吸烟和阻塞性睡眠呼吸暂停之间的关联基于STOP-Bang指数
Yun Seo Jang1,2, Nataliya Nerobkova1,2, Kyungduk Hurh1,2,3
1Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Scientific reports
|June 5, 2023
概括
吸烟显著增加了阻塞性睡眠呼吸暂停 (OSA) 的风险,尤其是目前的男性吸烟者. 戒烟可能有助于改善睡眠质量并降低OSA风险.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统健康 呼吸系统健康
- 公共卫生 公共卫生
背景情况:
- 吸烟是已知的呼吸道疾病的风险因素之一.
- 尼古丁对睡眠质量的影响包括刺激和戒断,可能会使睡眠中断的呼吸恶化.
- 阻塞性睡眠呼吸暂停 (OSA) 的严重程度可能会因吸烟相关的上呼吸道炎症和神经肌肉变化而增加.
研究的目的:
- 用STOP-Bang指数调查吸烟状态和阻塞性睡眠呼吸暂停 (OSA) 之间的关联.
- 分析戒烟对OSA风险的影响.
主要方法:
- 利用了2020年韩国国家健康和营养检查调查 (KNHANES) 的数据.
- 分析了3442名成年人的总样本,分为目前的,前的和非吸烟者.
- 采用多重逻辑回归和多项回归分析来评估吸烟与OSA的关联以及戒烟的影响.
主要成果:
- 在男性中,前吸烟者 (OR: 1.53) 和目前吸烟者 (OR: 1.79) 与非吸烟者相比,OSA的几率显著更高.
- 在男性中,OSA风险在前吸烟者中适度 (OR: 1.61) 和目前吸烟者中严重 (OR: 1.88).
- 在女性中观察到增加OSA风险的类似趋势,与戒烟和包装年相对应.
结论:
- 吸烟似乎是成年人阻塞性睡眠呼吸暂停风险的一个因素.
- 建议戒烟,以潜在地改善睡眠质量和管理OSA.
- 这些发现强调了戒烟计划对呼吸系统和睡眠健康的重要性.
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