Chuang Li-Pang, Hsu Shih-Chieh, Lin Shih-Wei, Ko Wen-Shan, Chen Ning-Hung, Tsai Ying-Huang
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
Chang Gung Med J. 2008 Mar-Apr;31(2):175-81.
Sleep-disordered breathing (SDB) is a prevalent disorder that has a huge impact on the public. It has been proposed that Chinese populations have a higher incidence of SDB than Caucasians due to a narrow cranial base and flat mid-face structure. Few studies have investigated the prevalence of SDB in Taiwan. This study prospectively assesses the complaints of SDB and related conditions via telephone interviews with individual older than fifteen in Taiwan to calculate a possible prevalence.
Computer-assisted telephone interviews were conducted from Oct. 25, 2006 to Nov. 6, 2006. Individuals aged over 15 years were interviewed. The number of successful interviews was calculated based on the population prior to the study. Demographic data and data for symptoms of SDB and medical conditions were obtained.
In total, 4,011 individuals, 1,634 males and 2,377 females, completed the interviews. The prevalence of snoring in these Taiwanese individuals was 51.9% [95% confidence interval (CI) 51.13%-52.67%], 60.8% (95% CI 58.67%-62.93%) in males and 42.5% (95% CI 40.26%-44.74%) in females. The prevalence of witnessed apnea during sleep was 2.6% (95% CI 2.1%-3.1%), 3.4% (95% CI 2.6%-4.2%) in males and 1.9% (95% CI 1.28%-2.52%) in females. The prevalence of snoring and witnessed apnea was significantly higher in males than in females (p < 0.05). Prevalence of hypertension, cardiovascular disease, diabetes mellitus, arthritis and backache was higher in those who snored or had witnessed apnea than those without these symptoms (p < 0.05).
This study determined that 51.9% (95% CI 51.13%-52.67%) of Taiwanese snore and 2.6% (95% CI 2.1%-3.1%) have witnessed apnea. Those who snore or have witnessed apnea have a higher incidence of comorbidity with major medical diseases compared to those who do not snore or do not have witnessed apnea.
睡眠呼吸障碍（SDB）是一种普遍存在的疾病，对公众有巨大影响。有人提出，由于颅底狭窄和面部中部扁平结构，中国人群中SDB的发病率高于白种人。很少有研究调查台湾地区SDB的患病率。本研究通过对台湾15岁以上个体进行电话访谈，前瞻性地评估SDB及相关情况的主诉，以计算可能的患病率。
于2006年10月25日至2006年11月6日进行计算机辅助电话访谈。对15岁以上的个体进行访谈。根据研究前的人口数量计算成功访谈的数量。获取人口统计学数据以及SDB症状和医疗状况的数据。
总共4011人完成了访谈，其中男性1634人，女性2377人。这些台湾个体中打鼾的患病率为51.9%[95%置信区间（CI）51.13%-52.67%]，男性为60.8%（95%CI 58.67%-62.93%），女性为42.5%（95%CI 40.26%-44.74%）。睡眠中观察到呼吸暂停的患病率为2.6%（95%CI 2.1%-3.1%），男性为3.4%（95%CI 2.6%-4.2%），女性为1.9%（95%CI 1.28%-2.52%）。打鼾和观察到呼吸暂停的患病率男性显著高于女性（p<0.05）。打鼾或观察到呼吸暂停的人群中高血压、心血管疾病、糖尿病、关节炎和背痛的患病率高于无这些症状的人群（p<0.05）。
本研究确定51.9%（95%CI 51.13%-52.67%）的台湾人打鼾，2.6%（95%CI 2.1%-3.1%）观察到呼吸暂停。与不打鼾或未观察到呼吸暂停的人相比，打鼾或观察到呼吸暂停的人患主要内科疾病的合并症发生率更高。
