title: Association of self-reported physical activity with obstructive sleep apnea: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
abstract: We examined associations of mild and moderate to severe obstructive sleep apnea (OSA; apnea-hypopnea index ≥5 and ≥15, respectively) with recommended amounts of moderate-vigorous physical activity (MVPA) or vigorous physical activity (VPA) and by type of activity (i.e., recreational, transportation, and work activity). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a multicenter population-based study, enrolled individuals from 2008 to 2011 from four U.S. metropolitan areas (Bronx, New York; Chicago, Illinois; Miami, Florida; San Diego, California). Participants in this study included 14,087 self-identified Hispanic/Latino ages 18 to 74years from the HCHS/SOL. Survey logistic regression analysis was used to compute odds ratios [OR] and 95% confidence intervals [CI], adjusting for sociodemographics, smoking status, and body mass index (BMI). Relative to being inactive, performing some MVPA (>0 to <150min/week) or meeting the recommended MVPA (≥150min/week) were associated with lower odds of mild OSA (ORs and 95% CIs 0.70 [0.61-0.82] and 0.76 [0.63-0.91], respectively), as well as moderate to severe OSA (ORs and 95% CIs 0.76 [0.62-0.93] and 0.76 [0.59-0.98], respectively). Associations of VPA with OSA were not significant. Engaging in medium or high levels of transportation activity was associated with lower odds of mild OSA (OR: 0.84, 95% CI: 0.74-0.96; OR: 0.64, 95% CI: 0.43-0.95, respectively). Performing some recreational MVPA was associated with lower likelihood of mild and moderate to severe OSA (OR: 0.82, 95% CI: 0.71-0.93; OR: 0.79, 95% CI: 0.64-0.97, respectively). Health promotion and OSA prevention efforts should encourage individuals to engage in at least some MVPA.
authors.affiliation: University of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Boulevard, Room 491, Houston, TX 77204-5029, USA. Electronic address: rmurillo3@uh.edu.
authors.forename: Rosenda
authors.initials: R
authors.lastname: Murillo
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Neurology, Abbott Hall 11(th) Floor, 710 N. Lake Shore Drive, Chicago, IL 60601, USA. Electronic address: k-reid@northwestern.edu.
authors.forename: Kathryn J
authors.initials: KJ
authors.lastname: Reid
authors.affiliation: San Diego State University, Graduate School of Public Health, Hardy Tower Room 119, 5500 Campanile Drive, San Diego, CA 92182, USA. Electronic address: earredon@mail.sdsu.edu.
authors.forename: Elva M
authors.initials: EM
authors.lastname: Arredondo
authors.affiliation: University of North Carolina-Chapel Hill, Gillings School of Global Public Health, 3101-D McGavran-Greenberg Hall, CB#7420, Chapel Hill, NC 27599, USA. Electronic address: cai@email.unc.edu.
authors.forename: Jianwen
authors.initials: J
authors.lastname: Cai
authors.affiliation: University of Miami, Department of Psychology, Clinical Research Building, Room 1518, Miller School of Medicine, 1120 N.W. 14th Street, Miami, FL 33136, USA. Electronic address: mgellman@miami.edu.
authors.forename: Marc D
authors.initials: MD
authors.lastname: Gellman
authors.affiliation: University of North Carolina-Chapel Hill, Gillings School of Global Public Health, 137 East Franklin St., Suite 200, CB #8030, Chapel Hill, NC 27514, USA. Electronic address: nathan.gotman@unc.edu.
authors.forename: Nathan M
authors.initials: NM
authors.lastname: Gotman
authors.affiliation: University of Illinois at Chicago, Department of Kinesiology and Nutrition, 632 Applied Health Sciences Bldg., 1919 W. Taylor Street, Chicago, IL 60612, USA. Electronic address: marquezd@uic.edu.
authors.forename: David X
authors.initials: DX
authors.lastname: Marquez
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Medical Social Sciences, 633 N. St. Clair, Suite 19-000, Chicago, IL 60611, USA. Electronic address: fpenedo@northwestern.edu.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.affiliation: University of Miami, Miller School of Medicine, Department of Neurology, 1120 NW 14 Street, Suite 1350, Miami, FL 33136, USA. Electronic address: a.ramos1@med.miami.edu.
authors.forename: Alberto R
authors.initials: AR
authors.lastname: Ramos
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Neurology, Abbott Hall 11th Floor, 710 N. Lake Shore Drive, Chicago, IL 60601, USA. Electronic address: zee@northwestern.edu.
authors.forename: Phyllis C
authors.initials: PC
authors.lastname: Zee
authors.affiliation: University of Illinois at Chicago, Institute for Minority Health Research, 1819 W. Polk Street MC 764, Suite 246, Chicago, IL 60612, USA. Electronic address: daviglus@uic.edu.
authors.forename: Martha L
authors.initials: ML
authors.lastname: Daviglus
mesh_terms: D000328:Adult; D015444:Exercise / Q000502:physiology*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012307:Risk Factors; D057566:Self Report; D020181:Sleep Apnea, Obstructive / Q000208:ethnology*; D012907:Smoking; D011795:Surveys and Questionnaires; D014481:United States; D014505:Urban Population / Q000706:statistics & numerical data
keywords: Hispanic Americans; Motor activity; Sleep apnea syndromes