Asplund R
Family Medicine Stockholm, Karolinska Institute, SE-141 57 Huddinge, Sweden.
Arch Gerontol Geriatr. 2003 Jan-Feb;36(1):93-9. doi: 10.1016/s0167-4943(02)00062-6.
The aim of this study was to evaluate the relation of hearing complaints to daytime sleepiness and sleep in a group of elderly men and women. A questionnaire survey was undertaken among 10,216 elderly subjects in northern Sweden. The mean (+/- S.D.) ages of the men and women were 73.0 +/- 6.0 and 72.6 +/- 6.7 years, respectively. Poor hearing was reported by 43.1% of the men and 22.8% of the women. The relative numbers with hearing complaints increased with age. Daytime sleepiness (DS) was reported by 32.9% of the men and 23.2% of the women. In a multiple logistic regression analysis significant independent correlates of daytime sleepiness in men were: hearing, good versus poor (odds ratio [OR] 1.5; confidence interval [CI] 1.2-1.8), health, good versus poor (3.3; 2.6-4.4), sleep, good versus poor (2.1; 1.6-2.8) and age, > or =80 years versus < 70 years (1.5; 1.1-2.1). The corresponding correlates in women were: hearing (1.4; 1.1-1.8), health (4.3; 3.4-5.4), sleep (2.2; 1.6-2.8) and age (1.6; 1.3-2.2). Thus, poor hearing was associated with increased daytime sleepiness independently of health, sleep status and age. Also subjects with hearing complaints more often slept poorly, woke up more often and had more difficulty in falling asleep after waking.
本研究的目的是评估一组老年男性和女性的听力问题与日间嗜睡及睡眠之间的关系。在瑞典北部的10216名老年受试者中进行了问卷调查。男性和女性的平均（±标准差）年龄分别为73.0±6.0岁和72.6±6.7岁。报告听力不佳的男性占43.1%，女性占22.8%。有听力问题的相对人数随年龄增加而增多。报告有日间嗜睡（DS）的男性占32.9%，女性占23.2%。在多元逻辑回归分析中，男性日间嗜睡的显著独立相关因素为：听力，良好与不佳相比（优势比[OR]1.5；置信区间[CI]1.2 - 1.8）、健康状况，良好与不佳相比（3.3；2.6 - 4.4）、睡眠，良好与不佳相比（2.1；1.6 - 2.8）以及年龄，≥80岁与＜70岁相比（1.5；1.1 - 2.1）。女性的相应相关因素为：听力（1.4；1.1 - 1.8）、健康状况（4.3；3.4 - 5.4）、睡眠（2.2；1.6 - 2.8）和年龄（1.6；1.3 - 2.2）。因此，听力不佳与日间嗜睡增加相关，且独立于健康状况、睡眠状态和年龄。此外，有听力问题的受试者睡眠质量更差、醒来次数更多，醒来后入睡也更困难。
