Reimann et al 2010 26 NA NA NA NA
Scanlan et al 2000 27 Apnea: absence of oronasal airflow for >10 s despite continued out-of-phase chest and abdominal movements
Hypopnea: reduction in oronasal airflow for >10 s associated with a >2% fall in SpO2 despite continued out-of-phase chest and abdominal movements, increased submental EMG activity, or snoring
399 (8)
400 (11)
NS
NA NA
Scrima et al 1989 10 No AHI reported, only DBEs.
Apnea: thermistor tracing indicated cessation of breathing for >10 s accompanied by rhythmical bursts of intercostal EMG activity
Hypopnea: discernible decrease but not cessation in ventilation
for >10 s, accompanied by increased respiratory
effort and a decline in SpO2 to 92% or below
NA No difference in DBEs in REM and NREM sleep following alcohol consumption compared to placebo NA
Taasan et al 1981 28 Apnea: cessation of nasal or oral flow ≥ 10 s
Hypopnea: desaturation (≥4%) and simultaneous decrease in air flow or chest movement
NA NA NA
Teschler et al 1996 29 Apnea: episodes of cessation of airflow lasting >10 s
associated with paradoxical movements of the chest wall and abdomen
Hypopnea: episodes other than apneas lasting >10 seconds during which the thermistor signal was reduced to <50% of its magnitude during normal unobstructed breathing and SpO2 dropped by ≥4%
320 (6)
333 (5)
NS
First 2 hours of the night:
AHIA= 41.0(7.8)
AHIP= 45.6(6.2)
NS

AHI= Apnea hypopnea index NA=Not available NS= Not significant AHIA=AHI on alcohol night AHIP=AHI on placebo night SpO2A=SpO2 on alcohol night SpO2P=SpO2 on placebo night DBE=disordered breathing events.

*

Numerical values not provided.∞ No significant difference in AHI in the early part of the night and SpO2 in the latter part of the night