The impact of comprehensive healthy lifestyles on obstructive sleep apnea and the mediating role of BMI: insights from NHANES 2005–2008 and 2015–2018 | BMC Pulmonary Medicine


  • Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177(9):1006–14.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Heinzer R, Vat S, Marques-Vidal P, Marti-Soler H, Andries D, Tobback N, Mooser V, Preisig M, Malhotra A, Waeber G, et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3(4):310–8.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Tietjens JR, Claman D, Kezirian EJ, De Marco T, Mirzayan A, Sadroonri B, Goldberg AN, Long C, Gerstenfeld EP, Yeghiazarians Y. Obstructive sleep apnea in Cardiovascular Disease: a review of the literature and proposed Multidisciplinary Clinical Management Strategy. J Am Heart Assoc. 2019;8(1):e010440.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Malhotra A, White DP. Obstructive sleep apnoea. Lancet. 2002;360(9328):237–45.

    Article 
    PubMed 

    Google Scholar
     

  • Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, Pépin JL, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019;7(8):687–98.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365(9464):1046–53.

    Article 
    PubMed 

    Google Scholar
     

  • Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005;353(19):2034–41.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Metabolic disorders associated. With obstructive sleep apnea in adults. Adv Cardiol. 2011;46:67–138.

    Article 

    Google Scholar
     

  • Pase MP, Harrison S, Misialek JR, Kline CE, Cavuoto M, Baril AA, Yiallourou S, Bisson A, Himali D, Leng Y, et al. Sleep Architecture, Obstructive Sleep Apnea, and cognitive function in adults. JAMA Netw Open. 2023;6(7):e2325152.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Bonsignore MR, Baiamonte P, Mazzuca E, Castrogiovanni A, Marrone O. Obstructive sleep apnea and comorbidities: a dangerous liaison. Multidiscip Respir Med. 2019;14:8.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Lévy P, Kohler M, McNicholas WT, Barbé F, McEvoy RD, Somers VK, Lavie L, Pépin JL. Obstructive sleep apnoea syndrome. Nat Rev Dis Primers. 2015;1:15015.

    Article 
    PubMed 

    Google Scholar
     

  • Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):136–43.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Yaffe K, Laffan AM, Harrison SL, Redline S, Spira AP, Ensrud KE, Ancoli-Israel S, Stone KL. Sleep-disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older women. JAMA. 2011;306(6):613–9.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Kechribari I, Kontogianni MD, Georgoulis M, Lamprou K, Critselis E, Vagiakis E, Yiannakouris N. Association of adherence to the Mediterranean diet and physical activity habits with the presence of insomnia in patients with obstructive sleep apnea. Sleep Breath. 2022;26(1):89–97.

    Article 
    PubMed 

    Google Scholar
     

  • Carneiro-Barrera A, Amaro-Gahete FJ, Guillén-Riquelme A, Jurado-Fasoli L, Sáez-Roca G, Martín-Carrasco C, Buela-Casal G, Ruiz JR. Effect of an Interdisciplinary Weight loss and lifestyle intervention on obstructive sleep apnea severity: the INTERAPNEA Randomized Clinical Trial. JAMA Netw Open. 2022;5(4):e228212.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnea: a review. JAMA. 2020;323(14):1389–400.

    Article 
    PubMed 

    Google Scholar
     

  • Zeng X, Ren Y, Wu K, Yang Q, Zhang S, Wang D, Luo Y, Zhang N. Association between Smoking Behavior and Obstructive Sleep Apnea: a systematic review and Meta-analysis. Nicotine Tob Res. 2023;25(3):364–71.

    Article 
    PubMed 

    Google Scholar
     

  • Choi Y, Son B, Shin WC, Nam SU, Lee J, Lim J, Kim S, Yang C, Lee H. Association of Dietary Behaviors with Poor Sleep Quality and increased risk of Obstructive Sleep Apnea in Korean Military Service members. Nat Sci Sleep. 2022;14:1737–51.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Bonsignore MR. Obesity and Obstructive Sleep Apnea. In: From Obesity to Diabetes. edn. Edited by Eckel J, Clément K. Cham: Springer International Publishing; 2022: 181–201.

