Howarth, Nathan, White, Adam John, Pearce, Alan J., Nowinski, Chris, Cantu, Robert, Ji, Chen and Miller, Michelle A. (2022) Obstructive Sport Apnea (OSA) and contact sports : a systematic review and meta-analysis. Sleep Epidemiology, 2 . 100036. doi:10.1016/j.sleepe.2022.100036 ISSN 2667-3436.

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Abstract

Obstructive sleep apnea (OSA), a frequently under-diagnosed sleep disorder, may lead to future poor health, performance, and wellbeing. Increased OSA prevalence has been reported in individuals who have had a head injury.
We systematically searched EMBASE, PSYCINFO, WEB OF SCIENCE, COCHRANE and PUBMED to 18th June 2022. OSA prevalence and demographic data was extracted according to PRISMA guidelines from 14 eligible studies with 6,116 participants, with study quality assessed using the modified Downs and Black Score.
Meta-analysis of proportions yielded a pooled OSA prevalence of 30.0% (95% confidence interval (CI), 24.0-36.0%) with significant heterogeneity between studies (I 2 13 =94.4%, p<0.001). Sub-group analysis by different sports gave OSA prevalence of: American football (29% (95%CI: 22-36%); Rugby (35.0% (95%CI: 24.0-47.0%)) and ‘other contact’ sports (31% (95%CI: 24.0-37.0%)). Prevalence was higher in retired (from play) (34.0% (95%CI: 25.0-44.0%)) v current (21.0% (95%CI: 10.0-32.0%)) American football players.
The prevalence of OSA in contact sports was higher than that reported in the general population, especially in retired American Football players. Further high-quality longitudinal studies in a wider range of contact sports are required to explore OSA prevalence and its possible effects on participants performance and current and future health.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Sleep apnea syndromes, Sleep disorders, Sleep -- Physiological aspects, Sleep apnea syndromes -- Treatment, Sports -- Psychological aspects
Journal or Publication Title:	Sleep Epidemiology
Publisher:	Elsevier BV
ISSN:	2667-3436
Official Date:	December 2022
Dates:	Date Event December 2022 Published 30 July 2022 Available 21 July 2022 Accepted
Volume:	2
Article Number:	100036
DOI:	10.1016/j.sleepe.2022.100036
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	29 July 2022
Date of first compliant Open Access:	8 August 2022
Related URLs:	Publisher

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