Evidence map›Paper›PMID 41331387›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Longitudinal analysis of anthropometric indices and the incidence of obstructive sleep apnea.

Shi-Cheng Wu, Chu-Dan Yang, Xue-Jun Lin, Shu-Ting Chen, Jia-Ying Cai, Li Lin, Ning-Fang Lian, Zhi-Ming Cai, Li-Da Chen

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shi-Cheng WuDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China.
Chu-Dan YangDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China.
Xue-Jun LinDepartment of Laboratory Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian Province, People's Republic of China.
Shu-Ting ChenDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China.
Jia-Ying CaiDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China.
Li LinDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China.
Ning-Fang LianDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, People's Republic of China.
Zhi-Ming CaiDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China. zzsyycaizhiming@163.com.
Li-Da ChenDepartment of Respiratory and Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shenglixi road, Xiangcheng district, Zhangzhou, 363000, Fujian Province, China. 361328175@qq.com.ORCID http://orcid.org/0000-0001-7234-0125

Funding

Natural Science Foundation of Fujian Province 2022J011474Young people training project from Fujian Province Health Bureau 2022GGA053
6 · The paper itself

Abstract

objectiveThis longitudinal study evaluated the predictive value of ten anthropometric indices including Waist Circumference (WC), Hip Circumference (HC), Neck Circumference (NC), Body Mass Index (BMI), Waist-to-Height Ratio (WHtR), Waist-to-Hip Ratio (WHR), A Body Shape Index (ABSI), Body Roundness Index (BRI), Weight-adjusted Waist Index (WWI), and Neck-to-Height Ratio (NHR) for incident obstructive sleep apnea (OSA), aiming to identify optimal clinical predictors.

methodsData were obtained from the Sleep Heart Health Study at baseline and at an average follow-up of approximately 5 years. Multivariable logistic regression (adjusted for demographics and comorbidities), restricted cubic splines, subgroup analyses, and ROC curves were used to assess associations, nonlinearity, interactions, and predictive performance, respectively.

resultsAmong 1,306 participants (876 non-OSA, 430 OSA), all indices except ABSI were significantly associated with OSA risk after adjustment, with the strongest associations observed in the highest quartiles: NC (OR = 3.11, 95% CI: 1.94-5.00, p < 0.001), followed by WHtR (OR = 2.92, 95% CI: 2.03-4.21, p < 0.001), BRI (OR = 2.92, 95% CI: 2.03-4.21, p < 0.001), WC (OR = 2.68, 95% CI: 1.84-3.83, p < 0.001), and NHR (OR = 2.67, 95% CI: 1.83-3.91, p < 0.001). BRI demonstrated a nonlinear dose-response relationship with a threshold at BRI = 5.43: below this value, OSA risk increased significantly (OR = 1.48 per unit); above it, no further risk increase was observed. WHtR showed a linear association with OSA. In ROC analysis, both WHtR and BRI had the highest discriminative ability (AUC = 0.624), while NHR also showed comparable predictive performance (AUC = 0.620).

conclusionsWHtR and BRI are key anthropometric predictors for OSA, with BRI displaying a threshold effect. NHR also shows potential as a supplementary screening marker.

Indexed as

AnthropometrySleep Apnea, ObstructiveAdultAgedBody Mass IndexFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedRisk FactorsWaist CircumferenceWaist-Hip RatioAnthropometric indicesBody roundness indexNeck-to-Height ratioObstructive sleep apneaSleep heart health studyWaist-to-Height ratio

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.