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In addition, evidence on their combined effect on all-cause mortality is conflicting (17, 18). To address the interaction of obesity and OSA, we used a large historical cohort of patients with suspected OSA and investigated whether obesity influences the effect of nocturnal hypoxemia on cardiovascular events.
These findings indicate causality, where the abuse is the cause of the obesity later in life. However, not everyone who is subjected to abuse will develop obesity, and not all obese individuals have been abused, so there are obviously other causes too.