Yohannes Adama Melaku, Lijun Zhao, Robert Adams, Danny J Eckert
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引用次数: 0
Abstract
Introduction: Obstructive sleep apnoea (OSA) and obesity commonly coexist. Weight loss and exercise are recommended management options for OSA. However, most of the current evidence on diet and OSA is focused on calorie restriction rather than diet quality. The aim of the present study was to determine the association of plant-based dietary indices (PDI) with OSA risk.
Methods: Cross-sectional data from 14 210 participants of the National Health and Nutrition Examination Survey who provided dietary information using the 24-hour recall method were used. PDI - including healthy (hPDI), unhealthy (uPDI) and pro-vegetarian diet index (PVDI) - were determined. OSA risk was determined using the STOP-BANG questionnaire. Logistic regression was used to determine the relationship between dietary indices and OSA risk.
Results: Higher adherence to PDI (odds ratio (OR)Q5 versus Q1=0.81; 95% confidence interval (CI): 0.66-1.00), hPDI (OR=0.83; 95% CI: 0.69-1.01) and PVDI (OR=0.84; 95% CI: 0.68-1.05) was inversely associated with OSA risk, whereas higher consumption of an unhealthy plant-based diet (OR=1.22; 95% CI: 1.00-1.49) was positively associated with OSA. Sex differences in estimates were observed for PDI in males (OR=0.71; 95% CI: 0.56-0.90) versus females (OR=0.93; 95% CI: 0.68-1.28), hPDI in males (OR=0.90; 95% CI: 0.68-1.18) versus females (OR=0.77; 95% CI: 0.54-1.09) and uPDI in males (OR=1.13; 95% CI: 0.89-1.44) versus females (OR=1.42; 95% CI: 1.03-1.97) but not for PVDI.
Conclusions: Higher adherence to a healthy plant-based diet is associated with reduced OSA risk, while an unhealthy plant-based diet has a positive association. The magnitude of these associations differs by sex. Further longitudinal studies are warranted.
导言：阻塞性睡眠呼吸暂停（OSA）和肥胖通常同时存在。减肥和运动是治疗 OSA 的推荐方案。然而，目前有关饮食与 OSA 的证据大多集中在卡路里限制上，而不是饮食质量上。本研究旨在确定植物性饮食指数（PDI）与 OSA 风险之间的关系：方法：本研究使用了 14 210 名美国国家健康与营养调查（National Health and Nutrition Examination Survey）参与者的横断面数据，这些参与者使用 24 小时回忆法提供了饮食信息。确定了健康饮食指数（hPDI）、不健康饮食指数（uPDI）和亲素食指数（PVDI）。使用 STOP-BANG 问卷确定 OSA 风险。采用逻辑回归法确定饮食指数与 OSA 风险之间的关系：结果：较高的 PDI（Q5 与 Q1 的比值比 (OR)Q5=0.81; 95% 置信区间 (CI)：0.66-1.00）、hPDI（OR=0.83; 95% CI：0.69-1.01）和 PVDI（OR=0.84; 95% CI：0.68-1.05）与 OSA 风险成反比，而较高的不健康植物性饮食（OR=1.22; 95% CI：1.00-1.49）与 OSA 成正比。男性（OR=0.71；95% CI：0.56-0.90）与女性（OR=0.93；95% CI：0.68-1.28）的 PDI、男性（OR=0.90；95% CI：0.68-1.18）对女性（OR=0.77；95% CI：0.54-1.09），男性（OR=1.13；95% CI：0.89-1.44）对女性（OR=1.42；95% CI：1.03-1.97）的uPDI，但不包括PVDI：结论：更多地坚持健康的植物性饮食与降低 OSA 风险相关，而不健康的植物性饮食与降低 OSA 风险呈正相关。这些关联的程度因性别而异。有必要进一步开展纵向研究。
期刊介绍：
ERJ Open Research is a fully open access original research journal, published online by the European Respiratory Society. The journal aims to publish high-quality work in all fields of respiratory science and medicine, covering basic science, clinical translational science and clinical medicine. The journal was created to help fulfil the ERS objective to disseminate scientific and educational material to its members and to the medical community, but also to provide researchers with an affordable open access specialty journal in which to publish their work.
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