Shahar E, Whitney CW, Redline S, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med. 2001;163(1):19–25. https://doi.org/10.1164/ajrccm.163.1.2001008.
Article CAS PubMed Google Scholar
Benjafield AV, Ayas NT, Eastwood PR, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019;7(8):687–98. https://doi.org/10.1016/S2213-2600(19)30198-5.
Article PubMed PubMed Central Google Scholar
Chung F, Abdullah HR, Liao P. STOP-Bang questionnaire: a practical approach to screen for obstructive sleep apnea. Chest. 2016;149(3):631–8. https://doi.org/10.1378/chest.15-0903.
Hirasawa T, Kobayashi M, Nakayama H, et al. Anthropometric screening approach for obstructive sleep apnea in Japanese men: development and validation of the ABC scale. Sleep Sci Pract. 2023;7:Article 10. https://doi.org/10.1186/s41606-023-00094-0.
Rundo JV, Downey R III. Polysomnography. Handb Clin Neurol. 2019;160:381–92. https://doi.org/10.1016/B978-0-444-64032-1.00025-4.
Cagle JL, Young BD, Shih MC, et al. Portable sleep study device versus polysomnography: a meta-analysis. Otolaryngol Head Neck Surg. 2023;168(5):944–55. https://doi.org/10.1002/ohn.179.
Marin JM, Carrizo SJ, Vicente E, Agusti AGN. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365(9464):1046–53. https://doi.org/10.1016/S0140-6736(05)71141-7.
Ministry of Health, Labour and Welfare. e-Stat, Social Medical Service Practice Statistics (formerly: Social Medical Service Practice Survey)/Social Medical Service Practice Statistics/2020 Social Medical Service Practice Statistics Former Report 1. Status of medical practices and prescription activities. Med treat Table 8: Column D, Row 1673. 2021. https://www.e-stat.go.jp/stat-search/files?page=1%26layout=datalist%26toukei=00450048%26tstat=000001029602%26cycle=7%26tclass1=000001154766%26tclass2=000001154767%26tclass3=000001154768%26stat_infid=000032093657%26tclass4val=0. Accessed 16 Aug 2025 (in Japanese).
Kendzerska T, Gershon AS, Hawker G, et al. Obstructive sleep apnea and risk of cardiovascular events and all-cause mortality: a decade-long historical cohort study. PLoS Med. 2014;11(2):e1001599. https://doi.org/10.1371/journal.pmed.1001599.
Article PubMed PubMed Central Google Scholar
Pearson-Stuttard J, Chan MS, Holloway S, Sommer Matthiessen K, Thompson A, Capucci S. Estimating healthcare resource utilisation and cardiovascular events in people with high body mass index and established cardiovascular disease. Diabetes Obes Metab. 2025;27(5):2690–7. https://doi.org/10.1111/dom.16271.
Article PubMed PubMed Central Google Scholar
Pei L, Toyokawa S, Kobayashi Y. Labor factor barriers to seeking medical services among metropolitan workers: a cross-sectional analysis by sex using the J-SHINE study. J Occup Health. 2017;59(5):418–27. https://doi.org/10.1539/joh.16-0242-OA.
Article PubMed PubMed Central Google Scholar
Zhang H, Liang C, Zhang X, et al. Factors influencing patient delay in individuals with obstructive sleep apnoea: a study based on an integrated model. Ann Med. 2022;54(1):2828–40. https://doi.org/10.1080/07853890.2022.2132417.
Article PubMed PubMed Central Google Scholar
Haridoss M, Nandi D, Rajesh Lenin R, et al. Health-seeking behavior and its determinants for non-communicable diseases in India—a systematic review and meta-analysis. Front Public Health. 2025;11(13):1580824. https://doi.org/10.3389/fpubh.2025.1580824.
Ministry of Health, Labour and Welfare. Ethical guidelines for life sciences and medical research involving human subjects: guidance. 2021. https://www.mhlw.go.jp/content/001237478.pdf. Accessed 16 Aug 2025 (in Japanese).
Kayaba M, Sasai-Sakuma T, Takaesu Y, Inoue Y. The relationship between insomnia symptoms and work productivity among blue-collar and white-collar Japanese workers engaged in construction/civil engineering work: a cross-sectional study. BMC Public Health. 2021;21(1):Article 1244. https://doi.org/10.1186/s12889-021-11273-y.
