Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data

ObjectiveThis study examines the relationship between several anthropometric indices-Body Roundness Index (BRI), A Body Shape Index (ABSI), Waist-to-Weight Index (WWI), Waist Circumference (WC), and Body Mass Index (BMI)-and the prevalence of Obstructive Sleep Apnea (OSA) using data from the Nationa...

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Main Authors: Xue Pan, Fang Liu, Jiayi Fan, Qihan Guo, Mengfei Guo, Yuxin Chen, Jingyao Sun, Xuezhao Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1492673/full
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author Xue Pan
Fang Liu
Jiayi Fan
Qihan Guo
Mengfei Guo
Yuxin Chen
Jingyao Sun
Xuezhao Cao
author_facet Xue Pan
Fang Liu
Jiayi Fan
Qihan Guo
Mengfei Guo
Yuxin Chen
Jingyao Sun
Xuezhao Cao
author_sort Xue Pan
collection DOAJ
description ObjectiveThis study examines the relationship between several anthropometric indices-Body Roundness Index (BRI), A Body Shape Index (ABSI), Waist-to-Weight Index (WWI), Waist Circumference (WC), and Body Mass Index (BMI)-and the prevalence of Obstructive Sleep Apnea (OSA) using data from the National Health and Nutrition Examination Survey (NHANES) spanning 2015 to 2018.MethodsA retrospective cross-sectional analysis of 7,004 adult participants was conducted using NHANES 2015–2018 data. Multivariable-adjusted logistic regression models were employed to assess the association between BRI, ABSI, and OSA. Non-linear relationships were explored via smooth curve fitting and threshold effect analysis using a two-part linear regression model. Subgroup analyses identified sensitive populations, and the discriminatory power of the indices in screening OSA was assessed using Receiver Operating Characteristic (ROC) curves.ResultsThe analysis revealed a significant positive association between BRI and OSA, with a threshold effect observed at a BRI of 4.3. Below this threshold, OSA risk increased with higher BRI; however, no significant association was found above this threshold. Similarly, ABSI demonstrated a threshold effect at 8.2, with OSA risk positively associated to the left and negatively associated to the right. Subgroup analyses indicated stronger associations in younger and non-diabetic populations. ROC analysis identified BRI as a promising predictive tool for OSA, with an AUC of 0.64 (95% CI: 0.62–0.65).ConclusionBRI demonstrates significant potential as a predictive index for OSA incidence, warranting further large-scale prospective studies to validate these findings.
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spelling doaj-art-0db33ef21c25441eb3bd0d4a0cd2a4022024-11-18T04:24:17ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-11-011110.3389/fnut.2024.14926731492673Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 dataXue Pan0Fang Liu1Jiayi Fan2Qihan Guo3Mengfei Guo4Yuxin Chen5Jingyao Sun6Xuezhao Cao7Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Neurology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Clinical Medicine, China Medical University, Shenyang, ChinaDepartment of Clinical Medicine, China Medical University, Shenyang, ChinaDepartment of Clinical Medicine, China Medical University, Shenyang, ChinaDepartment of Neurology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Clinical Medicine, China Medical University, Shenyang, ChinaDepartment of Anesthesiology, The First Hospital of China Medical University, Shenyang, ChinaObjectiveThis study examines the relationship between several anthropometric indices-Body Roundness Index (BRI), A Body Shape Index (ABSI), Waist-to-Weight Index (WWI), Waist Circumference (WC), and Body Mass Index (BMI)-and the prevalence of Obstructive Sleep Apnea (OSA) using data from the National Health and Nutrition Examination Survey (NHANES) spanning 2015 to 2018.MethodsA retrospective cross-sectional analysis of 7,004 adult participants was conducted using NHANES 2015–2018 data. Multivariable-adjusted logistic regression models were employed to assess the association between BRI, ABSI, and OSA. Non-linear relationships were explored via smooth curve fitting and threshold effect analysis using a two-part linear regression model. Subgroup analyses identified sensitive populations, and the discriminatory power of the indices in screening OSA was assessed using Receiver Operating Characteristic (ROC) curves.ResultsThe analysis revealed a significant positive association between BRI and OSA, with a threshold effect observed at a BRI of 4.3. Below this threshold, OSA risk increased with higher BRI; however, no significant association was found above this threshold. Similarly, ABSI demonstrated a threshold effect at 8.2, with OSA risk positively associated to the left and negatively associated to the right. Subgroup analyses indicated stronger associations in younger and non-diabetic populations. ROC analysis identified BRI as a promising predictive tool for OSA, with an AUC of 0.64 (95% CI: 0.62–0.65).ConclusionBRI demonstrates significant potential as a predictive index for OSA incidence, warranting further large-scale prospective studies to validate these findings.https://www.frontiersin.org/articles/10.3389/fnut.2024.1492673/fullBody Roundness IndexA Body Shape Indexanthropometric indicesNational Health and Nutrition Examination SurveyobesityObstructive Sleep Apnea
spellingShingle Xue Pan
Fang Liu
Jiayi Fan
Qihan Guo
Mengfei Guo
Yuxin Chen
Jingyao Sun
Xuezhao Cao
Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
Frontiers in Nutrition
Body Roundness Index
A Body Shape Index
anthropometric indices
National Health and Nutrition Examination Survey
obesity
Obstructive Sleep Apnea
title Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
title_full Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
title_fullStr Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
title_full_unstemmed Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
title_short Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015–2018 data
title_sort association of body roundness index and a body shape index with obstructive sleep apnea insights from nhanes 2015 2018 data
topic Body Roundness Index
A Body Shape Index
anthropometric indices
National Health and Nutrition Examination Survey
obesity
Obstructive Sleep Apnea
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1492673/full
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