Obesity

Relationship of serum 25-hydroxyvitamin D, obesity with new-onset obstructive sleep apnea

Int J Obes (Lond)Published Prospective cohort study

Main finding · New-onset OSA per SD increment in serum 25(OH)DResult — go to the resultHazard ratio 0.92 95% CI 0.89–0.95

Authors' conclusion

There was an inverse relation of serum 25(OH)D with the risk of new-onset OSA in participants with both BMI ≥ 25 kg/m2 and WC ≥ 90 cm. Our findings suggest the importance of maintaining a higher serum 25(OH)D concentration for primary prevention of OSA in a population with obesity.

Study context

Population
UK Biobank participants without prior obstructive sleep apnea (OSA)UK Biobank
Participants
444,975 participants
Exposure
Serum 25(OH)D concentration (per SD increment), with effect modification by BMI and waist circumference
Outcome
New-onset OSA
Follow-up
Median 12.0 years

Main finding

New-onset OSA per SD increment in serum 25(OH)D

Hazard ratio

0.92

95% CI 0.89–0.95

Per SD increment in serum 25(OH)D
HR 0.92 (95% CI 0.89–0.95)

Per SD increment in serum 25, as printed

As reported in the abstract

New-onset OSA
6051 (1.4%)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
New-onset OSA per SD increment in serum 25(OH)D, by BMI and WC categoriesBMI 25-30 kg/m² and WC ≥ 90 cm, per SD increment0.90 (0.84–0.95)
New-onset OSA per SD increment in serum 25(OH)D, by BMI and WC categoriesBMI ≥ 30 kg/m² and WC ≥ 90 cm, per SD increment0.85 (0.81–0.88)P for interaction = 0.004

New-onset OSA per SD increment in serum 25(OH)D, by BMI and waist circumference (WC) categories

No significant inverse association in the other four groups with BMI < 25 kg/m² or WC < 90 cm

Original publication

Relationship of serum 25-hydroxyvitamin D, obesity with new-onset obstructive sleep apnea. Int J Obes (Lond). Published 27 October 2023. doi:10.1038/s41366-023-01402-5

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