Article PubMed PubMed Central Google Scholar
Umemura S, Arima H, Arima S, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertens Res. 2019;42(9):1235–481. https://doi.org/10.1038/s41440-019-0284-9.
Araki E, Goto A, Kondo T, et al. Japanese clinical practice guideline for diabetes 2019. J Diabetes Investig. 2020;11(4):1020–76. https://doi.org/10.1111/jdi.13306.
Article PubMed PubMed Central Google Scholar
Okamura T, Tsukamoto K, Arai H, et al. Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2022. J Atheroscler Thromb. 2024;31(6):641–853. https://doi.org/10.5551/jat.GL2022.
Article CAS PubMed Google Scholar
Han B, Chen WZ, Li YC, et al. Sleep and hypertension. Sleep Breath. 2020;24(1):351–6. https://doi.org/10.1007/s11325-019-01907-2.
Article CAS PubMed Google Scholar
Matsumoto T, Murase K, Tabara Y, et al. Sleep disordered breathing and metabolic comorbidities across sex and menopausal status in East Asians: the Nagahama Study. Eur Respir J. 2020;56(2):1902251. https://doi.org/10.1183/13993003.02251-2019.
Nayak SS, Kuriyakose D, Polisetty LD, et al. Diagnostic and prognostic value of triglyceride glucose index: a comprehensive evaluation of meta-analysis. Cardiovasc Diabetol. 2024;23(1):Article 310. https://doi.org/10.1186/s12933-024-02392-y.
Article PubMed PubMed Central Google Scholar
Salari N, Khazaie H, Abolfathi M, et al. The effect of obstructive sleep apnea on the increased risk of cardiovascular disease: a systematic review and meta-analysis. Neurol Sci. 2022;43(1):219–31. https://doi.org/10.1007/s10072-021-05765-3.
Ministry of Health, Labour and Welfare. Overview of the 2024 general survey on working conditions. 2024. https://www.mhlw.go.jp/toukei/itiran/roudou/jikan/syurou/24/dl/gaikyou.pdf. Accessed 16 Aug 2025 (in Japanese).
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Lawrence Erlbaum Associates; 1988.
Ministry of Health, Labour and Welfare. Results of the 2018 national health and nutrition survey. 2024. https://www.mhlw.go.jp/content/10900000/000688863.pdf. Accessed 16 Aug 2025 (in Japanese).
Xia F, Sawan M. Clinical and research solutions to manage obstructive sleep apnea: a review. Sensors. 2021;21(5):Article 1784. https://doi.org/10.3390/s21051784.
Article PubMed PubMed Central Google Scholar
Feltner C, Wallace IF, Aymes S, et al. Screening for obstructive sleep apnea in adults: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2022;328(19):1951–71. https://doi.org/10.1001/jama.2022.18357.
Young T, Skatrud J, Peppard PE. Risk factors for obstructive sleep apnea in adults. JAMA. 2004;291(16):2013–6. https://doi.org/10.1001/jama.291.16.2013.
Article CAS PubMed Google Scholar
Kwon Y, Tzeng WS, Seo J, et al. Obstructive sleep apnea and hypertension; critical overview. Clin Hypertens. 2024;30(1):Article 19. https://doi.org/10.1186/s40885-024-00276-7.
Japan Society for the Study of Obesity. Guidelines for the management of obesity disease. Tokyo: Life Science Publishing; 2016.
Matsumoto T, Murase K, Tabara Y, et al. Sleep disordered breathing and metabolic comorbidities across sex and menopausal status in East Asians: the Nagahama Study. Eur Respir J. 2020;56(2):1902251.
Ministry of Health, Labour and Welfare. Chapter 2: the state of health and health awareness. 2024. https://www.mhlw.go.jp/wp/hakusyo/kousei/14/dl/1-02-1.pdf. Accessed 16 Aug 2025 (in Japanese).
Rana AM, Sankari A. Central sleep apnea. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK578199/. Accessed 16 Aug 2025.
Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131(7):485–91. https://doi.org/10.7326/0003-4819-131-7-199910050-00002.
Article CAS PubMed Google Scholar
Quintana-Gallego E, Carmona-Bernal C, Capote F, et al. Gender differences in obstructive sleep apnea syndrome: a clinical study of 1166 patients. Respir Med. 2004;98(10):984–9. https://doi.org/10.1016/j.rmed.2004.03.002.
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