患有骨关节炎的个体中的失眠症状和表明骨关节炎的症状:使用CLSA进行基于人口的横截面研究

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Melissa Cavallo¹, Elizabeth M Badley^1,2, Anthony V Perruccio^1,2,3

¹Arthritis Community Research and Epidemiology Unit and Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.

|May 12, 2025

概括

失眠症状在患有骨关节炎 (OA) 的成年人和患有OA类关节疼痛的人群中很常见. 医疗保健提供者应在患有关节疼痛的患者中查睡眠问题,无论OA诊断如何.

科学领域:

老年学是一门学科.
睡眠医学睡眠医学
类风湿病学类风湿病学

背景情况:

骨关节炎 (OA) 是一种普遍影响中年和老年人的疾病.
睡眠障碍,特别是失眠,在老年人群中经常被报告.
骨关节炎,骨关节炎类症状和失眠之间的关系需要进一步以人口为基础的调查.

研究的目的:

为了比较患有OA诊断成人的失眠症状的患病率与患有OA样关节症状但没有诊断的成人的患病率.
为了检查这些群体的失眠症状的可能性,与没有OA或关节症状的对照组相比.

主要方法:

利用了加拿大长度老龄化研究 (CLSA) 的数据,参与者年龄超过45岁.
将参与者分为三组:被诊断为OA,没有OA的关节症状和对照组 (没有症状/没有OA).
采用后勤回归来分析失眠症状与OA状态之间的关联,调整为共变量.

主要成果:

29.1%的受访者被诊断为OA,17.2%的人没有OA,但有关节症状.
三分之一的被诊断为OA的个人和那些有关节症状的人报告了失眠症状,而对照组的四分之一.
被诊断为OA (OR 1.25) 和没有OA (OR 1.32) 的关节症状都与更高的失眠症状的可能性有关.

结论:

失眠症状在OA患者和那些经历OA类关节疼痛的人中很普遍,即使没有正式诊断.
医疗保健提供者应主动解决患者出现关节疼痛的睡眠问题.
在这个人口群体中失眠的高患病率对公共卫生有重大影响.

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