米国における障害性睡眠無呼吸の30年間の負担を予測する:将来的なモデリング研究
Elroy Boers1, Meredith A Barrett1, Adam V Benjafield1
1Resmed Science Center, San Diego California, San Diego, CA, USA.
The Lancet. Respiratory medicine
|August 29, 2025
まとめ
阻害性睡眠無呼吸症は2050年までに7660万人の米国成人に罹患すると予測されており,女性の罹患率は不均衡に上昇している. 緊急に公衆衛生戦略を 導入する必要があるのです
科学分野:
- 公衆衛生
- エピデミオロジー
- 医学 研究
背景:
- 阻害性睡眠無呼吸症 (OSA) は,米国において重大な公衆衛生と経済的な課題となっています.
- 以前の研究でOSAの流行が確認されましたが,政策の指針として将来の予測が必要です.
研究 の 目的:
- 2020年から2050年までの米国における 阻害性睡眠無呼吸症 (OSA) の負荷を推定する.
- OSAに対する公衆衛生政策と管理戦略の情報提供
- 特定の人口集団のための標的型介入の開発を指導する.
主な方法:
- 縦断的なコホートからの歴史的OSAの流行データを利用した予測モデル研究.
- 年齢,性別,体量指数 (BMI) に関する米国の人口データを検証した.
- 将来のOSA負担を予測するためのオープンコホートダイナミック人口シミュレーションモデルの開発
主要な成果:
- 2050年までにOSAの罹患率が34.7%増加し,成人人口の46.2%に達すると予測されています.
- アメリカでは2050年までに 成人の760万人がOSAを 患うと推定されています
- 女性では,男性 (19. 3%) に比べてOSAの相対的な増加が予想されます.
結論:
- 阻害性睡眠無呼吸症 (OSA) は2050年までに7660万人の米国成人に影響すると予想されています.
- この研究は,女性におけるOSAの不釣り合いの増加を強調しています.
- 緊急に必要とされる公衆衛生戦略と,特に女性の場合,OSAの診断/フォローアップの改善
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