Bidirectional Association Between Parkinson’s Disease and Obstructive Sleep Apnea: A Cohort Study

Authors

Seung-Ho Jeon
Yun Su Hwang
Sun-Young Oh
Byoung-Soo Shin
Min Gu Kang
Min Gyu Lee
Sang Woo Yeom
Jong Hwan Lee
Hyun Goo Kang
Jong Seung Kim

Publication Date

9-1-2023

Journal

Journal of Clinical Sleep Medicine

Abstract

STUDY OBJECTIVES: Chronic intermittent hypoxia due to obstructive sleep apnea (OSA) causes oxidative stress, which may contribute to the pathophysiology of Parkinson's disease (PD). However, the bidirectional relationship between PD and OSA has not been satisfactorily established. The objective of this study was to try to estimate whether there is a bidirectional relationship between PD and OSA through a retrospective cohort study in the South Korean population.

METHODS: This study used data from the Korean National Health Information Database of the National Health Insurance Service, which contains data from 3.5 million individuals evenly distributed. In study 1, patients with OSA were matched in a 1:2 ratio with non-OSA controls. In study 2, patients with PD were matched in a 1:2 ratio with non-PD controls. A stratified Cox proportional hazards model was used to calculate hazard ratios.

RESULTS: In study 1, which included 6,396 patients with OSA and 12,792 non-OSA controls, the incidence of PD per 10,000 person-years was 11.59 in the OSA group and 8.46 in the non-OSA group. The OSA group demonstrated a 1.54-fold higher incidence of PD than the non-OSA group (95% confidence interval, 1.14-2.07;

CONCLUSIONS: This study supports a possible bidirectional relationship between PD and OSA.

CITATION: Jeon S-H, Hwang YS, Oh S-Y, et al. Bidirectional association between Parkinson's disease and obstructive sleep apnea: a cohort study.

Keywords

Humans, Cohort Studies, Retrospective Studies, Parkinson Disease, Risk Factors, Sleep Apnea, Obstructive, obstructive sleep apnea, Parkinson’s disease, risk factor

Comments

PMID: 37185062