Physical activity, sedentary behaviour and incidence of obstructive sleep apnoea in three prospective US cohorts.

Cross-Sectional Studies Exercise Female Follow-Up Studies Humans Incidence Male Prospective Studies Risk Factors Sedentary Behavior Sleep Apnea, Obstructive / epidemiology

Journal

The European respiratory journal
ISSN: 1399-3003
Titre abrégé: Eur Respir J
Pays: England
ID NLM: 8803460

Informations de publication

Date de publication:
02 2022
Historique:
received: 27 02 2021
accepted: 10 06 2021
pubmed: 23 7 2021
medline: 7 4 2022
entrez: 22 7 2021
Statut: epublish

Résumé

Reduced physical activity and increased sedentary behaviour may independently contribute to the development of obstructive sleep apnoea (OSA) through increased adiposity, inflammation, insulin resistance and body fluid retention. However, epidemiological evidence remains sparse and is primarily limited to cross-sectional studies. We prospectively followed 50 332 women from the Nurses' Health Study (2002-2012), 68 265 women from the Nurses' Health Study II (1995-2013) and 19 320 men from the Health Professionals Follow-up Study (1996-2012). Recreational physical activity (quantified by metabolic equivalent of task (MET)-h per week) and sitting time spent watching TV and at work/away from home were assessed by questionnaires every 2-4 years. Physician-diagnosed OSA was identified by validated self-report. Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals for OSA incidence associated with physical activity and sedentary behaviour. During 2 004 663 person-years of follow-up, we documented 8733 incident OSA cases. After adjusting for potential confounders, the pooled HR for OSA comparing participants with ≥36.0 Higher levels of physical activity and fewer sedentary hours were associated with lower OSA incidence. The potential mediating role of metabolic factors in the association between sedentary behaviour and OSA incidence may depend on the type of sedentary behaviour. Our results suggest that promoting an active lifestyle may reduce OSA incidence.

Sections du résumé

BACKGROUND
Reduced physical activity and increased sedentary behaviour may independently contribute to the development of obstructive sleep apnoea (OSA) through increased adiposity, inflammation, insulin resistance and body fluid retention. However, epidemiological evidence remains sparse and is primarily limited to cross-sectional studies.
METHODS
We prospectively followed 50 332 women from the Nurses' Health Study (2002-2012), 68 265 women from the Nurses' Health Study II (1995-2013) and 19 320 men from the Health Professionals Follow-up Study (1996-2012). Recreational physical activity (quantified by metabolic equivalent of task (MET)-h per week) and sitting time spent watching TV and at work/away from home were assessed by questionnaires every 2-4 years. Physician-diagnosed OSA was identified by validated self-report. Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals for OSA incidence associated with physical activity and sedentary behaviour.
RESULTS
During 2 004 663 person-years of follow-up, we documented 8733 incident OSA cases. After adjusting for potential confounders, the pooled HR for OSA comparing participants with ≥36.0
CONCLUSIONS
Higher levels of physical activity and fewer sedentary hours were associated with lower OSA incidence. The potential mediating role of metabolic factors in the association between sedentary behaviour and OSA incidence may depend on the type of sedentary behaviour. Our results suggest that promoting an active lifestyle may reduce OSA incidence.

Identifiants

DOI: 10.1183/13993003.00606-2021 PMID: 34289976 PMC: PMC8933852
pubmed: 34289976
pii: 13993003.00606-2021
doi: 10.1183/13993003.00606-2021
pmc: PMC8933852
mid: NIHMS1784189
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NCI NIH HHS
ID : U01 CA176726
Pays : United States
Organisme : NCI NIH HHS
ID : U01 CA167552
Pays : United States
Organisme : NHLBI NIH HHS
ID : R35 HL135818
Pays : United States
Organisme : NCI NIH HHS
ID : UM1 CA186107
Pays : United States
Organisme : NHLBI NIH HHS
ID : K01 HL143034
Pays : United States

Informations de copyright

Copyright ©The authors 2022. For reproduction rights and permissions contact permissions@ersnet.org.

