Journal of Clinical Sleep Medicine

Article	Citations
Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis	445
Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline	263
Insomnia and psychological reactions during the COVID-19 outbreak in China	151
Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment	124
Sleep is essential to health: an American Academy of Sleep Medicine position statement	119
Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional international study	100
Effect of wearables on sleep in healthy individuals: a randomized crossover trial and validation study	96
Early impact of COVID-19 lockdown on children’s sleep: a 4-week longitudinal study	83
COVID-19 pandemic impact on sleep habits, chronotype and health-related quality of life among high school students: a longitudinal study	71
Potential influences of obstructive sleep apnea and obesity on COVID-19 severity	70
Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine clinical practice guideline	66
The effects of COVID-19 stay-at-home order on sleep, health, and working patterns: a survey study of US health care workers	63
Recommended protocols for the Multiple Sleep Latency Test and Maintenance of Wakefulness Test in adults: guidance from the American Academy of Sleep Medicine	58
Validation of the Withings Sleep Analyzer, an under-the-mattress device for the detection of moderate-severe sleep apnea syndrome	57
Patients with obstructive sleep apnea present with chronic upregulation of serum HIF-1α protein	55
Google Trends reveals increases in internet searches for insomnia during the 2019 coronavirus disease (COVID-19) global pandemic	54
The use of telemedicine for the diagnosis and treatment of sleep disorders: an American Academy of Sleep Medicine update	48
Artificial intelligence in sleep medicine: background and implications for clinicians	48
The impact of the COVID-19 pandemic on sleep medicine practices	47
Daylight saving time: an American Academy of Sleep Medicine position statement	45
Interrater reliability of sleep stage scoring: a meta-analysis	44
Artificial intelligence in sleep medicine: an American Academy of Sleep Medicine position statement	42
Pre-existing and post-pandemic insomnia symptoms are associated with high levels of stress, anxiety, and depression globally during the COVID-19 pandemic	42
Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013–2016 in insured patients actively seeking care	41
Does obstructive sleep apnea lead to increased risk of COVID-19 infection and severity?	41

Safety of lemborexant versus placebo and zolpidem: effects on auditory awakening threshold, postural stability, and cognitive performance in healthy older participants in the middle of the night and u	40
Performance of peripheral arterial tonometry–based testing for the diagnosis of obstructive sleep apnea in a large sleep clinic cohort	37
Use of polysomnography and home sleep apnea tests for the longitudinal management of obstructive sleep apnea in adults: an American Academy of Sleep Medicine clinical guidance statement	36
Sleep, fatigue and burnout among physicians: an American Academy of Sleep Medicine position statement	36
A randomized controlled study of weighted chain blankets for insomnia in psychiatric disorders	35
Effects of respiratory muscle therapy on obstructive sleep apnea: a systematic review and meta-analysis	35
A comparison of automated and manual sleep staging and respiratory event recognition in a portable sleep diagnostic device with in-lab sleep study	34
Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment	33
Mild obstructive sleep apnea increases hypertension risk, challenging traditional severity classification	32
Effects of trazodone versus cognitive behavioral therapy in the insomnia with short sleep duration phenotype: a preliminary study	32
Investigating the relationship between objective measures of sleep and self-report sleep quality in healthy adults: a review	30
Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine clinical practice guideline	30
The impact of lockdown on sleep patterns of children and adolescents with ADHD	30
The prevalence and impact of pre-existing sleep disorder diagnoses and objective sleep parameters in patients hospitalized for COVID-19	29
Evaluation of the Consensus Sleep Diary in a community sample: comparison with single-channel electroencephalography, actigraphy, and retrospective questionnaire	29
The (mis)perception of sleep: factors influencing the discrepancy between self-reported and objective sleep parameters	29
Long-term obstructive sleep apnea therapy: a 10-year follow-up of mandibular advancement device and continuous positive airway pressure	29