  • Duan X, Huang J, Zheng M, Zhao W, Lao L, Li H, Wang Z, Lu J, Chen W, Deng H, et al. Association of healthy lifestyle with risk of obstructive sleep apnea: a cross-sectional study. BMC Pulm Med. 2022;22(1):33.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165(9):1217–39.

    Article 
    PubMed 

    Google Scholar
     

  • AlGhanim N, Comondore VR, Fleetham J, Marra CA, Ayas NT. The economic impact of obstructive sleep apnea. Lung. 2008;186(1):7–12.

    Article 
    PubMed 

    Google Scholar
     

  • Watson NF. Health Care savings: the Economic Value of Diagnostic and Therapeutic Care for Obstructive Sleep Apnea. J Clin Sleep Med. 2016;12(8):1075–7.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • National Health and. Nutrition Examination Survey Data [https://www.cdc.gov/nchs/nhanes/index.htm]

  • National Health and Nutrition Examination. Survey Analytic Guidelines [https://wwwn.cdc.gov/Nchs/Nhanes/AnalyticGuidelines.aspx]

  • You Y, Chen Y, Liu R, Zhang Y, Wang M, Yang Z, Liu J, Ma X. Inverted U-shaped relationship between sleep duration and phenotypic age in US adults: a population-based study. Sci Rep. 2024;14(1):6247.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • You Y, Liu J, Li X, Wang P, Liu R, Ma X. Relationship between accelerometer-measured sleep duration and Stroop performance: a functional near-infrared spectroscopy study among young adults. PeerJ. 2024;12:e17057.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Snetselaar LG, de Jesus JM, DeSilva DM, Stoody EE. Dietary guidelines for americans, 2020–2025: understanding the scientific process, guidelines, and key recommendations. Nutr Today. 2021;56(6):287–95.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Krebs-Smith SM, Pannucci TE, Subar AF, Kirkpatrick SI, Lerman JL, Tooze JA, Wilson MM, Reedy J. Update of the healthy eating index: HEI-2015. J Acad Nutr Diet. 2018;118(9):1591–602.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Li Y, Pan A, Wang DD, Liu X, Dhana K, Franco OH, Kaptoge S, Di Angelantonio E, Stampfer M, Willett WC, et al. Impact of healthy lifestyle factors on life expectancies in the US Population. Circulation. 2018;138(4):345–55.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • You Y, Ablitip A, Chen Y, Ding H, Chen K, Cui Y, Ma X. Saturation effects of the relationship between physical exercise and systemic immune inflammation index in the short-sleep population: a cross-sectional study. BMC Public Health. 2024;24(1):1920.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • You Y, Wang R, Li J, Cao F, Zhang Y, Ma X. The role of dietary intake of live microbes in the association between leisure-time physical activity and depressive symptoms: a population-based study. Appl Physiol Nutr Metab. 2024;49(8):1014–24.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Vilar-Gomez E, Nephew LD, Vuppalanchi R, Gawrieh S, Mladenovic A, Pike F, Samala N, Chalasani N. High-quality diet, physical activity, and college education are associated with low risk of NAFLD among the US population. Hepatology. 2022;75(6):1491–506.

    Article 
    PubMed 

    Google Scholar
     

  • Chaput JP, Dutil C, Sampasa-Kanyinga H. Sleeping hours: what is the ideal number and how does age impact this? Nat Sci Sleep. 2018;10:421–30.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Chunnan L, Shaomei S, Wannian L. The association between sleep and depressive symptoms in US adults: data from the NHANES (2007–2014). Epidemiol Psychiatr Sci. 2022;31:e63.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Wang S, Li Y, Yue Y, Yuan C, Kang JH, Chavarro JE, Bhupathiraju SN, Roberts AL. Adherence to healthy Lifestyle prior to infection and risk of Post-COVID-19 Condition. JAMA Intern Med. 2023;183(3):232–41.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Peripheral Neuropathy and All-Cause. Cardiovascular Mortality in U.S. adults. Ann Intern Med. 2021;174(2):167–74.


