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在炎症性肠病中睡眠障碍的患病率和危险因素:一个横截面研究
Jin-Zhi Zhang1,2, Xiao-Zhen Song3, Xiao-Na Song1,2
1Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
International journal of colorectal disease
|September 12, 2024
概括
睡眠障碍在炎症性肠病 (IBD) 患者中很常见,影响近60%. 吸烟和抑郁症是显著的危险因素,而更高的BMI可能是保护性的.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠障碍是一个重大的公共卫生问题,可能会使炎症性肠病 (IBD) 患者的炎症和疾病活动恶化.
- 睡眠质量受损是IBD患者的常见问题,需要对其患病率和促成因素进行调查.
研究的目的:
- 确定被诊断患有炎症性肠病 (IBD) 的患者睡眠障碍的患病率.
- 确定与IBD患者睡眠障碍发展相关的关键风险因素.
主要方法:
- 匹兹堡睡眠质量指数 (PSQI) 用于在2023年3月至2024年2月期间评估208名IBD患者和199名健康对照者的睡眠质量.
- 进行了单变量和多变量分析,以确定IBD队列中睡眠障碍的显著风险和保护因素.
主要成果:
- 在59.6%的IBD患者中诊断出睡眠障碍,与健康对照 (37.7%) 相比,患病率明显高.
- 多变量分析确定老年 (OR 1.070),吸烟 (OR 2.698) 和抑郁症 (OR 4.779) 是IBD患者睡眠障碍的重要危险因素.
- 发现较高的体重指数 (OR 0.879) 是该人群中对睡眠障碍的保护因素.
结论:
- 睡眠障碍在患有炎症性肠病 (IBD) 的患者中非常普遍,无论疾病的活性如何.
- 吸烟和抑郁症被确定为主要可改变的风险因素,有助于IBD患者的睡眠障碍.
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