Sleep disparities in the era of the COVID-19 pandemic highlight the urgent need to address social determinants of health like the virus of racism	29
Patients with epiglottic collapse showed less severe obstructive sleep apnea and good response to treatment other than continuous positive airway pressure: a case-control study of 224 patients	29
Disrupted nighttime sleep and sleep instability in narcolepsy	28
Interrater sleep stage scoring reliability between manual scoring from two European sleep centers and automatic scoring performed by the artificial intelligence–based Stanford-STAGES algorithm	27
Severe OSA associated with higher risk of mortality in stage III and IV lung cancer	26
Predicting sleep apnea from three-dimensional face photography	26
Impact of the novel coronavirus disease on treatment adherence and sleep duration in patients with obstructive sleep apnea treated with positive airway pressure	26
Effects of exercise training on sleep quality and heart rate variability in middle-aged and older adults with poor sleep quality: a randomized controlled trial	25
Automatic analysis of single-channel sleep EEG in a large spectrum of sleep disorders	25
Obstructive sleep apnea and COVID-19 clinical outcomes during hospitalization: a cohort study	24
Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment	24
Physical activity is associated with reduced prevalence of self-reported obstructive sleep apnea in a large, general population cohort study	23
Impact of COVID-19 lockdown on sleep in children with autism spectrum disorders	23
Did the COVID-19 lockdown really have no impact on young children’s sleep?	23
Developing a cognitive behavioral therapy for hypersomnia using telehealth: a feasibility study	23
Positional obstructive sleep apnea within a large multicenter French cohort: prevalence, characteristics, and treatment outcomes	23
Sleep-related movement disorders in a population of patients with epilepsy: prevalence and impact of restless legs syndrome and sleep bruxism	22
Effects of saffron on sleep quality in healthy adults with self-reported poor sleep: a randomized, double-blind, placebo-controlled trial	22
Patients with idiopathic pulmonary fibrosis with and without obstructive sleep apnea: differences in clinical characteristics, clinical outcomes, and the effect of PAP treatment	22
An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ide	22
Vitamin D and sleep in children	21
Management of REM sleep behavior disorder: an American Academy of Sleep Medicine clinical practice guideline	21
Screening of obstructive sleep apnea in patients who snore using a patch-type device with electrocardiogram and 3-axis accelerometer	21
Associations between prenatal sleep and psychological health: a systematic review	21
Healthier dietary patterns are associated with better sleep quality among midlife Mexican women	21
COVID-19 and obstructive sleep apnea	21
Evaluating consumer and clinical sleep technologies: an American Academy of Sleep Medicine update	21
Primary site identification in children with obstructive sleep apnea by computational fluid dynamics analysis of the upper airway	21
Auto-titrating CPAP for the treatment of obstructive sleep apnea in children	21
Oxygen desaturation rate as a novel intermittent hypoxemia parameter in severe obstructive sleep apnea is strongly associated with hypertension	21
The prevalence and comorbidities of obstructive sleep apnea in middle-aged men and women: the Busselton Healthy Ageing Study	20
Adherence with positive airway pressure therapy for obstructive sleep apnea in developing vs. developed countries: a big data study	20
The relationship between sleep-disordered breathing, blood pressure, and urinary cortisol and catecholamines in children	20

Use of positive airway pressure in mild cognitive impairment to delay progression to dementia	20
Behavioral interventions for infant sleep problems: the role of parental cry tolerance and sleep-related cognitions	20
Craniofacial features in children with obstructive sleep apnea: a systematic review and meta-analysis	20
Incremental health care utilization and expenditures for sleep disorders in the United States	20
Circadian rhythm sleep-wake disorders and the COVID-19 pandemic	19
Belun Ring Platform: a novel home sleep apnea testing system for assessment of obstructive sleep apnea	19
Comparison of the effect of lemborexant with placebo and zolpidem tartrate extended release on sleep architecture in older adults with insomnia disorder	19
Low repeatability of Epworth Sleepiness Scale after short intervals in a sleep clinic population	19
