Evidence map›Paper›PMID 42528718›Full record

ArticleFrontiers in public health2026

Independent and synergistic effects of sedentary lifestyle and obstructive sleep apnea on hyperuricemia: a nationwide cross-sectional study in Korea.

Hyewon Lee, Wanhyung Lee, Seung-Yeon Lee

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Hyewon LeeCollege of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Wanhyung LeeDepartment of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Seung-Yeon LeeDepartment of Family Medicine, International Healthcare Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hyperuricemia, a precursor to gout and a risk factor for various cardiometabolic and renal disorders, is influenced by a complex interplay of lifestyle, physiological, and environmental factors. This study aimed to investigate the independent and combined effects of a sedentary lifestyle and obstructive sleep apnea (OSA) on hyperuricemia. Methods: We analyzed data from 14,808 participants aged 40-80 years in the Korea National Health and Nutrition Examination Survey (2019-2022). Sedentary lifestyle was defined based on daily sedentary time, categorized as ≤6 or >6 h/day. OSA risk was assessed using the STOP-Bang questionnaire (Snoring, Tiredness, Observed apnea, blood Pressure, Body mass index, Age, Neck circumference, Gender), classifying participants into high- and low-risk groups. Hyperuricemia was defined as serum uric acid levels ≥7.0 mg/dL in males and ≥6.0 mg/dL in females. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated using multiple logistic regression, and interaction effects were evaluated through relative excess risk due to interaction (RERI), attributable proportion (AP), and synergy index (SI). Results: Sedentary time [AOR = 1.16 (95% CI: 1.04-1.29)] was independently associated with increased hyperuricemia risk. High OSA risk was associated with hyperuricemia in the partially adjusted model [AOR = 1.94 (95% CI: 1.71-2.19)], although this association was attenuated and no longer statistically significant after further adjustment for variables incorporated into the STOP-Bang questionnaire [AOR = 1.12 (95% CI: 0.98-1.28)]. A significant synergistic interaction was evident when both coexisted [RERI = 0.14 (95% CI: 0.08-0.19), AP = 0.17 (95% CI: 0.09-0.25), SI = 1.17 (95% CI: 1.01-1.37)]. Discussion: These findings highlight the need for integrated screening and management strategies targeting sedentary lifestyles and OSA to mitigate hyperuricemia and its associated health burdens in at-risk populations.

Indexed as

HyperuricemiaSedentary BehaviorSleep Apnea, ObstructiveAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysRepublic of KoreaRisk Factorscross-sectional studyhyperuricemiainteraction effectobstructive sleep apneasedentary lifestyleSTOP-bang questionnaire

Identifiers

PMID42528718
PMCPMC13414846

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.