伴侣的阻塞性睡眠呼吸暂停对夫妇代谢综合征的影响
1Department of Family Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Republic of Korea.
Maturitas
|November 12, 2024
概括
配偶患阻塞性睡眠呼吸暂停 (OSA) 的风险显著影响伴侣的代谢综合征风险,尤其影响妻子. 这凸显了考虑夫妇的睡眠健康的重要性,以更好地管理代谢综合征.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和代谢综合征是普遍存在的慢性疾病.
- 在夫妻中,OSA和代谢综合征之间的相互作用仍未得到充分研究.
- 了解配偶对健康结果的影响对于整体患者护理至关重要.
研究的目的:
- 调查伴侣中阻塞性睡眠呼吸暂停 (OSA) 和代谢综合征高风险之间的关联.
- 检查打和观察到的呼吸暂停对婚姻伙伴关系中的代谢综合征的影响.
- 确定这些关系中的潜在的性别差异.
主要方法:
- 一项横截面研究利用了来自韩国国家健康和营养检查调查 (2019-2021) 的2436对夫妇的数据.
- 使用STOP-Bang问卷 (得分≥3,不包括高血压) 定义了OSA的高风险.
- 分析了代谢综合征的患病率及其与OSA风险因素的关联,对丈夫和妻子进行了分析.
主要成果:
- 在47.6%的丈夫和5.7%的妻子中发现OSA的高风险.
- 代谢综合征的患病率为丈夫的45.5%,妻子的24.7%.
- 丈夫有高OSA风险或报告打/观察到呼吸暂停的妻子的代谢综合征的几率高1.4-1.5倍. 丈夫的代谢综合征与妻子的OSA风险没有显著联系. 只有一个伴侣有高OSA风险或打的夫妇,与没有这些问题的夫妇相比,代谢综合征的几率明显更高.
结论:
- 存在着显著的性别差异:丈夫的OSA风险显著影响他妻子的代谢综合征风险,但不是相反.
- 配偶OSA,打和观察到的呼吸暂停与夫妇内代谢综合征风险增加有关.
- 建议以夫妇为中心的方法来管理OSA和代谢综合征,考虑到他们的健康的相互联系.
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