Opioids and obstructive sleep apnea	19
The role of acetazolamide in sleep apnea at sea level: a systematic review and meta-analysis	19
Association between obstructive sleep apnea and lipid metabolism during REM and NREM sleep	19
When will we ditch the AHI?	18
Rethinking bedtime resistance in children with autism: is restless legs syndrome to blame?	18
Short-term insomnia disorder in health care workers in an academic medical center before and during COVID-19: rates and predictive factors	18
Perspectives on primary care management of obstructive sleep apnea: a qualitative study of patients and health care providers	18
Effectiveness of an intensive weight-loss program for severe OSA in patients undergoing CPAP treatment: a randomized controlled trial	18
Prevalence, risk correlates, and health comorbidities of insomnia in US military veterans: results from the 2019–2020 National Health and Resilience in Veterans Study	18
Pulmonary artery hemodynamics are associated with duration of nocturnal desaturation but not apnea-hypopnea index	18
Urgent wake up call for the National Basketball Association	18
Frequency and severity of autonomic symptoms in idiopathic hypersomnia	17
Restless sleep disorder in children with attention-deficit/hyperactivity disorder	17
Untreated obstructive sleep apnea is associated with increased hospitalization from influenza infection	17
The relationship between smartphone overuse and sleep in younger children: a prospective cohort study	17
Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and th	17
Prevalence of sleep-disordered breathing in opioid users with chronic pain: a systematic review and meta-analysis	17
Prevalence of common sleep disorders in a middle-aged community sample	17
What is the role of sleep in physician burnout?	17
REM-related obstructive sleep apnea: when does it matter? Effect on motor memory consolidation versus emotional health	16
Obstructive sleep apnea, renin-angiotensin system, and COVID-19: possible interactions	16
Sleeping through a pandemic: impact of COVID-19–related restrictions on narcolepsy and idiopathic hypersomnia	16
Night-to-night variability in obstructive sleep apnea using peripheral arterial tonometry: a case for multiple night testing	16
Obstructive sleep apnea and insulin resistance in children with obesity	16
Jaw thrust versus the use of a boil-and-bite mandibular advancement device as a screening tool during drug-induced sleep endoscopy	16
Sex differences in deterioration of sleep properties associated with aging: a 12-year longitudinal cohort study	16
Spontaneous reporting of onset of disturbing dreams and nightmares related to early life traumatic experiences during the COVID-19 pandemic by patients with posttraumatic stress disorder in remission	16
Primary aldosteronism is highly prevalent in patients with hypertension and moderate to severe obstructive sleep apnea	16
Sleep-wake characteristics, daytime sleepiness, and glycemia in young adults with type 1 diabetes	16
Insomnia in patients with coronary heart disease: prevalence and correlates	16
Profile of subjective-objective sleep discrepancy in patients with insomnia and sleep apnea	16
Mechanism of excessive wake time when associated with obstructive sleep apnea or periodic limb movements	16
Shift work and health outcomes: an umbrella review of systematic reviews and meta-analyses of epidemiological studies	16
Dose-response relationship between weight loss and improvements in obstructive sleep apnea severity after a diet/lifestyle interventions: secondary analyses of the “MIMOSA” randomized clinical trial	16
Association of obstructive sleep apnea and nocturnal hypoxemia with all-cancer incidence and mortality: a systematic review and meta-analysis	15
Objective measurements for upper airway obstruction in infants with Robin sequence: what are we measuring? A systematic review	15
Symptom subtypes and risk of incident cardiovascular and cerebrovascular disease in a clinic-based obstructive sleep apnea cohort	15
The effectiveness of an individualized sleep and shift work education and coaching program to manage shift work disorder in nurses: a randomized controlled trial	15
Home PAP devices in patients infected with COVID-19	15
Comparison of multichannel and single-channel wrist-based devices with polysomnography to measure sleep in children and adolescents	15
Dream enactment behavior—a real nightmare: a review of post-traumatic stress disorder, REM sleep behavior disorder, and trauma-associated sleep disorder	15
Feasibility of parent-attended ambulatory polysomnography in children with suspected obstructive sleep apnea	15
