与阻塞性睡眠呼吸暂停相关的自我报告问卷中的性别差异:在线横截面调查
Alona Emodi-Perlman1, Ilana Eli2, Dolev Morad2
1Department of Oral Rehabilitation, Faculty of Medical and Health Sciences, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
Dental and medical problems
|July 11, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 查可能需要性别特定的方法. 疲劳显著影响男性的OSA风险,但不影响女性的OSA风险,建议定制查工具,以更好地检测阻塞性睡眠呼吸暂停.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 健康中的性别差异
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与严重的健康状况如高血压和心血管疾病有关.
- 目前的OSA查依赖于自我报告问卷来评估症状.
研究的目的:
- 调查OSA症状问卷中的基于性别的差异.
- 为了确定男性和女性是否需要不同的OSA查工具.
主要方法:
- 在622名参与者 (66%为女性) 的一个横截面在线调查.
- 使用的问卷包括STOP-Bang,爱普沃思嗜睡量表 (ESS),PHQ-4,疲劳评估量表 (FAS) 和睡眠 Bruxism (SB).
主要成果:
- 女性报告了更高的焦虑和疲劳;男性的中度至重度OSA风险明显更高 (超过5倍的几率).
- 疲劳与男性的OSA风险有很强的相关性,但女性没有,尽管女性的疲劳得分更高.
- 嗜睡和SB与增加的OSA概率有关,而白天的嗜睡对任何性别的OSA风险都没有显著影响.
结论:
- 疲劳对OSA患病率的影响在性别之间有显著差异,在男性中是显著的,但在女性中不是.
- 白天嗜睡量表显示,对OSA评估的有效性很差.
- 疲劳评估量表可能是一个更有效的OSA查工具,特别是对于男性.
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