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Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans.

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Title: Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans.
Authors: Morey, Brittany N., Shi, Yuxi, Ryu, Soomin, Redline, Susan, Kawachi, Ichiro, Park, Hye Won, Lee, Sunmin
Source: Ethnicity & Health. Apr2024, Vol. 29 Issue 3, p295-308. 14p.
Subjects: Hypertension risk factors, Immigrants, Risk assessment, Self-evaluation, Poisson distribution, Korean Americans, Research funding, Secondary analysis, Questionnaires, Chinese Americans, Descriptive statistics, Hypersomnia, Sleep apnea syndromes, Snoring, Sociodemographic factors, Confidence intervals, Data analysis software, Blood pressure measurement, Regression analysis, Disease risk factors, Disease complications
Geographic Terms: Maryland, Washington (D.C.), China, South Korea, United States
Abstract: This study examines associations between sleep apnea risk and hypertension in a sample of immigrant Chinese and Korean Americans. The dataset included Chinese and Korean patients ages 50–75 recruited from primary care physicians' offices from April 2018 to June 2020 in the Baltimore-Washington DC Metropolitan Area (n = 394). Hypertension risk was determined using a combination of blood pressure measurements, self-reported diagnosis of hypertension by a medical professional, and/or self-reported use of antihypertensive medications. Linear regression models examined the associations between sleep apnea risk and blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]). Poisson regression models examined associations sleep apnea risk and hypertension. Models controlled for body mass index (BMI), demographic, and socioeconomic risk factors. We further examined models for potential effect modification by age, gender, Asian subgroup, and obesity, as well as effect modification of daytime sleepiness on the association between snoring and hypertension risk. High risk of sleep apnea appeared to be associated positively with SBP (β = 6.77, 95% CI: 0.00–13.53), but not with DBP. The association was positive for hypertension, but it was not statistically significant (PR = 1.11, 95% CI: 0.87–1.41). We did not find effect modification of the associations between sleep apnea and hypertension risk, but we did find that daytime sleepiness moderated the effect of snoring on SBP. Snoring was associated with higher SBP, primarily in the presence of daytime sleepiness, such that predicted SBP was 133.27 mmHg (95% CI: 126.52, 140.02) for someone with both snoring and daytime sleepiness, compared to 123.37 mmHg (95% CI: 120.40, 126.34) for someone neither snoring nor daytime sleepiness. Chinese and Korean immigrants living in the U.S. who are at high risk of sleep apnea have higher SBP on average, even after accounting for sociodemographic characteristics and BMI. : NCT03481296, date of registration: 3/29/2018 [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans.
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Morey%2C+Brittany+N%2E%22">Morey, Brittany N.</searchLink><br /><searchLink fieldCode="AR" term="%22Shi%2C+Yuxi%22">Shi, Yuxi</searchLink><br /><searchLink fieldCode="AR" term="%22Ryu%2C+Soomin%22">Ryu, Soomin</searchLink><br /><searchLink fieldCode="AR" term="%22Redline%2C+Susan%22">Redline, Susan</searchLink><br /><searchLink fieldCode="AR" term="%22Kawachi%2C+Ichiro%22">Kawachi, Ichiro</searchLink><br /><searchLink fieldCode="AR" term="%22Park%2C+Hye+Won%22">Park, Hye Won</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Sunmin%22">Lee, Sunmin</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. Apr2024, Vol. 29 Issue 3, p295-308. 14p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hypertension+risk+factors%22">Hypertension risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Immigrants%22">Immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Korean+Americans%22">Korean Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Chinese+Americans%22">Chinese Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hypersomnia%22">Hypersomnia</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Snoring%22">Snoring</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Blood+pressure+measurement%22">Blood pressure measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Maryland%22">Maryland</searchLink><br /><searchLink fieldCode="DE" term="%22Washington+%28D%2EC%2E%29%22">Washington (D.C.)</searchLink><br /><searchLink fieldCode="DE" term="%22China%22">China</searchLink><br /><searchLink fieldCode="DE" term="%22South+Korea%22">South Korea</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study examines associations between sleep apnea risk and hypertension in a sample of immigrant Chinese and Korean Americans. The dataset included Chinese and Korean patients ages 50–75 recruited from primary care physicians' offices from April 2018 to June 2020 in the Baltimore-Washington DC Metropolitan Area (n = 394). Hypertension risk was determined using a combination of blood pressure measurements, self-reported diagnosis of hypertension by a medical professional, and/or self-reported use of antihypertensive medications. Linear regression models examined the associations between sleep apnea risk and blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]). Poisson regression models examined associations sleep apnea risk and hypertension. Models controlled for body mass index (BMI), demographic, and socioeconomic risk factors. We further examined models for potential effect modification by age, gender, Asian subgroup, and obesity, as well as effect modification of daytime sleepiness on the association between snoring and hypertension risk. High risk of sleep apnea appeared to be associated positively with SBP (β = 6.77, 95% CI: 0.00–13.53), but not with DBP. The association was positive for hypertension, but it was not statistically significant (PR = 1.11, 95% CI: 0.87–1.41). We did not find effect modification of the associations between sleep apnea and hypertension risk, but we did find that daytime sleepiness moderated the effect of snoring on SBP. Snoring was associated with higher SBP, primarily in the presence of daytime sleepiness, such that predicted SBP was 133.27 mmHg (95% CI: 126.52, 140.02) for someone with both snoring and daytime sleepiness, compared to 123.37 mmHg (95% CI: 120.40, 126.34) for someone neither snoring nor daytime sleepiness. Chinese and Korean immigrants living in the U.S. who are at high risk of sleep apnea have higher SBP on average, even after accounting for sociodemographic characteristics and BMI. : NCT03481296, date of registration: 3/29/2018 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2024.2311417
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 295
    Subjects:
      – SubjectFull: Hypertension risk factors
        Type: general
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Korean Americans
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Chinese Americans
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hypersomnia
        Type: general
      – SubjectFull: Sleep apnea syndromes
        Type: general
      – SubjectFull: Snoring
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Blood pressure measurement
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Maryland
        Type: general
      – SubjectFull: Washington (D.C.)
        Type: general
      – SubjectFull: China
        Type: general
      – SubjectFull: South Korea
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans.
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            – D: 01
              M: 04
              Text: Apr2024
              Type: published
              Y: 2024
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