Déclaration de conflit d'intérêts

Conflict of interest: Y. Liu has nothing to disclose. Conflict of interest: L. Yang has nothing to disclose. Conflict of interest: M.J. Stampfer has nothing to disclose. Conflict of interest: S. Redline has nothing to disclose. Conflict of interest: S.S. Tworoger has nothing to disclose. Conflict of interest: T. Huang has nothing to disclose.

Références

Prev Med. 2016 Dec;93:183-188
pubmed: 27746338
Diabetes Care. 2018 Oct;41(10):2111-2119
pubmed: 30072403
J Clin Sleep Med. 2020 Jul 15;16(7):1179-1187
pubmed: 32248899
Ann Intern Med. 2015 Jan 20;162(2):123-32
pubmed: 25599350
Physiol Rev. 2010 Jan;90(1):47-112
pubmed: 20086074
Eur Respir J. 2016 Jul;48(1):142-50
pubmed: 27076578
Nat Rev Endocrinol. 2019 Apr;15(4):197-206
pubmed: 30655625
Chest. 2021 Jun;159(6):2439-2448
pubmed: 33529772
Circulation. 2010 Apr 13;121(14):1598-605
pubmed: 20351237
Sleep Breath. 2017 May;21(2):427-434
pubmed: 27837376
Am J Epidemiol. 2018 Jul 1;187(7):1370-1379
pubmed: 29365014
Int J Epidemiol. 1994 Oct;23(5):991-9
pubmed: 7860180
Chest. 2016 Nov;150(5):1042-1049
pubmed: 27327117
Front Neurol. 2018 Feb 22;9:73
pubmed: 29520251
Front Med (Lausanne). 2018 Jan 22;4:256
pubmed: 29404327
J Am Coll Cardiol. 2017 Feb 21;69(7):841-858
pubmed: 28209226
Sleep. 2004 May 1;27(3):480-4
pubmed: 15164902
Am J Epidemiol. 2013 May 1;177(9):1006-14
pubmed: 23589584
Eur Respir J. 2018 Mar 15;51(3):
pubmed: 29449424
Am J Med. 2012 May;125(5):485-90
pubmed: 22482846
Chest. 2017 Nov;152(5):1070-1086
pubmed: 28527878
Am J Respir Crit Care Med. 2014 Jul 15;190(2):218-25
pubmed: 24897551
Am J Clin Nutr. 2010 Oct;92(4):688-96
pubmed: 20702607
Circulation. 2010 Jul 27;122(4):352-60
pubmed: 20625114
Med Sci Sports Exerc. 2011 May;43(5):822-8
pubmed: 20980928
Sleep Med. 2016 Sep;25:156-161
pubmed: 27810258
JAMA Intern Med. 2013 May 27;173(10):929-30
pubmed: 23589169
N Engl J Med. 2005 Nov 10;353(19):2034-41
pubmed: 16282178
Sleep. 2021 Mar 12;44(3):
pubmed: 33015707
Sleep Med Rev. 2018 Dec;42:160-170
pubmed: 30177246
Am J Respir Crit Care Med. 2015 Apr 1;191(7):856-8
pubmed: 25830523
Am J Respir Crit Care Med. 2009 Feb 1;179(3):241-6
pubmed: 19011149
Epidemiology. 1996 Jan;7(1):81-6
pubmed: 8664406
Chest. 2015 Mar;147(3):728-734
pubmed: 25633255

Auteurs

Yue Liu (Y)

Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Lin Yang (L)

Dept of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB, Canada.
Dept of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Dept of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Meir J Stampfer (MJ)

Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Dept of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Dept of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Susan Redline (S)

Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Shelley S Tworoger (SS)

Dept of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Dept of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
ORCID: 0000-0002-6986-7046

Tianyi Huang (T)

Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA tih541@mail.harvard.edu.
Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
ORCID: 0000-0001-8420-9167

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