Obesity

Effects of nocturnal intermittent hypoxia on metabolic syndrome in Japanese adults without abdominal obesity

Int J Obes (Lond)Published Prospective cohort study

Main finding · Incident MetSResult — go to the resultRelative risk 2.10 95% CI 1.18–3.76

Authors' conclusion

Nocturnal intermittent hypoxia was associated with an increased risk of developing MetS and some of its components in younger individuals without abdominal obesity.

Study context

Population
Japanese adults without baseline metabolic syndrome (MetS) and abdominal obesity (waist circumference <90 cm in men, <80 cm in women)
Participants
647 adults
Exposure
3% oxygen desaturation index (ODI) ≥5 vs lower 3% ODI
Outcome
Incident MetS (modified National Cholesterol Education Program Adult Treatment Panel III criteria) and its components
Follow-up
Five-year ; median 5.0 years (IQR, 4.8-5.1)
Methodological detailslongitudinal, stratified by age group (<65 years vs ≥65 years), modified Poisson regression
  • Longitudinal
  • Stratified by age group (<65 years vs ≥65 years)
  • Modified Poisson regression

Main finding

Incident MetS

Relative risk

2.10

95% CI 1.18–3.76

3% ODI ≥5vs lower 3% ODI
RR 2.10 (95% CI 1.18–3.76)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Abdominal obesity, younger age group

RR (95% CI)
3% ODI ≥ 52.17 (1.42–3.33)

Low HDL-C, younger age group

RR (95% CI)
3% ODI ≥ 52.01 (1.02–3.96)

Hypertriglyceridemia, younger age group

RR (95% CI)
3% ODI ≥ 52.41 (1.35–4.30)

Original publication

Effects of nocturnal intermittent hypoxia on metabolic syndrome in Japanese adults without abdominal obesity. Int J Obes (Lond). Published 19 September 2026. doi:10.1038/s41366-026-02228-7

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