Association between obstructive sleep apnea syndrome and blood pressure variability: a meta-analysis - Takeaways - MDSpire
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Linking Obstructive Sleep Apnea Syndrome to Variability in Blood Pressure: A Meta-Analytic Review

  • By

  • Huijia Lei

  • Bo Kong

  • Yanwei Lv

  • Xiaozhu Ge

  • July 6, 2026

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  • 1

    Obstructive sleep apnea syndrome (OSAS) is linked to increased cardiovascular risk and is prevalent in 9–38% of adults.

  • 2

    This meta-analysis included 11 studies with 1,261 OSAS patients and 826 controls, assessing blood pressure variability (BPV) via ambulatory monitoring.

  • 3

    OSAS was associated with significantly higher BPV across all periods, with the largest differences observed during nighttime.

  • 4

    Subgroup analyses indicated a trend of increasing BPV with greater OSAS severity, particularly for nighttime diastolic BP variability.

  • 5

    The certainty of evidence regarding the association between OSAS and BPV ranged from low to very low, highlighting substantial heterogeneity.

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