Prevalence of sleep-disordered breathing and associations with malocclusion in children	15
The effects of mandibular advancement appliance therapy on jaw-closing muscle activity during sleep in patients with obstructive sleep apnea: a 3–6 months follow-up	15
Impact of obstructive sleep apnea on cardiometabolic health in a random sample of older adults in rural South Africa: building the case for the treatment of sleep disorders in under-resourced settings	14
Factors related to positive airway pressure therapy adherence in children with obesity and sleep-disordered breathing	14
Slow-oscillation activity is reduced and high frequency activity is elevated in older adults with insomnia	14
Heart rate variability during sleep in children and adolescents with restless sleep disorder: a comparison with restless legs syndrome and normal controls	14
Are sleep paralysis and false awakenings different from REM sleep and from lucid REM sleep? A spectral EEG analysis	14
Sleep health service in China during the coronavirus disease outbreak	14
The association between obstructive sleep apnea risk and cognitive disorders: a population-based study	14
Racial disparities in positive airway pressure therapy adherence among veterans with obstructive sleep apnea	14
A transition to the American Academy of Sleep Medicine–recommended hypopnea definition in adults: initiatives of the Hypopnea Scoring Rule Task Force	14
Estimating sleep stages using cardiorespiratory signals: validation of a novel algorithm across a wide range of sleep-disordered breathing severity	14
Combination of atomoxetine with the novel antimuscarinic aroxybutynin improves mild to moderate OSA	14
The world war against the COVID-19 outbreak: don’t forget to sleep!	13
Assessment of sleep health in collegiate athletes using the Athlete Sleep Screening Questionnaire	13
Hot-water bathing before bedtime and shorter sleep onset latency are accompanied by a higher distal-proximal skin temperature gradient in older adults	13
Mandibular advancement device use in obstructive sleep apnea: ORCADES study 5-year follow-up data	13
Dream enactment behavior: review for the clinician	13
Reliability and validity of the Pittsburgh Sleep Quality Index among frontline COVID-19 health care workers using classical test theory and item response theory	13
Effect of depression, anxiety, and stress symptoms on response to cognitive behavioral therapy for insomnia in patients with comorbid insomnia and sleep apnea: a randomized controlled trial	13
Comparison of home ambulatory type 2 polysomnography with a portable monitoring device and in-laboratory type 1 polysomnography for the diagnosis of obstructive sleep apnea in children	13
The effects of the COVID-19 pandemic on patients with narcolepsy	13
The effect of gradually increased mandibular advancement on the efficacy of an oral appliance in the treatment of obstructive sleep apnea	13
Impact of daily caffeine intake and timing on electroencephalogram-measured sleep in adolescents	13
Clinical screening tools for obstructive sleep apnea in a population with atrial fibrillation: a diagnostic accuracy trial	13
OSA as a probable risk factor for severe COVID-19	13
Cardiovascular changes in children with obstructive sleep apnea and obesity after treatment with noninvasive ventilation	12
Sleep telemedicine training in fellowship programs: a survey of program directors	12
Mirtazapine for sleep disturbances in Angelman syndrome: a retrospective chart review of 8 pediatric cases	12
Restless legs syndrome is associated with mast cell activation syndrome	12

Interpreting CPAP device respiratory indices in children	12
Sleep-related (psychogenic) dissociative disorders as parasomnias associated with a psychiatric disorder: update on reported cases	12
Effect of a behavioral-educational sleep intervention for first-time mothers and their infants: pilot of a controlled trial	12
Positional obstructive sleep apnea in an obese pediatric population	12
Night-to-night fluctuations in sleep apnea severity: diagnostic and treatment implications	12
Postmigration stress and sleep disturbances mediate the relationship between trauma exposure and posttraumatic stress symptoms among Syrian and Iraqi refugees	12
Restless legs syndrome is associated with long-COVID in women	12
Home sleep apnea testing of adults with chronic heart failure	12
Primary care provider evaluation and management of insomnia	12
Efficacy of a novel oral appliance and the role of posture on nasal resistance in obstructive sleep apnea	12
Sleep and pain in humans with fibromyalgia and comorbid insomnia: double-blind, crossover study of suvorexant 20 mg versus placebo	12
