Self-reported snoring and incident cardiovascular disease events

results from the Jackson Heart Study

David M. Rosen, Vaishnavi Kundel, Michael Rueschman, Robert C. Kaplan, Na Guo, James G. Wilson, Yuan I. Min, Susan Redline, Neomi Shah

Research output: Contribution to journalArticle

Abstract

Purpose: Evidence suggests that snoring is associated with increased risk for cardiovascular disease (CVD) events such as myocardial infarction and stroke. Limited data exists pertaining to this association among African Americans. We therefore examined the association between self-reported habitual snoring and incident CVD in the Jackson Heart Study (JHS), a population-based cohort study of African Americans. Methods: Self-reported data on snoring and risk factors for CVD were collected at baseline (2000–2004). Participants were followed prospectively for the development of incident CVD. Habitual snoring was defined as present if the participants reported it as “often” or “almost always” or absent if reported as “sometimes,” “never,” or “seldom.” A CVD event included stroke, myocardial infarction, coronary revascularization procedure, or fatal CHD event. Cox proportional hazards models assessed the independent association between self-reported habitual snoring and incident CVD event adjusting for multiple covariates, including age, sex, hypertension, body mass index, diabetes, hypercholesterolemia, and smoking status. Results: The snorer group consisted of 787 participants (mean age 52.1 years) and the nonsnorer group consisted of 3708 participants (mean age 54.9 years). Frequency of incident CVD events in the snorer group was not significantly different from the nonsnorer group. The fully adjusted hazard ratio for a CVD event in the snorer group was 1.01 (95% confidence interval [0.69, 1.47], p value of 0.96). Conclusion: In conclusion, self-reported habitual snoring was not associated with incident CVD among this large African American cohort. Future studies providing objective data on snoring and sleep apnea may provide more information on the snoring-CVD association among African Americans. Trial registration: Identification Number: NCT00005485.

Original languageEnglish (US)
JournalSleep and Breathing
DOIs
StatePublished - Jan 1 2019

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Snoring
Cardiovascular Diseases
African Americans
Stroke
Myocardial Infarction
Sleep Apnea Syndromes
Hypercholesterolemia
Proportional Hazards Models
Body Mass Index
Cohort Studies
Smoking
Confidence Intervals
Hypertension

Keywords

  • Cardiovascular disease
  • Coronary artery disease
  • Sleep apnea
  • Snoring
  • Stroke

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology

Cite this

Self-reported snoring and incident cardiovascular disease events : results from the Jackson Heart Study. / Rosen, David M.; Kundel, Vaishnavi; Rueschman, Michael; Kaplan, Robert C.; Guo, Na; Wilson, James G.; Min, Yuan I.; Redline, Susan; Shah, Neomi.

In: Sleep and Breathing, 01.01.2019.

Research output: Contribution to journalArticle

Rosen, David M. ; Kundel, Vaishnavi ; Rueschman, Michael ; Kaplan, Robert C. ; Guo, Na ; Wilson, James G. ; Min, Yuan I. ; Redline, Susan ; Shah, Neomi. / Self-reported snoring and incident cardiovascular disease events : results from the Jackson Heart Study. In: Sleep and Breathing. 2019.
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abstract = "Purpose: Evidence suggests that snoring is associated with increased risk for cardiovascular disease (CVD) events such as myocardial infarction and stroke. Limited data exists pertaining to this association among African Americans. We therefore examined the association between self-reported habitual snoring and incident CVD in the Jackson Heart Study (JHS), a population-based cohort study of African Americans. Methods: Self-reported data on snoring and risk factors for CVD were collected at baseline (2000–2004). Participants were followed prospectively for the development of incident CVD. Habitual snoring was defined as present if the participants reported it as “often” or “almost always” or absent if reported as “sometimes,” “never,” or “seldom.” A CVD event included stroke, myocardial infarction, coronary revascularization procedure, or fatal CHD event. Cox proportional hazards models assessed the independent association between self-reported habitual snoring and incident CVD event adjusting for multiple covariates, including age, sex, hypertension, body mass index, diabetes, hypercholesterolemia, and smoking status. Results: The snorer group consisted of 787 participants (mean age 52.1 years) and the nonsnorer group consisted of 3708 participants (mean age 54.9 years). Frequency of incident CVD events in the snorer group was not significantly different from the nonsnorer group. The fully adjusted hazard ratio for a CVD event in the snorer group was 1.01 (95{\%} confidence interval [0.69, 1.47], p value of 0.96). Conclusion: In conclusion, self-reported habitual snoring was not associated with incident CVD among this large African American cohort. Future studies providing objective data on snoring and sleep apnea may provide more information on the snoring-CVD association among African Americans. Trial registration: Identification Number: NCT00005485.",
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AU - Rueschman, Michael

