Evidence map›Paper›PMID 42031876›Full record

ArticleScientific reports2026

Breathing bad: increased risk for obstructive sleep apnea in current and former smokers.

Markus Krüger, Christiane Pink, Hanyi Jiang, Antoine Weihs, Chia-Jung Busch, Christian Scharf, Thomas Bremert, Ralf Ewert, Anne Obst, Thomas Penzel and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Markus KrügerPoliklinik für zahnärztliche Prothetik, Alterszahnmedizin und Medizinische Werkstoffkunde, Universitätsmedizin Greifswald, Fleischmann-Str. 42, 17475, Greifswald, Germany. markuskr@uni-greifswald.de.ORCID http://orcid.org/0000-0003-0550-5668
Christiane PinkPoliklinik für Zahnerhaltung, Parodontologie und Endodontologie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-5950-2716
Hanyi JiangKlinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0009-0003-8532-5196
Antoine WeihsKlinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0002-7113-0027
Chia-Jung BuschKlinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-8254-8237
Christian ScharfKlinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-6806-6450
Thomas BremertKlinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie, Universitätsmedizin Greifswald, Greifswald, Germany.
Ralf EwertKlinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0002-6746-9925
Anne ObstKlinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-8567-0502
Thomas PenzelInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4304-0112
Ingo FietzeInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0001-5567-5206
Bernd KordaßPoliklinik für zahnärztliche Prothetik, Alterszahnmedizin und Medizinische Werkstoffkunde, Universitätsmedizin Greifswald, Fleischmann-Str. 42, 17475, Greifswald, Germany.
Thomas KocherPoliklinik für Zahnerhaltung, Parodontologie und Endodontologie, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-9605-2822
Reiner BiffarPoliklinik für zahnärztliche Prothetik, Alterszahnmedizin und Medizinische Werkstoffkunde, Universitätsmedizin Greifswald, Fleischmann-Str. 42, 17475, Greifswald, Germany.ORCID http://orcid.org/0000-0002-0181-1388
Henry VölzkeInstitut für Community Medicine - Department SHIP/ Klinisch-Epidemiologische Forschung, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-7003-399X
Amro DaboulPoliklinik für zahnärztliche Prothetik, Alterszahnmedizin und Medizinische Werkstoffkunde, Universitätsmedizin Greifswald, Fleischmann-Str. 42, 17475, Greifswald, Germany.ORCID http://orcid.org/0000-0001-8998-1025

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) and smoking are both prevalent and impactful health risks. While smoking may contribute to OSA through inflammatory and neuromuscular pathways, population-based evidence on this relationship remains limited and inconsistent. A sample (N = 1,206) from the population-based Study of Health in Pomerania with complete overnight polysomnography and smoking assessment was investigated in a cross-sectional study for an association between OSA and former as well as recent smoking status. Regression models adjusted for Age and BMI were applied. Current smoking was significantly associated with increased apnea-hypopnea-index (AHI) severity (OR = 1.75, 95% CI [1.27; 2.41], p < .001), with stratified analyses confirming the effect across younger and older participants. Former smokers also showed significantly elevated AHI severity compared to never-smokers (OR = 1.76, 95% CI [1.27; 2.43], p < .001). Both current and former smoking were significantly associated with greater OSA severity in this population-based sample, even after accounting for age and BMI. The findings underscore the long-term respiratory consequences of smoking and highlight the need for integrated approaches in smoking cessation and OSA screening.

Indexed as

Sleep Apnea, ObstructiveSmokersSmokingAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPolysomnographyRisk FactorsSeverity of Illness IndexOSAOSASPopulation-basedSmokingSmoking statusStudy of health in Pomerania

Identifiers

PMID42031876
PMCPMC13109426

What Socratic holds

Textmetadata
LicenceCC BY
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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.