Noal Ricardo B, Menezes Ana M B, Canani Simone F, Siqueira Fernando V
Programa de Pós-graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
Rev Saude Publica. 2008 Apr;42(2):224-33. doi: 10.1590/s0034-89102008000200006.
To estimate the prevalence of habitual snoring and obstructive sleep apnea and their factors associated.
Cross-sectional study with a representative sample comprising 3,136 adults (>20 years) living in the city of Pelotas, Southern Brazil, in 2005. A questionnaire was used to collect information on demographic, socioeconomic, behavioral and anthropometric variables and outcomes. Crude and adjusted statistical analysis using Fisher exact test and chi-square test for linear trend and a multivariate analysis through Poisson regression model were carried out, respectively.
The prevalence of habitual snoring was 50.5% (95% CI: 48.1;52.8) and obstructive sleep apnea was 9.9% (95% CI: 8.7;11.2). After adjustment, the risk of habitual snoring was greater in males (prevalence ratio [PR]=1.25, 95% CI: 1.16;1.34), elderly people (PR=1.62, 95% CI: 1.46;1.80), current smokers (PR=1.15, 95% CI: 1.07;1.25), alcohol users (PR=1.17, 95% CI: 1.03;1.31) and obese people (PR=1.71, 95% CI: 1.55;1.88). The risk of obstructive sleep apnea was greater in males (PR=2.05, 95% CI: 1.67;2.52), elderly people (PR=2.23, 95% CI: 1.64;3.03), current smokers (PR=1.60, 95% CI: 1.25;2.05) and obese people (PR=2.61, 95% CI: 1.97;3.47).
In the studied population, habitual snoring and obstructive sleep apnea were common symptoms. Well-known risk factors such as male gender and age between 40 and 60 years are not modifiable. However, smoking, alcohol use and obesity need to be identified and treated in general population.
评估习惯性打鼾和阻塞性睡眠呼吸暂停的患病率及其相关因素。
2005年在巴西南部佩洛塔斯市对3136名成年人(>20岁)进行了一项具有代表性的横断面研究。使用问卷收集有关人口统计学、社会经济、行为和人体测量学变量及结果的信息。分别采用Fisher精确检验和卡方检验进行线性趋势的粗统计分析和校正统计分析,并通过泊松回归模型进行多变量分析。
习惯性打鼾的患病率为50.5%(95%置信区间:48.1;52.8),阻塞性睡眠呼吸暂停的患病率为9.9%(95%置信区间:8.7;11.2)。校正后,男性(患病率比[PR]=1.25,95%置信区间:1.16;1.34)、老年人(PR=1.62,95%置信区间:1.46;1.80)、当前吸烟者(PR=1.15,95%置信区间:1.07;1.25)、饮酒者(PR=1.17,95%置信区间:1.03;1.31)和肥胖者(PR=1.71,95%置信区间:1.55;1.88)习惯性打鼾的风险更高。男性(PR=2.05,95%置信区间:1.67;2.52)、老年人(PR=2.23,95%置信区间:1.64;3.03)、当前吸烟者(PR=1.60,95%置信区间:1.25;2.05)和肥胖者(PR=2.61,95%置信区间:1.97;3.47)阻塞性睡眠呼吸暂停的风险更高。
在研究人群中,习惯性打鼾和阻塞性睡眠呼吸暂停是常见症状。男性性别和40至60岁年龄等众所周知的风险因素不可改变。然而,吸烟、饮酒和肥胖需要在普通人群中得到识别和治疗。