在以人口为基础的队列中,过度白天嗜睡的重要危险因素是什么?
Jenny Theorell-Haglöw1, Martin Ulander2,3, John Brandberg4,5
1Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Journal of sleep research
|January 8, 2025
概括
过度的白天嗜睡 (EDS) 与短时间和长时间的睡眠时间有关. 心理困扰,包括抑郁和压力,也对EDS有很大的贡献,这表明多因素的原因.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 过度白天嗜睡 (EDS) 是一个普遍存在的问题,与不良健康结果有关,包括心血管疾病和死亡率.
- 了解EDS的多因素性质对于开发有效的公共卫生干预措施至关重要.
研究的目的:
- 为了研究睡眠时间和EDS之间的关系,在一个大规模的,基于人口的队列.
- 探索睡眠相关因素,生活方式和心理困扰对EDS的综合影响.
主要方法:
- 瑞典心肺生物图像研究 (SCAPIS) 队列的截面分析 (n=27,976).
- 用于评估与EDS相关的因素的物流回归建模,以爱普沃思睡眠度量 (ESS) 评分≥11.1来定义.
- 评估睡眠时间,失眠,睡眠质量,打,反流,人体测量,生活方式,社会经济地位,身体疾病和心理困扰.
主要成果:
- 短时间 (≤4h:OR 1.9) 和长时间的睡眠都与与8小时睡眠相比,EDS的几率增加有关.
- 失眠 (OR 1.3),睡眠质量差 (OR 1.2),打 (OR 1.5) 和夜间反流 (OR 1.5) 是EDS的重要预测因素.
- 心理困扰,包括抑郁 (OR 1.2),压力 (OR 1.7) 和低感知控制 (OR 1.7) 显示与EDS有很强的关联.
结论:
- 白天嗜睡是多因素的,受睡眠时间,睡眠质量和显著的心理痛苦的影响.
- 针对睡眠健康和心理健康的干预措施可能是必要的,以减少EDS的社会负担.
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