P. Jennum et al., SNORING AND RISK OF STROKE AND ISCHEMIC-HEART-DISEASE IN A 70-YEAR-OLD POPULATION - A 6-YEAR FOLLOW-UP-STUDY, International journal of epidemiology, 23(6), 1994, pp. 1159-1164
Background, A number of studies have demonstrated an association betwe
en habitual snoring and cardiovascular morbidity and mortality. Contro
l for the influence of potential confounders has been inadequate. To c
larify the issue we examined the association between snoring and futur
e risk of ischaemic heart disease (IHD) and stroke while controlling f
or the potential influence of major cardio- and cerebrovascular risk f
actors. Methods. In all, 804 70 year old males and females were classi
fied according to snoring habits. Alcohol and tobacco consumption, blo
od pressure, body mass index, social group, plasma lipids (triglycerid
es, cholesterol, high density lipoprotein), fasting blood glucose, pla
sma epinephrine and norepinephrine were determined at baseline. Result
s. Over a 6-year period (1984-1990) 88 suffered an IHD episode, 60 had
a stroke and 180 died. A slightly higher stroke incidence was found a
mong snorers (relative risk [RR] = 1.8; (95% confidence interval : 1.1
-3.6). When adjustments were made for the above confounders, no associ
ations could be found between snoring and IHD, stroke or all-cause mor
tality. Conclusions. In a 70 year old population, snoring is not assoc
iated with an increased risk of IHD, stroke or all-cause mortality.