PMID- 38435388 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240305 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 11 DP - 2024 TI - Seasonal changes in positive airway pressure adherence. PG - 1302431 LID - 10.3389/fmed.2024.1302431 [doi] LID - 1302431 AB - Through their effects on sleep duration, bedroom environments, and pollen allergies, seasonal variations may impact positive airway pressure (PAP) adherence. We analyzed daily PAP telemonitoring data from 25,846 adults (median age 64 years, 67.8% male) treated with PAP for at least 4 months [mean (standard deviation, SD) duration of PAP: 5.5 years (SD 4.1)] to examine seasonal changes in PAP adherence, leaks, and residual apnea-hypopnea index. We demonstrate a significant decrease in PAP adherence in June compared to January (mean (SD): 0.37 (1.54) h/night) that achieved the minimal clinically important difference (MCID) of 30 min in 13.9% of adults. Furthermore, we provide novel data supporting the association of rising temperatures with seasonal changes in PAP use. Indeed, the most pronounced decline in PAP adherence was observed during the hottest days, while PAP adherence was only slightly reduced during the coolest days of June. Clinicians should be aware of seasonal changes in PAP adherence that are likely to be exacerbated by climate change. CI - Copyright (c) 2024 Prigent, Blanloeil, Jaffuel, Serandour, Barlet and Gagnadoux. FAU - Prigent, Arnaud AU - Prigent A AD - Groupe Medical de Pneumologie, Polyclinique Saint-Laurent, Rennes, France. AD - Centre du Sommeil Polyclinique Saint Laurent, Rennes, France. FAU - Blanloeil, Clement AU - Blanloeil C AD - Elia Medical Ouest, Cesson-Sevigne, France. FAU - Jaffuel, Dany AU - Jaffuel D AD - Departement de Pneumologie, Hopital Arnaud de Villeneuve, CHRU de Montpellier, Montpellier, France. AD - INSERM U1046 - CNRS 9214 - Physiologie et Medecine Experimentale Coeur et Muscle, Universite de Montpellier, Montpellier, France. FAU - Serandour, Anne Laure AU - Serandour AL AD - SLB Pharma, Rennes, France. FAU - Barlet, Franck AU - Barlet F AD - i-GEIA 14 rue Pierre Grenier, Boulogne-Billancourt, France. FAU - Gagnadoux, Frederic AU - Gagnadoux F AD - Service de Pneumologie, CHU d'Angers, Angers, France. AD - INSERM, CNRS, MITOVASC, Equipe CarME, SFR ICAT, Universite d'Angers, Angers, France. LA - eng PT - Journal Article DEP - 20240216 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC10904632 OTO - NOTNLM OT - adherence OT - climate OT - obstructive sleep apnea OT - positive airway pressure OT - seasonal changes OT - temperature COIS- AP is a consultant for ResMed and reports personal fees from Elia Medical, Air Liquide Sante, payment or presentations from ResMed Bastide, SOS Oxygene, GSK and Isis Medical, outside the submitted work. Non-financial support from Air Liquide Sante, Asten Sante, SOS O2, Elia Medical, outside the submitted work FG reports personal fees from Air Liquide Sante, Inspire, Bioprojet, ResMed, SEFAM, outside the submitted work; payment or presentations from Philips Respironics, Jazz Pharmaceutical, Bioprojet, Cidelec, Resmed non-financial support from Asten Sante, outside the submitted work. DJ reports personal fees from Nomics, SEFAM, Lowenstein, Bioprojet, outside the submitted work, payment or presentations from SEFAM, Jazz Pharmaceutical, ALK, Novartis grants or contras from ADENE and Bastide outside the submitted work CB is an Elia Medical employee. FB is CEO of ZOS information system which hosts Elia Medical database. AS reports funding from Elia Medical as contract research organization. EDAT- 2024/03/04 06:46 MHDA- 2024/03/04 06:47 PMCR- 2024/02/16 CRDT- 2024/03/04 04:59 PHST- 2023/09/26 00:00 [received] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/03/04 06:47 [medline] PHST- 2024/03/04 06:46 [pubmed] PHST- 2024/03/04 04:59 [entrez] PHST- 2024/02/16 00:00 [pmc-release] AID - 10.3389/fmed.2024.1302431 [doi] PST - epublish SO - Front Med (Lausanne). 2024 Feb 16;11:1302431. doi: 10.3389/fmed.2024.1302431. eCollection 2024.