农村老年人过度白天嗜睡的患病率和相关因素:基于人口的研究
Juan Ren1, Rui Liu2,3, Tong Zhao1
1Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, People's Republic of China.
Sleep & breathing = Schlaf & Atmung
|February 20, 2024
概括
过度白天嗜睡 (EDS) 影响了近10%的中国农村老年人. 诸如抑郁症和睡眠呼吸暂停风险等因素增加EDS的可能性,而年龄较大和女性性别则会降低EDS的可能性.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 过度白天嗜睡 (EDS) 是老年人常见的抱怨,影响生活质量和认知功能.
- 在中国农村老年人群中,EDS的患病率和相关因素仍未得到充分研究.
- 了解这些因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 为了确定农村居住的中国老年人中过度白天嗜睡 (EDS) 的患病率.
- 在这个人群中确定与EDS相关的人口,临床和睡眠相关的因素.
主要方法:
- 一项基于人口的研究,涉及中国农村65岁及以上的4845名参与者.
- 通过面试和临床检查采用结构化问卷收集的数据.
- 验证的仪器包括老年抑郁量表 (GDS-15),柏林调查问卷 (BQ) 检测阻塞性睡眠呼吸暂停 (OSA) 风险,以及爱普沃思睡眠量表 (ESS) 评估睡眠.
主要成果:
- EDS的患病率总体为9.3%,因性别和年龄而异.
- EDS与年龄较大 (OR=0.97),女性性别 (OR=0.53) 和高血压 (OR=0.68) 有显著的关联,这表明可能性降低.
- 相反,抑郁症状 (OR=2.68),高OSA风险 (OR=2.11) 和睡眠质量差 (OR=2.12) 与EDS的可能性增加有关.
结论:
- 近十分之一的中国农村老年人患有EDS.
- 虽然老年,女性性别和高血压显示出保护性关联,但抑郁症状,高OSA风险和睡眠质量差是EDS的重要风险因素.
- 这些发现凸显了这一人口群中对睡眠障碍,抑郁症和相关疾病的查和管理的需要.
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