Knuiman Matthew W, James Alan L, Divitini Mark L, Bartholomew Helen C
School of Population Health (M431), University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009.
Aust N Z J Public Health. 2005 Oct;29(5):412-5. doi: 10.1111/j.1467-842x.2005.tb00219.x.
The aim of this study was to identify potential body size, behavioural and respiratory risk factors for habitual snoring and witnessed apnoeas in a general population.
Correlates of these conditions were studied in a sample of 3,577 adults aged 25-74 years who participated in a comprehensive health survey in Busselton, Western Australia, during 1994/95. Logistic regression was used to assess associations after age and gender adjustment and also in multivariate models.
The prevalence of both conditions was higher in men and rose with age. After controlling for age, gender and body mass index no additional body size variable remained significantly associated with witnessed apnoeas, whereas both waist-hip ratio and neck-height ratio remained significantly associated with habitual snoring. Among behavioural variables, smoking showed the strongest association, and among respiratory symptoms, asthma for habitual snoring and bronchitis for witnessed apnoeas had significant independent associations.
This study has confirmed obesity and smoking as key determinants of habitual snoring and witnessed apnoeas. It has also shown that a number of measures of obesity are independently related to habitual snoring and that asthma and bronchitis may also play a role, independently of obesity.
本研究旨在确定普通人群中习惯性打鼾和观察到的呼吸暂停的潜在体型、行为及呼吸风险因素。
在1994/95年期间参与西澳大利亚州巴瑟尔顿一项综合健康调查的3577名年龄在25 - 74岁的成年人样本中研究这些情况的相关因素。采用逻辑回归在调整年龄和性别后以及在多变量模型中评估关联。
这两种情况在男性中的患病率更高且随年龄增长而上升。在控制年龄、性别和体重指数后，没有其他体型变量与观察到的呼吸暂停仍存在显著关联，而腰臀比和颈高比与习惯性打鼾仍存在显著关联。在行为变量中，吸烟显示出最强的关联，在呼吸症状中，哮喘与习惯性打鼾、支气管炎与观察到的呼吸暂停有显著的独立关联。
本研究证实肥胖和吸烟是习惯性打鼾和观察到的呼吸暂停的关键决定因素。研究还表明，一些肥胖指标与习惯性打鼾独立相关，并且哮喘和支气管炎可能也起作用，独立于肥胖因素。
