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Sleep-disordered breathing and caffeine consumption: results of a community-based study.

TitleSleep-disordered breathing and caffeine consumption: results of a community-based study.
Publication TypeJournal Article
Year of Publication2012
AuthorsR Aurora, N, Crainiceanu, C, Caffo, B, Punjabi, NM
JournalChest
Volume142
Issue3
Pagination631-638
Date Published2012 Sep
ISSN1931-3543
KeywordsAge Factors, Aged, Caffeine, Carbonated Beverages, Coffee, Data Collection, Drinking Behavior, Female, Humans, Male, Middle Aged, Polysomnography, Prevalence, Retrospective Studies, Sex Factors, Sleep Apnea Syndromes, Tea
Abstract<p><b>BACKGROUND: </b>Sleepiness is one of the most burdensome symptoms of sleep-disordered breathing (SDB). While caffeine is frequently used to avert sleepiness, the association between SDB and caffeine use has not been thoroughly explored. The current study examined whether SDB is associated with caffeine consumption and if factors such as sex, age, and daytime sleepiness explain or modify the association.</p><p><b>METHODS: </b>Data from the Sleep Heart Health Study, a community-based study on the consequences of SDB, were used to characterize the association between SDB and caffeine intake. SDB was assessed with full-montage polysomnography. Caffeine use was quantified as the number of cans of soda or the cups of coffee or tea consumed daily. The Epworth Sleepiness Scale was used to assess daytime sleepiness. Multivariable negative binomial regression models were used to characterize the independent association between SDB and caffeine use.</p><p><b>RESULTS: </b>Caffeinated soda, but not tea or coffee, intake was independently associated with SDB severity. Compared with participants without SDB, the relative ratios for caffeinated soda consumption in women with mild, moderate, and severe SDB were 1.20 (CI, 1.03-1.41), 1.46 (CI, 1.14-1.87), and 1.73 (CI, 1.23-2.42), respectively. For men, an association was only noted with severe SDB and caffeinated soda use. Age did not modify the SDB-caffeine association, and sleepiness could not explain the observed associations.</p><p><b>CONCLUSIONS: </b>SDB is independently associated with caffeinated soda use in the general community. Identifying excessive caffeine used in SDB has potential significance given the cardiovascular effects of caffeine and untreated SDB.</p>
DOI10.1378/chest.11-2894
Alternate JournalChest
PubMed ID22459776
PubMed Central IDPMC3435136
Grant ListR01 HL075078 / HL / NHLBI NIH HHS / United States
R01 HL086862 / HL / NHLBI NIH HHS / United States
HL075078 / HL / NHLBI NIH HHS / United States
HL086862 / HL / NHLBI NIH HHS / United States