AU - Kaplan, Robert C.

AU - Guo, Na

AU - Wilson, James G.

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AU - Shah, Neomi

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N2 - Purpose: Evidence suggests that snoring is associated with increased risk for cardiovascular disease (CVD) events such as myocardial infarction and stroke. Limited data exists pertaining to this association among African Americans. We therefore examined the association between self-reported habitual snoring and incident CVD in the Jackson Heart Study (JHS), a population-based cohort study of African Americans. Methods: Self-reported data on snoring and risk factors for CVD were collected at baseline (2000–2004). Participants were followed prospectively for the development of incident CVD. Habitual snoring was defined as present if the participants reported it as “often” or “almost always” or absent if reported as “sometimes,” “never,” or “seldom.” A CVD event included stroke, myocardial infarction, coronary revascularization procedure, or fatal CHD event. Cox proportional hazards models assessed the independent association between self-reported habitual snoring and incident CVD event adjusting for multiple covariates, including age, sex, hypertension, body mass index, diabetes, hypercholesterolemia, and smoking status. Results: The snorer group consisted of 787 participants (mean age 52.1 years) and the nonsnorer group consisted of 3708 participants (mean age 54.9 years). Frequency of incident CVD events in the snorer group was not significantly different from the nonsnorer group. The fully adjusted hazard ratio for a CVD event in the snorer group was 1.01 (95% confidence interval [0.69, 1.47], p value of 0.96). Conclusion: In conclusion, self-reported habitual snoring was not associated with incident CVD among this large African American cohort. Future studies providing objective data on snoring and sleep apnea may provide more information on the snoring-CVD association among African Americans. Trial registration: Identification Number: NCT00005485.

AB - Purpose: Evidence suggests that snoring is associated with increased risk for cardiovascular disease (CVD) events such as myocardial infarction and stroke. Limited data exists pertaining to this association among African Americans. We therefore examined the association between self-reported habitual snoring and incident CVD in the Jackson Heart Study (JHS), a population-based cohort study of African Americans. Methods: Self-reported data on snoring and risk factors for CVD were collected at baseline (2000–2004). Participants were followed prospectively for the development of incident CVD. Habitual snoring was defined as present if the participants reported it as “often” or “almost always” or absent if reported as “sometimes,” “never,” or “seldom.” A CVD event included stroke, myocardial infarction, coronary revascularization procedure, or fatal CHD event. Cox proportional hazards models assessed the independent association between self-reported habitual snoring and incident CVD event adjusting for multiple covariates, including age, sex, hypertension, body mass index, diabetes, hypercholesterolemia, and smoking status. Results: The snorer group consisted of 787 participants (mean age 52.1 years) and the nonsnorer group consisted of 3708 participants (mean age 54.9 years). Frequency of incident CVD events in the snorer group was not significantly different from the nonsnorer group. The fully adjusted hazard ratio for a CVD event in the snorer group was 1.01 (95% confidence interval [0.69, 1.47], p value of 0.96). Conclusion: In conclusion, self-reported habitual snoring was not associated with incident CVD among this large African American cohort. Future studies providing objective data on snoring and sleep apnea may provide more information on the snoring-CVD association among African Americans. Trial registration: Identification Number: NCT00005485.

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