Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study
Abstract Background No studies investigated the whole effect of modifiable lifestyle factors on OSA risk. This study aimed to examine the individual and combined effects of lifestyle factors on OSA risk among Chinese adults. Methods This cross-sectional study included 9733 participants aged 35 to 74...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-021-01818-7 |
| _version_ | 1819007154836733952 |
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| author | Xueru Duan Jun Huang Murui Zheng Wenjing Zhao Lixian Lao Haiyi Li Zhiwei Wang Jiahai Lu Weiqing Chen Hai Deng Xudong Liu |
| author_facet | Xueru Duan Jun Huang Murui Zheng Wenjing Zhao Lixian Lao Haiyi Li Zhiwei Wang Jiahai Lu Weiqing Chen Hai Deng Xudong Liu |
| author_sort | Xueru Duan |
| collection | DOAJ |
| description | Abstract Background No studies investigated the whole effect of modifiable lifestyle factors on OSA risk. This study aimed to examine the individual and combined effects of lifestyle factors on OSA risk among Chinese adults. Methods This cross-sectional study included 9733 participants aged 35 to 74 years from the baseline survey of Guangzhou Heart Study. OSA was evaluated by Berlin Questionnaire. The healthy lifestyle score (HLS), representing the overall effect of lifestyles, was derived from seven lifestyle factors: active smoking, passive smoking, alcohol, diet, waist-hip ratio, leisure-time physical activity, and mental status. Odds ratio (OR) with 95% confidence interval (CI) was calculated using the multivariate logistic regression model. Results 8107 participants were divided into the non-OSA group and 1626 participants into the OSA group. No passive smoking (OR 0.83, 95% CI 0.74–0.94), healthy waist-hip ratio (OR 0.67, 95% CI 0.58–0.77) and healthy mental status (OR 0.45, 95% CI 0. 29–0.73) were associated with a reduced risk of OSA after adjusting for confounders, while others not. Participants with higher HLS were negatively associated with OSA risk (P -trend < 0.001). In comparison to the participants with 0–3 HLS, the OR for participants with 4, 5, 6, and 7 HLS was 0.68 (95% CI 0.56–0.84), 0.71 (95% CI 0.59–0.86), 0.62 (95% CI 0.51–0.76) and 0.49 (95% CI 0.37–0.65) after adjusting for confounders. Every 1-score increment of HLS was associated with a 13% lower risk of OSA. Conclusions The results suggest that HLS reflecting the combined effect of multiple-dimensional lifestyle factors was inversely associated with OSA risk. Preventive strategies integrating multiple lifestyle factors may provide a more feasible approach for OSA prevention. |
| first_indexed | 2024-12-21T00:20:04Z |
| format | Article |
| id | doaj.art-394081297cdf49548095ccdb81f0be35 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-12-21T00:20:04Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-394081297cdf49548095ccdb81f0be352022-12-21T19:22:07ZengBMCBMC Pulmonary Medicine1471-24662022-01-0122111210.1186/s12890-021-01818-7Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional studyXueru Duan0Jun Huang1Murui Zheng2Wenjing Zhao3Lixian Lao4Haiyi Li5Zhiwei Wang6Jiahai Lu7Weiqing Chen8Hai Deng9Xudong Liu10Department of Epidemiology, School of Public Health, Sun Yat-Sen UniversityDepartment of Geriatrics, Institute of Geriatrics, Guangdong Provincial People’s HospitalGuangzhou Center for Disease Control and PreventionSchool of Public Health and Emergency Management, Southern University of Science and TechnologyDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical ScienceShantou University Medical CollegeGuangzhou Center for Disease Control and PreventionDepartment of Epidemiology, School of Public Health, Sun Yat-Sen UniversityDepartment of Epidemiology, School of Public Health, Sun Yat-Sen UniversityDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical ScienceSchool of Public Health, Guangdong Pharmaceutical UniversityAbstract Background No studies investigated the whole effect of modifiable lifestyle factors on OSA risk. This study aimed to examine the individual and combined effects of lifestyle factors on OSA risk among Chinese adults. Methods This cross-sectional study included 9733 participants aged 35 to 74 years from the baseline survey of Guangzhou Heart Study. OSA was evaluated by Berlin Questionnaire. The healthy lifestyle score (HLS), representing the overall effect of lifestyles, was derived from seven lifestyle factors: active smoking, passive smoking, alcohol, diet, waist-hip ratio, leisure-time physical activity, and mental status. Odds ratio (OR) with 95% confidence interval (CI) was calculated using the multivariate logistic regression model. Results 8107 participants were divided into the non-OSA group and 1626 participants into the OSA group. No passive smoking (OR 0.83, 95% CI 0.74–0.94), healthy waist-hip ratio (OR 0.67, 95% CI 0.58–0.77) and healthy mental status (OR 0.45, 95% CI 0. 29–0.73) were associated with a reduced risk of OSA after adjusting for confounders, while others not. Participants with higher HLS were negatively associated with OSA risk (P -trend < 0.001). In comparison to the participants with 0–3 HLS, the OR for participants with 4, 5, 6, and 7 HLS was 0.68 (95% CI 0.56–0.84), 0.71 (95% CI 0.59–0.86), 0.62 (95% CI 0.51–0.76) and 0.49 (95% CI 0.37–0.65) after adjusting for confounders. Every 1-score increment of HLS was associated with a 13% lower risk of OSA. Conclusions The results suggest that HLS reflecting the combined effect of multiple-dimensional lifestyle factors was inversely associated with OSA risk. Preventive strategies integrating multiple lifestyle factors may provide a more feasible approach for OSA prevention.https://doi.org/10.1186/s12890-021-01818-7LifestyleHealthy lifestyle scoreObstructive sleep apnea |
| spellingShingle | Xueru Duan Jun Huang Murui Zheng Wenjing Zhao Lixian Lao Haiyi Li Zhiwei Wang Jiahai Lu Weiqing Chen Hai Deng Xudong Liu Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study BMC Pulmonary Medicine Lifestyle Healthy lifestyle score Obstructive sleep apnea |
| title | Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study |
| title_full | Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study |
| title_fullStr | Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study |
| title_full_unstemmed | Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study |
| title_short | Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study |
| title_sort | association of healthy lifestyle with risk of obstructive sleep apnea a cross sectional study |
| topic | Lifestyle Healthy lifestyle score Obstructive sleep apnea |
| url | https://doi.org/10.1186/s12890-021-01818-7 |
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