揭露阻塞性睡眠呼吸暂停:美国估计的患病率和影响
Ibrahim Sönmez1, Alexandre Vo Dupuy1, Kristina S Yu2
1Clarivate Analytics, London, UK.
Respiratory medicine
|September 16, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 影响了超过8300万美国成年人,患病率为32.4%. 这种常见的疾病,其特点是呼吸中断,仍然是显著低诊断,需要更好的查.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (obstructive sleep apnea,OSA) 是一种普遍存在的慢性疾病,在睡眠期间经常出现呼吸道阻塞.
- 这些障碍导致呼吸中断,睡眠碎片化和氧和度降低.
- 肥胖是OSA的一个重要风险因素.
研究的目的:
- 为了估计美国成年人口中目前的OSA患病率.
- 将肥胖作为流行率估计的主要风险因素考虑在内.
- 预测2024年OSA的流行情况.
主要方法:
- 一项系统的文献审查确定了使用无呼吸 - 低呼吸指数 (AHI) 的成年OSA患病率研究,该指数具有4%的氧气脱度值 (AHI4).
- OSA被定义为每小时5个或更多事件的AHI4.
- 根据年龄,性别和肥胖数据估计了患病率,从2004年的基线预测到2024年.
主要成果:
- 据估计,在2024年,约有8370万美国成年人 (20岁及以上) 患有OSA.
- 整体患病率为32.4%,在调整肥胖后,男性的患病率 (39.1%) 比女性的患病率 (26.0%) 高.
- OSA严重程度分布:52%轻度,30%中度,18%严重.
结论:
- 在美国成年人中,OSA非常普遍.
- 很大一部分OSA病例仍未被诊断出来.
- 迫切需要加强OSA查和诊断策略.
相关概念视频
Sleep Apnea
483
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
483
Insufficient Sleep and Sleep Deprivation
839
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
839
Other Pulmonary Disorders
1.5K
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
1.5K
Substance Use Disorders Affecting Sleep
403
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
403
Prevalence and Incidence
1.5K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.5K
Respiratory Volumes and Capacities I
1.6K
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.6K


