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Table 5 Subgroup meta-analysis of main outcomes in patients with asthma in OSA group and non-OSA group

From: The relationship between obstructive sleep apnea and asthma severity and vice versa: a systematic review and meta-analysis

Outcomes and subgroups

No. of studies

Population

WMD

95%CI

I2 (%)

PH

Statistical model

PZ

Between-group P value

FEV1 (%)

All

13

1111

− 2.29

− 4.91, 0.33

75.9

 < 0.001

Random

0.086

–

Age

Children

4

318

− 4.33

− 7.82, − 0.83

48.6

0.120

Random

0.015

0.210

Adult

9

793

− 1.24

− 4.56, 2.08

78.1

 < 0.001

0.464

–

Severity of OSA

AHI ≥ 1 or 5/h

11

1013

− 3.04

− 5.68, − 0.40

77.3

 < 0.001

Random

0.024

0.015

AHI ≥ 15/h

2

98

7.69

− 0.54, 15.93

0

0.557

0.067

–

Severity of asthma

Routine

8

714

− 2.56

− 5.83, 0.70

72.6

0.001

Random

0.124

0.863

Uncontrolled

4

307

− 1.34

− 7.23, 4.54

86.1

 < 0.001

0.655

–

FVC (%)

13

1111

0.01

− 1.92, 1.94

0

0.573

Fixed

0.992

–

FEV1/FVC (%)

All

9

782

− 0.82

− 3.08, 1.44

69.0

0.001

Random

0.477

–

Age

Children

2

141

− 4.75

− 8.55, − 0.95

0

0.446

Random

0.014

0.035

Adult

7

641

0.04

− 2.28, 2.37

67.3

0.005

0.972

–

Severity of OSA

AHI ≥ 1 or 5/h

7

684

− 1.65

− 4.03, 0.74

72.0

0.002

Random

0.176

0.017

AHI ≥ 15/h

2

98

4.83

0.05, 9.61

0

0.482

0.047

–

Severity of asthma

Routine

6

589

− 1.11

− 4.63, 2.41

76.6

0.001

Random

0.536

0.254

Uncontrolled

2

94

1.01

− 0.27, 2.30

0

0.873

0.123

–

FEF25–75%

3

179

− 5.15

− 12.72, 2.42

27.0

0.254

Fixed

0.183

–

ACT score

4

385

− 0.37

− 0.74, 0.00

0

0.688

Fixed

0.050

–

  1. WMD; weighted mean difference, CI; confidence interval, PZ; P value for Z test, PH; P value based on Q test for between-study heterogeneity, %FEV1; forced expiratory volume in one second (%predicted), OSA; obstructive sleep apnea, AHI; apnea/hypopnea index, FVC%; forced vital capacity (%predicted), FEF25-75%; forced expiratory flow (25–75% of VC), ACT; asthma control test