Obstructive Sport Apnea (OSA) and contact sports: A systematic review and meta-analysis

Sleep epidemiology Pub Date : 2022-12-01 DOI:10.1016/j.sleepe.2022.100036

Nathan E. Howarth , Adam J. White , Alan J. Pearce , Chris Nowinski , Robert Cantu , Chen Ji , Michelle A Miller

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引用次数: 1

Abstract

Obstructive sleep apnea (OSA), a frequently under-diagnosed sleep disorder, may lead to future poor health, performance, and wellbeing. Increased OSA prevalence has been reported in individuals who have had a head injury.

We systematically searched EMBASE, PSYCINFO, WEB OF SCIENCE, COCHRANE and PUBMED to 18th June 2022. OSA prevalence and demographic data was extracted according to PRISMA guidelines from 14 eligible studies with 6,116 participants, with study quality assessed using the modified Downs and Black Score.

Meta-analysis of proportions yielded a pooled OSA prevalence of 30.0% (95% confidence interval (CI), 24.0–36.0%) with significant heterogeneity between studies (I² = 94.4%, p<0.001). Sub-group analysis by different sports gave OSA prevalence of: American football (29% (95%CI: 22–36%); Rugby (35.0% (95%CI: 24.0–47.0%)) and ‘other contact’ sports (31% (95%CI: 24.0–37.0%)). Prevalence was higher in retired (from play) (34.0% (95%CI: 25.0–44.0%)) v current (21.0% (95%CI: 10.0–32.0%)) American football players.

The prevalence of OSA in contact sports was higher than that reported in the general population, especially in retired American Football players. Further high-quality longitudinal studies in a wider range of contact sports are required to explore OSA prevalence and its possible effects on participants performance and current and future health.

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阻塞性运动呼吸暂停(OSA)和接触性运动:一项系统综述和荟萃分析

阻塞性睡眠呼吸暂停(OSA)是一种经常被误诊的睡眠障碍，可能会导致未来健康状况不佳、表现不佳和幸福。据报道，在头部受伤的个体中，阻塞性睡眠呼吸暂停患病率增加。我们系统地检索了EMBASE、PSYCINFO、WEB OF SCIENCE、COCHRANE和PUBMED至2022年6月18日。根据PRISMA指南，从14项符合条件的研究中提取OSA患病率和人口统计数据，涉及6116名参与者，并使用改良的Downs和Black评分评估研究质量。比例荟萃分析显示，合并OSA患病率为30.0%(95%可信区间(CI)， 24.0-36.0%)，研究间存在显著异质性(I2 = 94.4%， p<0.001)。按不同运动给予OSA患病率的亚组分析为:美式橄榄球(29%)(95%CI: 22-36%);橄榄球(35.0% (95%CI: 24.0-47.0%))和“其他接触性”运动(31% (95%CI: 24.0-37.0%))。退役美式橄榄球运动员(34.0% (95%CI: 25.0-44.0%)和现役美式橄榄球运动员(21.0% (95%CI: 10.0-32.0%))的患病率较高。接触性运动中阻塞性睡眠呼吸暂停的患病率高于一般人群，特别是退役美式足球运动员。需要在更大范围的接触性运动中进行进一步的高质量纵向研究，以探索OSA的患病率及其对参与者表现和当前和未来健康的可能影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep epidemiology Dentistry, Oral Surgery and Medicine, Clinical Neurology, Pulmonary and Respiratory Medicine

CiteScore

1.80

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0.00%

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