Kamil Mohd Ariff, Teng Cheong Lieng, Hassan Syed Almashoor
Klinik Kamil Ariff, Arau, Perlis, Malaysia.
Respirology. 2007 May;12(3):375-80. doi: 10.1111/j.1440-1843.2007.01030.x.
The aim of this study was to determine the prevalence of snoring and breathing pauses during sleep, and to assess associated factors, including morbidity and the impact on daytime functioning, in an adult Malaysian population.
A cross-sectional survey of community-dwelling adults aged 30-70 years was conducted. Daytime sleepiness was assessed using the Epworth Sleepiness Scale. Physical examinations were limited to measurements of body habitus and blood pressure.
The sample consisted of 1611 adults (52.9% male). The prevalence of habitual snoring, breathing pauses and excessive daytime sleepiness were 47.3%, 15.2% and 14.8%, respectively. Seven per cent of respondents (8.8% male, 5.1% female) were clinically suspected to have obstructive sleep apnoea syndrome (OSAS). The independent predictors of habitual snoring were older age, Chinese or Indian ethnicity (compared with Malays), smoking, obesity and use of sedatives. Clinically suspected OSAS and habitual snoring were significantly associated with difficulty in getting up in the morning, morning headache, driving and workplace accidents, hypertension, and ischaemic heart disease.
The prevalence of habitual snoring is high in the Malaysian population. Sleep-related breathing disorders in Malaysian adults are associated with significant morbidity.
本研究旨在确定马来西亚成年人群中睡眠期间打鼾和呼吸暂停的患病率，并评估相关因素，包括发病率以及对日间功能的影响。
对年龄在30至70岁的社区居住成年人进行了一项横断面调查。使用爱泼沃斯思睡量表评估日间嗜睡情况。体格检查仅限于测量体型和血压。
样本包括1611名成年人（男性占52.9%）。习惯性打鼾、呼吸暂停和日间过度嗜睡的患病率分别为47.3%、15.2%和14.8%。7%的受访者（男性占8.8%，女性占5.1%）临床上疑似患有阻塞性睡眠呼吸暂停综合征（OSAS）。习惯性打鼾的独立预测因素包括年龄较大、华裔或印度裔（与马来裔相比）、吸烟、肥胖和使用镇静剂。临床上疑似OSAS和习惯性打鼾与早晨起床困难、晨起头痛、驾驶和工作场所事故、高血压以及缺血性心脏病显著相关。
马来西亚人群中习惯性打鼾的患病率较高。马来西亚成年人中与睡眠相关的呼吸障碍与显著的发病率相关。
