抑郁症与老年人阻塞性睡眠呼吸暂停之间的联系:来自多中心队列研究的结果
Xin Xue1, Kun Qian2, Li-Bo Zhao3
1Department of Pulmonary and Critical Care Medicine of the Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
抑郁症显著增加了老年人具有阻塞性睡眠呼吸暂停 (OSA) 的脆弱风险. 解决抑郁症对于预防脆弱人口的脆弱至关重要.
科学领域:
- 老年学是指老年学的学科.
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 老年人中阻塞性睡眠呼吸暂停 (OSA) 和虚弱率的上升与死亡率的增加有关.
- 抑郁症是与OSA和脆弱相关的关键因素.
研究的目的:
- 调查抑郁症对被诊断患有OSA的老年人虚弱风险的影响.
主要方法:
- 分析了来自1021名患有OSA的老年人的数据.
- 基于12项老年抑郁量表 (GDS-12) 的分数进行分层划分.
- 在52个月的中位随访期间评估虚弱发生率.
主要成果:
- 在11.0%的患者中存在抑郁症.
- 在276名患者中出现虚弱.
- 抑郁症独立增加了虚弱的风险 (aHR=2.65).
- 患有中度至重度OSA和抑郁症的患者有较高的脆弱风险 (aHR=3.01).
结论:
- 抑郁症在患有OSA的老年人中很常见,是脆弱的独立风险因素.
- 针对抑郁症的有针对性的干预措施至关重要,以减少这一人口群体的脆弱风险.
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