Xue Fei, Zhou Yating
Kunshan Hospital of Traditional Chinese Medicine, 388 Zuchongzhi South Road, Kunshan City, Suzhou, Jiangsu Province, China.
BMC Pulm Med. 2024 Dec 18;24(1):613. doi: 10.1186/s12890-024-03431-w.
With the acceleration of modern life, the "Weekend Warrior" (WW) exercise pattern has become increasingly popular. This study based on data from the National Health and Nutrition Examination Survey (NHANES) from 2007-2008, 2015-2016, and 2017-2020, examines the association between physical activity (PA) patterns and symptoms of obstructive sleep apnea (OSA) in adults aged 18 and above.
The analysis included 19,223 adults who provided self-reported data on their PA patterns. Participants were categorized into four PA groups: inactive, insufficiently active, weekend warrior (WW), and regularly active (RA). Multivariable logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) to determine the association between PA patterns and OSA symptoms. Stratified analyses were performed to assess variations across demographic and BMI subgroups.
After adjusting for relevant covariates, the WW (OR = 0.85, 95% CI: [0.72, 0.99]) and RA (OR = 0.83, 95% CI: [0.77, 0.90]) groups demonstrated significantly lower odds of OSA symptoms compared to the inactive group. The protective effect of the WW pattern was observed in specific subgroups, including non-Hispanic whites, low-income individuals, and males. In contrast, the RA pattern exhibited a more consistent protective effect across most demographic and BMI subgroups. No significant difference in OSA symptom likelihood was found between the RA and WW groups after adjusting for covariates (OR = 1.02, 95% CI: [0.87, 1.20]).
Both the WW and RA patterns are associated with a significantly lower prevalence of OSA symptoms compared to inactivity. While the WW pattern appears beneficial for certain subgroups, the RA pattern shows broader applicability. These findings highlight the potential of even non-daily PA, such as weekend activity, in reducing the likelihood of OSA symptoms, especially in specific populations.
随着现代生活节奏的加快，“周末战士”（WW）的运动模式越来越流行。本研究基于2007 - 2008年、2015 - 2016年和2017 - 2020年美国国家健康与营养检查调查（NHANES）的数据，探讨18岁及以上成年人的身体活动（PA）模式与阻塞性睡眠呼吸暂停（OSA）症状之间的关联。
分析纳入了19223名提供了关于其PA模式自我报告数据的成年人。参与者被分为四个PA组：不活动组、活动不足组、周末战士（WW）组和经常活动（RA）组。使用多变量逻辑回归计算比值比（OR）和95%置信区间（CI），以确定PA模式与OSA症状之间的关联。进行分层分析以评估不同人口统计学和BMI亚组之间的差异。
在调整相关协变量后，与不活动组相比，WW组（OR = 0.85，95% CI：[0.72, 0.99]）和RA组（OR = 0.83，95% CI：[0.77, 0.90]）出现OSA症状的几率显著更低。在特定亚组中观察到了WW模式的保护作用，包括非西班牙裔白人、低收入个体和男性。相比之下，RA模式在大多数人口统计学和BMI亚组中表现出更一致的保护作用。调整协变量后，RA组和WW组之间在OSA症状可能性方面未发现显著差异（OR = 1.02，95% CI：[0.87, 1.20]）。
与不活动相比，WW模式和RA模式均与OSA症状的患病率显著降低相关。虽然WW模式对某些亚组似乎有益，但RA模式具有更广泛的适用性。这些发现凸显了即使是非每日的PA，如周末活动，在降低OSA症状可能性方面的潜力，尤其是在特定人群中。
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