Evidence map›Paper›PMID 36971971›Full record

SynthesisSleep & breathing = Schlaf & Atmung2023

Worldwide prevalence and associated risk factors of obstructive sleep apnea: a meta-analysis and meta-regression.

Anna Beatriz de Araujo Dantas, Flávio Magno Gonçalves, Agnes Andrade Martins, Giorvan Ânderson Alves, José Stechman-Neto, Camila de Castro Corrêa, Rosane Sampaio Santos, Weslania Viviane Nascimento, Cristiano Miranda de Araujo, Karinna Veríssimo Meira Taveira

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
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  8. Article
  9. Smartwatch-based detection of moderate-to-severe and high-risk obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Observational
  10. The Case for Incorporating Sleep Medicine Education into Psychiatric Training.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  11. Article
  12. Article
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  14. Article
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  18. Chinese Guidelines for the Diagnosis and Surgical Treatment of Adult Obstructive Sleep Apnea (2024).World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  19. Review
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anna Beatriz de Araujo DantasDepartment of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte (UFRN), BR 101- Lagoa Nova, Natal, RN - 59072-970, Brazil.
Flávio Magno GonçalvesTuiuti University of Paraná (UTP), Curitiba, Brazil.
Agnes Andrade MartinsDepartment of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte (UFRN), BR 101- Lagoa Nova, Natal, RN - 59072-970, Brazil.
Giorvan Ânderson AlvesFederal University of Paraiba (UFPB), João Pessoa, Brazil.
José Stechman-NetoTuiuti University of Paraná (UTP), Curitiba, Brazil.
Camila de Castro CorrêaCenter for Advanced Studies in Systematic Review and Meta-Analysis (NARSM), Curitiba, Brazil.
Rosane Sampaio SantosTuiuti University of Paraná (UTP), Curitiba, Brazil.
Weslania Viviane NascimentoCenter for Advanced Studies in Systematic Review and Meta-Analysis (NARSM), Curitiba, Brazil.
Cristiano Miranda de AraujoTuiuti University of Paraná (UTP), Curitiba, Brazil.
Karinna Veríssimo Meira TaveiraDepartment of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte (UFRN), BR 101- Lagoa Nova, Natal, RN - 59072-970, Brazil. karinnataveira@narsm.com.br.ORCID 0000-0001-6978-4083

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to identify the prevalence of obstructive sleep apnea (OSA) and associated risk factors globally.

methodsSix databases and registrations and three grey databases were explored for observational field research. Independently and impartially paired reviewers selected research, gathered data, and evaluated the methodological quality. Heterogeneity was investigated using subgroup analysis and meta-regression following the moderating variable in a meta-analysis of proportions with a random-effects model. The critical appraisal instrument developed by the Joanna Briggs Institute was used to evaluate the listed studies' methodology. The certainty of the evidence was evaluated using the GRADE tool.

resultsA total of 8236 articles were collected during the database search, resulting in 99 articles included for qualitative synthesis, and 98 articles were included for the meta-analysis. The estimated combined prevalence of OSA was 54% [CI 95% = 46-62%; I2 = 100%]. Mean age, percentage of moderate-severe cases, and the sample's body mass index (BMI) did not affect the heterogeneity that was already present when meta-regressed (p > 0.05). Ninety-one studies were deemed to have a low risk of bias, while eight were deemed to have a moderate risk. For OSA prevalence outcomes, the GRADE criteria were considered very low.

conclusionApproximately half of the people worldwide have OSA. High BMI, increasing age, and male gender are described as risk factors in the literature, but these covariates do not affect pre-existing heterogeneity.

Indexed as

Sleep Apnea, ObstructiveBody Mass IndexHumansMalePrevalenceRisk FactorsObstructive sleep apneaPrevalenceRisk factorsSystematic review

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.