    Google Scholar
     

  • Rattan P, Penrice DD, Ahn JC, Ferrer A, Patnaik M, Shah VH, Kamath PS, Mangaonkar AA, Simonetto DA. Inverse Association of Telomere length with Liver Disease and Mortality in the US Population. Hepatol Commun. 2022;6(2):399–410.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Duffey KJ, Sutherland LA. Adult cranberry beverage consumers have healthier macronutrient intakes and measures of body composition compared to non-consumers: National Health and Nutrition Examination Survey (NHANES) 2005–2008. Nutrients. 2013;5(12):4938–49.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Siringo M, Gentile G, Caponnetto S, Sperduti I, Santini D, Cortesi E, Gelibter AJ. Evaluation of efficacy of ALK inhibitors according to body Mass Index in ALK rearranged NSCLC Patients-A Retrospective Observational Study. Cancers (Basel) 2023, 15(13).

  • Ho FF, Sun H, Zheng H, Wong DCN, Gao YY, Mao C, Cheung YT, Lam CS, Wang MH, Wu IX, et al. Association of healthy lifestyle behaviours with incident irritable bowel syndrome: a large population-based prospective cohort study. Gut; 2024.

  • You Y, Li J, Zhang Y, Li X, Li X, Ma X. Exploring the potential relationship between short sleep risks and cognitive function from the perspective of inflammatory biomarkers and cellular pathways: insights from population-based and mice studies. CNS Neurosci Ther. 2024;30(5):e14783.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • You Y, Mo L, Tong J, Chen X, You Y. The role of education attainment on 24-hour movement behavior in emerging adults: evidence from a population-based study. Front Public Health. 2024;12:1197150.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Fadeyev K, Nagao-Sato S, Reicks M. Nutrient and Food Group Intakes among U.S. children (2–5 years) Differ by Family income to poverty ratio, NHANES 2011–2018. Int J Environ Res Public Health 2021, 18(22).

  • Santos D, Dhamoon MS. Trends in Antihypertensive Medication Use among individuals with a history of stroke and hypertension, 2005 to 2016. JAMA Neurol. 2020;77(11):1382–9.

    Article 
    PubMed 

    Google Scholar
     

  • Kammerlander AA, Mayrhofer T, Ferencik M, Pagidipati NJ, Karady J, Ginsburg GS, Lu MT, Bittner DO, Puchner SB, Bihlmeyer NA, et al. Association of metabolic phenotypes with coronary artery Disease and Cardiovascular events in patients with stable chest Pain. Diabetes Care. 2021;44(4):1038–45.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Zhang Q, Xiao S, Jiao X, Shen Y. The triglyceride-glucose index is a predictor for cardiovascular and all-cause mortality in CVD patients with diabetes or pre-diabetes: evidence from NHANES 2001–2018. Cardiovasc Diabetol. 2023;22(1):279.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • 2. Classification and diagnosis of diabetes: standards of Medical Care in Diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S15–33.


    Google Scholar
     

  • Qiu S, Jiang Q, Li Y. The association between pan-immune-inflammation value and chronic obstructive pulmonary disease: data from NHANES 1999–2018. Front Physiol. 2024;15:1440264.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Jang YS, Nerobkova N, Hurh K, Park EC, Shin J. Association between smoking and obstructive sleep apnea based on the STOP-Bang index. Sci Rep. 2023;13(1):9085.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Liu X, Chen J, Zhou J, Liu J, Lertpitakpong C, Tan A, Wu S, Mao Z. The relationship between the number of Daily Health-related behavioral risk factors and Sleep Health of the Elderly in China. Int J Environ Res Public Health 2019, 16(24).

  • Tadayon M, Ilkhani M, Abedi P, Haghighi Zadeh M. The relationship between sleep quality and lifestyle in postmenopausal Iranian women: a cross-sectional study. Women Health. 2019;59(8):883–91.

    Article 
    PubMed 

    Google Scholar
     

  • Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284(23):3015–21.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Kim T, Kang J. Relationship between obstructive sleep apnea, insulin resistance, and metabolic syndrome: a nationwide population-based survey. Endocr J. 2023;70(1):107–19.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Dobrosielski DA, Papandreou C, Patil SP, Salas-Salvadó J. Diet and exercise in the management of obstructive sleep apnoea and cardiovascular disease risk. Eur Respir Rev 2017, 26(144).

