Xue,Xin, Zhao,Li-Bo, Zhao,Zhe, Xu,Wei-Hao, Cai,Wei-Meng, Chen,Shao-Hua, Li,Tian-Jiao, Nie,Ting-Yu, Rui,Dong, Qian,Xiao-Shun, Liu,Lin, Xue,Xin, Zhao,Li-Bo, Zhao,Zhe, Xu,Wei-Hao, Cai,Wei-Meng, Chen,Shao-Hua, Li,Tian-Jiao, Nie,Ting-Yu, Rui,Dong, Qian,Xiao-Shun, and Liu,Lin
Xin Xue,1,2 Li-Bo Zhao,3 Zhe Zhao,3 Wei-Hao Xu,4 Wei-Meng Cai,1 Shao-Hua Chen,1 Tian-Jiao Li,5 Ting-Yu Nie,5 Dong Rui,1 Xiao-Shun Qian,1 Lin Liu1 1Department of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese PLA General Hospital, Beijing, Peopleâs Republic of China; 2National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, Peopleâs Republic of China; 3Department of Vasculocardiology, Second Medical Center of Chinese PLA General Hospital, Beijing, Peopleâs Republic of China; 4Department of Geriatrics, Guangdong Provincial Geriatrics Institute, Guangdong Provincial Peopleâs Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, Peopleâs Republic of China; 5Medical College, Yanâ an University, Yanâ an, Peopleâs Republic of ChinaCorrespondence: Lin Liu; Xiao-Shun Qian, Department of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese PLA General Hospital, Beijing, Peopleâs Republic of China, Tel +86 132 6318 9578 ; +86 135 2127 9287, Email liulin715@qq.com; 13521279287@163.comBackground: The concomitant rise in the prevalence of obstructive sleep apnea (OSA) and frailty among the elderly population has been linked to an increase in mortality rates. Despite continuous positive airway pressure (CPAP) being the gold standard treatment for OSA, its impact on incident frailty remains inadequately explored.Methods: In this cohort study, we analyzed data from 1290 patients diagnosed with OSA, aged 60 years and older. A subset of 71 patients who demonstrated high adherence to CPAP therapy were categorized as the CPAP group. Propensity score matching (PSM) was employed at a 1:4 ratio, matching for variables such as age, gender, body mass index (BMI), and sleep apnea-hypopnea index (AHI), to establish a non-CPAP group for comparison. The FRAIL scale was utilized to evaluate the frailty status of participants. Logistic regression analysis examined