Table 2.
Baseline and Follow-Up Characteristics of Subjects with Different Baseline OSA Status and Subtypes (N = 234)
Characteristics | Normal (OAHI<1/h) N = 95 | PS N= 47 | OSA (OAHI ≥1/h) N = 92 | P valuee | ||
---|---|---|---|---|---|---|
REM-OSA N = 58 | Non REM-OSA N = 34 | P valued | ||||
Male sex, n (%) | 49 (51.6) | 27 (57.4) | 42 (72.4) | 22 (64.7) | 0.438 | 0.073 |
Follow-up length, years | 10.4 ± 1.0 | 10.7 ± 0.9 | 10.3 ± 1.1 | 10.2 ± 1.2 | 0.580 | 0.123 |
Age, years | ||||||
Baseline | 9.9 ± 1.8 | 9.3 ± 1.8 | 10.0 ± 1.9 | 9.6 ± 1.7 | 0.241 | 0.139 |
Follow-up | 20.3 ± 2.0 | 20.0 ± 1.9 | 20.4 ± 2.0 | 19.8 ± 1.9 | 0.167 | 0.419 |
BMI z score, median (IQR) | ||||||
Baseline | 0.30 (−0.30–1.04) | 0.52 (−0.21–1.16) | 0.71 (−0.11–1.55) | 0.77 (0.12–1.57) | 0.713 | 0.067 |
Follow-up | 0.33 (−0.92–1.00) | 0.20 (−0.31–0.88) | 0.47 (−0.32–0.93) | 0.27 (−0.01–1.17) | 0.783 | 0.557 |
Overweight/obese, n (%) | ||||||
Baseline | 24 (25.3) | 13 (27.7) | 21 (36.2) | 14 (41.2) | 0.636 | 0.251 |
Follow-up | 31 (32.6) | 14 (29.8) | 19 (32.8) | 12 (35.3) | 0.804 | 0.964 |
Tonsils ≥ grade 2, n (%) | ||||||
Baseline | 33 (34.7) | 23 (48.9) | 28 (48.3) | 22 (64.7) | 0.148 | 0.030 |
Follow-up | 11 (11.6) | 9 (19.1) | 12 (20.7) | 4 (11.8) | 0.276 | 0.353 |
Adenoid ≥ grade 2, n (%) | ||||||
Baseline | 29 (30.5) | 14 (29.8) | 19 (32.8) | 14 (41.2) | 0.489 | 0.751 |
Follow-up | NA | NA | NA | NA | ||
Allergic rhinitis, n (%) | ||||||
Baseline | 82 (86.3) | 42 (89.4) | 52 (89.7) | 29 (85.3) | 0.534 | 0.194 |
Follow-up | 67 (70.5) | 31 (66.0) | 45 (77.6) | 25 (73.5) | 0.354 | 0.573 |
Habitual snoring&, n (%) | ||||||
Baseline | 0 (0) | 47 (100) | 19 (32.8) | 11 (32.4) | 0.968 | <0.001 |
Follow-up | 12 (12.6) | 16 (34.0) | 16 (27.6) | 7 (20.6) | 0.454 | 0.019 |
Mouth breathing&, n (%) | ||||||
Baseline | 26 (27.4) | 20 (42.6) | 19 (32.8) | 6 (17.6) | 0.116 | 0.091 |
Follow-up | 16 (16.8) | 17 (36.2) | 21 (36.2) | 6 (17.6) | 0.052 | 0.010 |
ESS score | ||||||
Baseline | 6.0 ± 4.1 | 7.1 ± 3.8 | 6.3 ± 4.3 | 7.0 ± 4.1 | 0.409 | 0.399 |
Follow-up | 7.1 ± 4.1 | 7.7 ± 3.9 | 7.5 ± 4.3 | 6.7 ± 4.8 | 0.413 | 0.672 |
REM sleep duration, minutes | ||||||
Baseline | 105.8 ± 26.4 | 103.5 ± 24.2 | 106.1 ± 21.9 | 96.0 ± 24.8 | 0.045 | 0.214 |