  • Burgos-Sanchez C, Jones NN, Avillion M, Gibson SJ, Patel JA, Neighbors J, Zaghi S, Camacho M. Impact of Alcohol Consumption on Snoring and Sleep Apnea: a systematic review and Meta-analysis. Otolaryngol Head Neck Surg. 2020;163(6):1078–86.

    Article 
    PubMed 

    Google Scholar
     

  • Lee SA, Paek JH, Han SH. Sleep hygiene and its association with daytime sleepiness, depressive symptoms, and quality of life in patients with mild obstructive sleep apnea. J Neurol Sci. 2015;359(1–2):445–9.

    Article 
    PubMed 

    Google Scholar
     

  • Foster GD, Borradaile KE, Sanders MH, Millman R, Zammit G, Newman AB, Wadden TA, Kelley D, Wing RR, Pi-Sunyer FX, et al. A randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes: the Sleep AHEAD study. Arch Intern Med. 2009;169(17):1619–26.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Reid M, Maras JE, Shea S, Wood AC, Castro-Diehl C, Johnson DA, Huang T, Jacobs DR Jr., Crawford A, St-Onge MP et al. Association between diet quality and sleep apnea in the multi-ethnic study of atherosclerosis. Sleep 2019, 42(1).

  • Patil SP, Schneider H, Schwartz AR, Smith PL. Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest. 2007;132(1):325–37.

    Article 
    PubMed 

    Google Scholar
     

  • Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):144–53.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Chen S, Wang J, Wang J, Gao Q, Zhao X, Guan H, Wang T. Obesity as a mediator linking sleep-disordered breathing to both impaired fasting glucose and type 2 diabetes. Sleep Breath. 2023;27(3):1067–80.

    Article 
    PubMed 

    Google Scholar
     

  • Goodfriend TL. Obesity, sleep apnea, aldosterone, and hypertension. Curr Hypertens Rep. 2008;10(3):222–6.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Fattal D, Hester S, Wendt L. Body weight and obstructive sleep apnea: a mathematical relationship between body mass index and apnea-hypopnea index in veterans. J Clin Sleep Med. 2022;18(12):2723–9.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Carneiro-Barrera A, Amaro-Gahete FJ, Sáez-Roca G, Martín-Carrasco C, Palmeira AL, Ruiz JR. Interdisciplinary Weight loss and Lifestyle Intervention for Daily Functioning and Psychiatric symptoms in obstructive sleep apnea: the INTERAPNEA Randomized Clinical Trial. J Clin Psychiatry 2023, 84(4).

  • Georgoulis M, Yiannakouris N, Kechribari I, Lamprou K, Perraki E, Vagiakis E, Kontogianni MD. The effectiveness of a weight-loss Mediterranean diet/lifestyle intervention in the management of obstructive sleep apnea: results of the MIMOSA randomized clinical trial. Clin Nutr. 2021;40(3):850–9.

    Article 
    PubMed 

    Google Scholar
     

  • You Y, Chen Y, Wei M, Tang M, Lu Y, Zhang Q, Cao Q. Mediation role of recreational physical activity in the relationship between the Dietary Intake of Live microbes and the systemic Immune-inflammation index: a real-world cross-sectional study. Nutrients 2024, 16(6).

  • You Y. Accelerometer-measured physical activity and sedentary behaviour are associated with C-reactive protein in US adults who get insufficient sleep: a threshold and isotemporal substitution effect analysis. J Sports Sci. 2024;42(6):527–36.

    Article 
    PubMed 

    Google Scholar
     

  • You Y, Chen Y, Fang W, Li X, Wang R, Liu J, Ma X. The association between sedentary behavior, exercise, and sleep disturbance: a mediation analysis of inflammatory biomarkers. Front Immunol. 2022;13:1080782.

    Article 
    CAS 
    PubMed 

    Google Scholar
     



  • Source link

    Leave a Reply