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Muhammad Ferrel Privansyah Cader Cader
Nurfitri Bustamam
Feda Anisah Makkiyah
Marlina Dewiastuti

The COVID-19 pandemic has caused changes in student’s lifestyles, triggering visceral fat accumulation. Visceral fat accumulation increases the risk of obstructive sleep apnea because it causes airway collapse. This study aims to determine the relationship between visceral fat and the risk level of obstructive sleep apnea in medical students. The study used a cross-sectional design on 55 students from the Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, using a simple random sampling technique. Visceral fat was measured using the Tanita Body Composition analyzer, while the obstructive sleep apnea risk level was measured using the stop-bang questionnaire. The body mass index differed between the normal and high visceral fat groups (p=0.000). There were no differences in age, sedentary behavior, and eating habits between visceral fat groups (p > 0.05). Chi-square exact test results showed a relationship between visceral fat and the risk level of obstructive sleep apnea (p = 0.018). The higher the visceral fat, the higher the risk level of obstructive sleep apnea.

Keywords: visceral fat medical student obstructive sleep apnea
Clemmensen C, Petersen MB, Sørensen TIA. Will the COVID-19 pandemic worsen the obesity epidemic? Vol. 16, Nature Reviews Endocrinology. Nature Research; 2020. p. 469–70.
Weurlander M, Lönn A, Seeberger A, Hult H, Thornberg R, Wernerson A. Emotional challenges of medical students generate feelings of uncertainty. Med Educ. 2019;53(10):1037–48.
Dewi R, Aisyah W. Relationship between Body Mass Index (BMI) and Physical Activity in Medical Students. Indonesian Journal of Health. 2021;1(2):120–30.
Pradana A. Relationship between Body Mass Index (BMI) and Visceral Fat Value. 2014;
Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Vol. 383, The Lancet. Elsevier BV; 2014. p. 736–47.
Patel SR. Obstructive sleep apnea. Ann Intern Med. 2019 Dec 3;171(11):ITC81–96.
Kaffah S, Susanto AD. The Effect of Obstructive Sleep Apnea (OSA) on Cognitive Function. Vol. 35, J Respir Indo. 2015.
Suryawan P, Tirtayasa K. The relationship between obesity and the risk of suffering from the sleep disorder Obstructive Sleep Apnea (OSA) in students of the Medical Education Study Program, Faculty of Medicine, Udayana University. 2015.
Sekizuka H, Ono Y, Saitoh T, Ono Y. Visceral fat area by abdominal bioelectrical impedance analysis as a risk of obstructive sleep apnea a single-clinic retrospective case study. Int Heart J. 2021;62(5):1091–5.
Cahaya G, Berawi KN, Mustofa S. Obesity Increases the Risk of Obstructive Sleep Apnea in Adult Men. MAJORITY. 2019;8(2):161–6.
Tchernof A, Després JP. Pathophysiology of human visceral obesity: An update. Physiol Rev. 2013 Jan 1;93(1):359–404.
Gao B, Liu Y, DIng C, Liu S, Chen X, Bian X. Comparison of visceral fat area measured by CT and bioelectrical impedance analysis in Chinese patients with gastric cancer: A cross-sectional study. BMJ Open. 2020 Jul 23;10(7).
Xu Z, Liu Y, Yan C, Yang R, Xu L, Guo Z, et al. Measurement of visceral fat and abdominal obesity by single-frequency bioelectrical impedance and CT: A cross-sectional study. BMJ Open. 2021 Oct 11;11(10).
Chung F, Abdullah HR, Liao P. STOP-bang questionnaire a practical approach to screen for obstructive sleep apnea. Chest. 2016 Mar 1;149(3):631–8.
El-Sayed IH. Comparison of four sleep questionnaires for screening obstructive sleep apnea. Egyptian Journal of Chest Diseases and Tuberculosis [Internet]. 2012;61(4):433–41. Available from:
Manullang P, Saragih M, Adnan A, Silaen E. Cross-Cultural Adaptation of the Indonesian Version of the STOP-Bang Questionnaire Abstract Obstructive Sleep Apnea (OSA) is a Cross-Adaptation of the STOP-Bang Questionnaire in the Indonesian version. eJKI [Internet]. 2023;11(2):126–32. Available from:
Kinoshita K, Ozato N, Yamaguchi T, Sudo M, Yamashiro Y, Mori K, et al. Association of sedentary Behavior and physical activity with cardiometabolic health in Japanese adults. Sci Rep. 2022 Dec 1;12(1).
Kostecka M, Bojanowska M, Kostecka J, Ciołek A. An analysis of dietary patterns and body composition parameters in the Polish population. Rocz Panstw Zakl Hig. 2021;72(1):55–66.
Safitri Y. Relationship between Energy Adequacy Levels, Macro Nutrients, Vitamin D, Physical Activity and Visceral Fat in Medical Students at Krida Wacana Christian University. 2018;
He S, Yang J, Li X, Gu H, Su Q, Qin L. Visceral adiposity index is associated with lung function impairment: a population-based study. Respir Res. 2021 Dec 1;22(1).
WHO. WHO Guidelines on physical activity and sedentary Behavior [Internet]. Routledge Handbook of Youth Sport. 2016. 1–582 p. Available from:
Indonesian Ministry of Health. Regulation of the Minister of Health of the Republic of Indonesia Number 41 of 2014 concerning Guidelines for Balanced Nutrition [Internet]. 2014. Available from: No. 41 concerning Guidelines for Balanced Nutrition.pdf