Follow-up | 120.2 ± 32.7 | 114.5 ± 33.9 | 111.5 ± 35.4 | 104.6 ± 38.7 | 0.389 | 0.126 |
NREM sleep duration, minutes | ||||||
Baseline | 377.9 ± 38.1 | 374.3 ± 37.5 | 387.8 ± 29.5 | 378.4 ± 42.3 | 0.211 | 0.251 |
Follow-up | 380.2 ± 50.1 | 383.8 ± 59.9 | 377.9 ± 35.4 | 377.8 ± 65.4 | 0.989 | 0.953 |
OAHI, events/h, median (IQR) | ||||||
Baseline | 0.12 (0.00–0.39)a | 0.22 (0.00–0.50)a | 2.41 (1.38–4.57)b | 2.01 (1.14–3.82)b | 0.261 | <0.001 |
Follow-up | 0.60 (0.00–3.80)a | 1.40 (0.47–5.30)b | 2.05 (0.33–7.42)b | 1.80 (0.48–5.85)b | 0.624 | 0.013 |
OAHIREM, events/h, median (IQR) | ||||||
Baseline | 0.00 (0.00–0.69)a | 0.00 (0.00–1.09)a | 7.85 (5.38–14.15)b | 1.07 (0.35–2.90)c | <0.001 | <0.001 |
Follow-up | 1.28 (0.00–6.00)a | 3.08 (0.59–10.75)a | 8.12 (1.40–24.84)b | 3.36 (0.00–14.11)a,b | 0.089 | 0.003 |
OAHINREM, events/h, median (IQR) | ||||||
Baseline | 0.00 (0.00–0.29)a | 0.00 (0.00–0.30)a | 0.64 (0.40–1.65)b | 2.12 (1.34–3.55)c | <0.001 | <0.001 |
Follow-up | 0.52 (0.13–2.10)a | 0.84 (0.25–3.14)a | 1.51 (0.48–4.21)b | 1.85 (0.57–3.94)b | 0.993 | 0.014 |
ODI, events/h, median (IQR) | ||||||
Baseline | 0.12 (0.00–0.29)a | 0.13 (0.00–0.45)a | 0.53 (0.20–1.50)b | 0.86 (0.48–1.42)b | 0.151 | <0.001 |
Follow-up | 1.26 (0.30–3.80)a | 0.86 (0.20–3.63)a | 2.16 (0.85–5.28)b | 2.70 (0.82–9.30)b | 0.411 | 0.022 |
ArI, events/h, median (IQR) | ||||||
Baseline | 5.63 (4.51–7.66)a | 6.08 (4.76–7.82)a | 7.08 (5.58–8.63)b | 8.24 (6.32–10.71)b | 0.054 | <0.001 |
Follow-up | 11.59 (8.99–15.64) | 12.17 (9.25–15.99) | 12.20 (9.58–16.53) | 13.02 (10.06–16.45) | 0.824 | 0.654 |
SpO2 nadir, % | ||||||
Baseline | 92.9 ± 2.6a | 93.1 ± 1.7a | 91.3 ± 2.8b | 90.4 ± 2.6b | 0.133 | <0.001 |
Follow-up | 92.6 ± 2.7 | 93.1 ± 3.4 | 91.6 ± 3.3 | 91.7 ± 2.5 | 0.845 | 0.051 |
SpO2 nadir in REM, % | ||||||
Baseline | 93.6 ± 2.6a | 93.8 ± 1.5a | 91.5 ± 2.8b | 91.9 ± 2.1b | 0.412 | <0.001 |
Follow-up | 93.4 ± 2.8 | 93.8 ± 3.6 | 92.4 ± 3.2 | 93.1 ± 2.6 | 0.276 | 0.080 |
SpO2 nadir in NREM, % | ||||||
Baseline | 93.8 ± 1.9a | 93.7 ± 1.9a,b | 92.8 ± 1.9b | 90.8 ± 2.7c | <0.001 | <0.001 |
Follow-up | 93.3 ± 2.2a | 93.7 ± 1.9a | 92.8 ± 2.6a,b | 92.1 ± 2.3b | 0.198 | 0.011 |
Daytime SBP, mmHg | ||||||
Baseline* | 111.5 ± 9.6 | 112.0 ± 7.8 | 112.8 ± 8.8 | 114.1 ± 6.5 | 0.533 | 0.635 |
