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July 1, 2026Daehan imsang geon-gang jeungjin hakoeji/Daehan imsang geon'gang jeungjin haghoeji

Men aged ≥50 show ~44% high-risk OSA prevalence, linked to past smoking and abdominal obesity.

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Why the study?

Obstructive sleep apnea is prevalent in middle-aged men, but age-specific risk factors within this population remain unclear.

Population

11,761 middle-aged men (aged ≥40 years) in South Korea

Comparison

Men aged <50 years vs men aged ≥50 years

Design

Cross-sectional study

Key result

High-risk obstructive sleep apnea was more prevalent in men aged ≥50 years (43.6%) than in those <50 years (37.2%), with past smoking and abdominal obesity being the strongest respective risk factors.

Authors

HSHyunji SongJKJiyun Kim

Discussion

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Overview

Abdominal obesity associated with high-risk OSA in men <50; hypothesis-generating for age-specific screening, needs prospective confirmation.

Key Points

  • This analysis aims to identify age-specific risk factors associated with obstructive sleep apnea (OSA) in middle-aged men.
  • Cross-sectional study of 11,761 middle-aged men aged ≥40 years from the Korea National Health and Nutrition Examination Survey (2021–2023).
  • Weighted multivariable logistic regression was used to determine associations with high-risk OSA, adjusting for sociodemographic and lifestyle variables.
  • High-risk OSA prevalence was 37.2% in men <50 years and 43.6% in men ≥50 years (P<0.001).
  • In men <50 years, the strongest association was with abdominal obesity (OR=6.03, 95% CI=4.75–7.65).
  • In men ≥50 years, past smoking was the strongest factor (OR=5.69, 95% CI=4.98–6.49).

Study Design

Type

Cross-Sectional (n=11,761)

Structured PICO

P
Population
11,761 middle-aged men aged 40 years and older from a Korean national survey, assessed for age-specific risk factors associated with high-risk obstructive sleep apnea.
O
Outcome
Prevalence and associated factors of high-risk obstructive sleep apnea (OSA)

Main Result

Absolute Event Rate: 43.6% vs 37.2%

p-value: p=<0.001

Risk factors for high-risk obstructive sleep apnea differ by age among middle-aged men, highlighting the need for age-specific screening and prevention strategies.

Limitations

  • Cross-sectional design precluding causal inference
  • Self-reported data potentially introducing bias
  • Lack of polysomnography confirmation

Cite This Study

Song et al. (2026) conducted a cross-sectional in Obstructive sleep apnea (n=11,761). Age ≥50 years vs. Age <50 years was evaluated on High-risk OSA prevalence (p=<0.001). High-risk obstructive sleep apnea was more prevalent in men aged ≥50 years (43.6%) than in those <50 years (37.2%), with past smoking and abdominal obesity being the strongest respective risk factors.

synapsesocial.com/papers/6a44aeba5cd2549c8bc43dcbhttps://doi.org/10.15384/kjhp.2026.00206
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