Joint association of diet quality and physical activity with obstructive sleep apnea: A cross-sectional study.

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL Preventive medicine Pub Date : 2025-01-16 DOI:10.1016/j.ypmed.2025.108226

Wenwei Zuo, Xuelian Yang

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Abstract

Objective: This study aimed to assess the relationship between the independent effects of dietary quality (DQ) (Healthy Eating Index [HEI]-2015) and physical activity (PA) and their joint effects and the risk of obstructive sleep apnea (OSA).

Methods: This cross-sectional study collected information on participants with complete DQ, PA, and OSA diagnostic data from the 2015 to 2020 National Health and Nutrition Examination Survey (NHANES). We used multivariate logistic regression modeling to explore the relationship between the independent and joint effects of DQ and PA and OSA. In addition, sensitivity analyses were conducted to further validate the robustness of the results.

Results: A total of 8050 participants were included in this study, 3930 males and 4120 females. After adjusting for confounders, qualified DQ and high-level PA were significantly associated with a lower risk of OSA, with an odd ratio (OR) of 0.860 (95 % CI: 0.759-0.974) and 0.849 (95 % CI: 0.751-0.961), respectively. In the combined analysis, qualified DQ and high-level PA significantly reduced the risk of OSA (OR: 0.705, 95 % CI: 0.591-0.842). The sensitivity analysis results were consistent with the original results, further validating our findings.

Conclusions: The results of this study demonstrated that the combination of qualified DQ and high-level PA was significantly associated with a reduced risk of OSA. This finding emphasized the importance of a healthy lifestyle in the prevention of OSA.

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饮食质量和身体活动与阻塞性睡眠呼吸暂停的联合关联：一项横断面研究。

目的：本研究旨在评估饮食质量（DQ）（Healthy Eating Index [HEI]-2015）和体力活动（PA）的独立效应及其联合效应与阻塞性睡眠呼吸暂停（OSA）风险的关系。方法：本横断面研究收集了2015年至2020年全国健康与营养检查调查（NHANES）中DQ、PA和OSA诊断数据的完整参与者信息。我们采用多元logistic回归模型探讨DQ、PA与OSA的独立作用和联合作用之间的关系。此外，还进行了敏感性分析，进一步验证了结果的稳健性。结果：共纳入受试者8050人，其中男性3930人，女性4120人。在调整混杂因素后，合格的DQ和高水平的PA与较低的OSA风险显著相关，奇数比（OR）分别为0.860（95 % CI: 0.759-0.974）和0.849（95 % CI: 0.751-0.961）。在综合分析中，合格的DQ和高水平的PA显著降低了OSA的风险（OR: 0.705, 95 % CI: 0.591-0.842）。敏感性分析结果与原始结果一致，进一步验证了我们的发现。结论：本研究结果表明，合格的DQ和高水平的PA结合可显著降低OSA的风险。这一发现强调了健康的生活方式对预防阻塞性睡眠呼吸暂停的重要性。

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.