Improving outcomes of hypoglossal nerve stimulation therapy: current practice, future directions, and research gaps. Proceedings of the 2019 International Sleep Surgery Society Research Forum	12
Association between septal deviation and OSA diagnoses: a nationwide 9-year follow-up cohort study	12
A validation study of a ballistocardiograph sleep tracker against polysomnography	12
Defining the patterns of PAP adherence in pediatric obstructive sleep apnea: a clustering analysis using real-world data	12
Factors influencing adherence to oral appliance therapy in adults with obstructive sleep apnea: a systematic review and meta-analysis	12
Discriminating the severity of pharyngeal collapsibility in men using anthropometric and polysomnographic indices	12
Evaluation of drug-induced sleep endoscopy as a tool for selecting patients with obstructive sleep apnea for maxillomandibular advancement	12
Exercise capacity and comorbidities in patients with obstructive sleep apnea	12
Twenty-year follow-up of children with obstructive sleep apnea	12
The relationship between diurnal variation of cytokines and symptom expression in mild obstructive sleep apnea	11
Management of REM sleep behavior disorder: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment	11
Does total sleep time substantially increase after cognitive behavioral therapy for insomnia?	11
Body position during laboratory and home polysomnography compared to habitual sleeping position at home	11
Partial epiglottectomy improves residual apnea-hypopnea index in patients with epiglottis collapse	11
Diagnosis and management of sleep disorders in Prader-Willi syndrome	11
Sleep and circadian instability in delayed sleep-wake phase disorder	11
Prescription medications for insomnia are associated with suicidal thoughts and behaviors in two nationally representative samples	11
CPAP adherence is associated with reduced inpatient utilization among older adult Medicare beneficiaries with pre-existing cardiovascular disease	11
Twice is nice? Test-retest reliability of the Multiple Sleep Latency Test in the central disorders of hypersomnolence	11
The impact of sleep problems on functional and cognitive outcomes in children with Down syndrome: a review of the literature	11
Doxepin in children and adolescents with symptoms of insomnia: a single-center experience	11
The maturation changes of sleep-related respiratory abnormalities in infants with laryngomalacia	11
Cognitive profiles in obstructive sleep apnea: a cluster analysis in sleep clinic and community samples	11
Long-term changes of stimulation intensities in hypoglossal nerve stimulation	11
Narcolepsy type 1 features across the life span: age impact on clinical and polysomnographic phenotype	11
Screening for obstructive sleep apnea using a contact-free system compared with polysomnography	11
Insomnia episodes, new-onset pharmacological treatments, and other sleep disturbances during the COVID-19 pandemic: a nationwide cross-sectional study in Brazilian health care professionals	11
CPAP adherence is associated with reduced risk for stroke among older adult Medicare beneficiaries with obstructive sleep apnea	11
The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis	11
Effects of solriamfetol in a long-term trial of participants with obstructive sleep apnea who are adherent or nonadherent to airway therapy	11
Self-reported symptoms and objective measures in idiopathic hypersomnia and hypersomnia associated with psychiatric disorders: a prospective cross-sectional study	11
The Psychomotor Vigilance Test as a measure of alertness and sleep inertia in people with central disorders of hypersomnolence	11
Impact of patient and family engagement in improving continuous positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial	10
Impacts of travel distance and travel direction on back-to-back games in the National Basketball Association	10
School start time change and motor vehicle crashes in adolescent drivers	10
Correlations between home sleep apnea tests and polysomnography outcomes do not fully reflect the diagnostic accuracy of these tests	10
The differential impact of respiratory event scoring criteria on CPAP eligibility in women and men	10
A comparison of 2 visual methods for classifying obstructive vs central hypopneas	10
Risk factors of persistent insomnia among survivors of traumatic injury: a retrospective cohort study	10
The treatment of mild OSA with CPAP or mandibular advancement device and the effect on blood pressure and endothelial function after one year of treatment	10
Terrible twos: intravenous iron ameliorates a toddler’s iron deficiency and sleep disturbance	10