Follow-up | 114.4 ± 9.5 | 115.0 ± 10.2 | 116.2 ± 9.6 | 117.4 ± 9.3 | 0.553 | 0.415 |
Daytime DBP, mmHg | ||||||
Baseline* | 71.1 ± 5.6 | 72.9 ± 5.7 | 71.7 ± 5.5 | 73.4 ± 5.1 | 0.245 | 0.259 |
Follow-up | 72.4 ± 6.0 | 73.3 ± 6.6 | 72.6 ± 6.3 | 73.0 ± 6.3 | 0.780 | 0.876 |
Nighttime SBP, mmHg | ||||||
Baseline* | 99.4 ± 10.3 | 97.8 ± 6.3 | 103.1 ± 9.3 | 100.7 ± 7.3 | 0.293 | 0.089 |
Follow-up | 102.7 ± 8.7 | 103.8 ± 8.9 | 105.2 ± 10.0 | 104.8 ± 8.3 | 0.865 | 0.366 |
Nighttime DBP, mmHg | ||||||
Baseline* | 59.1 ± 6.2 | 58.2 ± 4.8 | 59.9 ± 6.2 | 59.4 ± 5.3 | 0.760 | 0.698 |
Follow-up | 61.9 ± 6.1 | 62.9 ± 6.7 | 62.1 ± 7.1 | 62.0 ± 5.0 | 0.914 | 0.815 |
Nocturnal SBP dipping,% | ||||||
Baseline* | 10.8 ± 5.0a | 12.5 ± 5.0a | 8.4 ± 6.5b | 11.7 ± 5.1a | 0.046 | 0.016 |
Follow-up | 10.1 ± 4.9 | 9.6 ± 6.1 | 9.2 ± 6.1 | 10.6 ± 4.8 | 0.267 | 0.627 |
Nocturnal DBP dipping,% | ||||||
Baseline* | 16.8 ± 6.6 | 19.8 ± 7.4 | 16.4 ± 6.5 | 19.0 ± 5.1 | 0.114 | 0.087 |
Follow-up | 14.5 ± 6.4 | 14.0 ± 7.1 | 14.4 ± 7.3 | 14.8 ± 6.1 | 0.799 | 0.954 |
Any hypertension | ||||||
Baseline* | 14 (20.9) | 3 (10.3) | 10 (26.3) | 5 (21.7) | 0.687 | 0.447 |
Follow-up | 11 (11.6) | 10 (21.3) | 12 (20.7) | 5 (14.7) | 0.452 | 0.347 |
Notes: Data presented as mean ± standard deviation unless otherwise specified. P valued represents the comparisons between REM-OSA and non REM-OSA. P valuee represents the comparisons among all groups by one-way ANOVA, Kruskal–Wallis 1-way ANOVA and Chi-Square for parametric, non-parametric and categorical variables respectively. a,b,c Cells in each row with different superscripts represent statistically significant differences in group means or medians (p<0.05). *Data were available from 67 normal, 29 PS, 38 REM-OSA and 23 non REM-OSA subjects. &Habitual snoring and mouth-breathing ≥ 3 nights per week.
Abbreviations: OSA, obstructive sleep apnea; PS, primary snoring; h, hour; OAHI, obstructive apnea–hypopnea index; REM, rapid-eye-movement; NREM, non-rapid-eye-movement; BMI, body mass index; ESS, Epworth Sleepiness Scale; ODI, oxygen desaturation index; ArI, arousal index; SpO2, oxygen saturation; OAHIREM, OAHI in REM sleep; OAHINREM, OAHI in NREM sleep; DBP, diastolic blood pressure; SBP, systolic blood pressure.