Perceived challenges in pediatric narcolepsy: a survey of parents, youth, and sleep physicians	10
Sleep education improves knowledge but not sleep quality among medical students	10
Obstructive sleep apnea in patients with head and neck cancer: a systematic review	10
Socioeconomic inequalities in pediatric obstructive sleep apnea	10
Prevalence of pulmonary hypertension on echocardiogram in children with severe obstructive sleep apnea	10
Prevalence of isolated RBD in the city of Catania, Italy: a population-based study	10
Sleep Well! An adapted behavioral sleep intervention implemented in urban primary care	10
Sleeping patterns and childhood obesity: an epidemiological study in 1,728 children in Greece	10
Insomnia and suicide as reported adverse effects of second-generation antipsychotics and mood stabilizers	10
A meta-analysis of diagnostic test performance of peripheral arterial tonometry studies	10
Obstructive sleep apnea and the retina: a review	10
Treatment usage patterns of oral appliances for obstructive sleep apnea over the first 60 days: a cluster analysis	10
Self-reported and actigraphic short sleep duration in older adults	10
Sleep quality among health care workers during the COVID-19 pandemic	10
Indirect treatment comparison of solriamfetol, modafinil, and armodafinil for excessive daytime sleepiness in obstructive sleep apnea	10
Noninvasive neuromodulation reduces symptoms of restless legs syndrome	10
A population-based estimate of the health care burden of obstructive sleep apnea using a STOP-BAG questionnaire in South Carolina	10
Status of the practice of sleep medicine in India during the COVID-19 pandemic	10
Selective serotonin reuptake inhibitor use is associated with worse sleep-related breathing disturbances in individuals with depressive disorders and sleep complaints: a retrospective study	10
Obstructive sleep apnea predicts 10-year cardiovascular disease–related mortality in the Sleep Heart Health Study: a machine learning approach	10
Sleep medicine in Africa: past, present, and future	10
Idiopathic Hypersomnia Severity Scale to better quantify symptoms severity and their consequences in idiopathic hypersomnia	10
Diagnosis of sleep apnea without sensors on the patient ’ s face	10
Changes in the objective measures of sleep between the initial nights of menses and the nights during the midfollicular phase of the menstrual cycle in collegiate female athletes	10
Impaired central control of sleep depth propensity as a common mechanism for excessive overnight wake time: implications for sleep apnea, insomnia and beyond	10
Impacts of serum vitamin D levels on sleep and daytime sleepiness according to working conditions	10
Sleep in hospitalized patients with chronic obstructive pulmonary disease: an observational study	10
The accuracy of a portable sleep monitor to diagnose obstructive sleep apnea in adolescent patients	10
Association of sleep disturbance and freezing of gait in Parkinson disease: prevention/delay implications	10
Home sleep apnea testing in the era of COVID-19: a community perspective	9
Adherence to continuous positive airway pressure reduces the risk of 30-day hospital readmission among older adults with comorbid obstructive sleep apnea and cardiovascular disease	9
Tracheal sounds for the scoring of sleep respiratory events in children	9
Impact of obstructive sleep apnea on left ventricular mass index in men with coronary artery disease	9
Adult cases of late-onset congenital central hypoventilation syndrome and paired-like homeobox 2B-mutation carriers: an additional case report and pooled analysis	9
Behaviorally and environmentally induced non–24-hour sleep-wake rhythm disorder in sighted patients	9
Survival benefit of continuous positive airway pressure in Japanese patients with obstructive sleep apnea: a propensity-score matching analysis	9
Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research	9
Tailored Approach to Sleep Health Education (TASHE): a randomized controlled trial of a web-based application	9
Tridimensional upper airway assessment in male patients with OSA using oral advancement devices modifying their vertical dimension	9
Validation of the STOP questionnaire as a screening tool for OSA among different populations: a systematic review and meta-regression analysis	9
Comorbid parasomnias in narcolepsy and idiopathic hypersomnia: more REM than NREM parasomnias	9
A series of 8 cases of sleep-related psychogenic dissociative disorders and proposed updated diagnostic criteria	9
The risk of cardiovascular and cerebrovascular disease in overlap syndrome: a meta-analysis	9