Department of Otolaryngology, Crosshouse Hospital, Kilmarnock, Scotland, UK.
Clin Otolaryngol. 2011 Apr;36(2):134-8. doi: 10.1111/j.1749-4486.2011.02297.x.
To determine whether playing a wind or brass musical instrument is associated with reduced snoring or daytime fatigue.
Cross-sectional, controlled, anonymous, questionnaire-based observational study.
Rehearsal and performance halls.
Three hundred and forty musicians from Scotland's five professional orchestras.
Snore Outcomes Survey questionnaire and the Epworth Sleepiness Score.
Hierarchical linear regression analysis.
No significant difference was found between the snoring severity (Snore Outcomes Survey score) or daytime sleepiness (Epworth score) of wind/brass and other professional musicians. A regression model with snoring severity (Snore Outcomes Survey score) as the dependent variable and the three covariates of gender, age and body mass index as independent variables was significant [F(3, 206) = 28.77, P < 0.01, adjusted r(2) = 0.285]. Increasing age, body mass index and male gender were all significantly associated with lower Snore Outcomes Survey scores (i.e. worse snoring).The addition of instrument type did not significantly increase the fit of the model, and the regression coefficient for instrument type was not significant. There were similar results when the Epworth Sleepiness Score was used as the dependent variable.
This study demonstrated no significant difference between the snoring severity or daytime sleepiness of brass/wind players and other professional orchestral musicians. This result may have been attributed to comparatively low levels of snoring/daytime sleepiness in the population studied. The findings contrast with previous studies examining the effects of singing and didgeridoo playing but concur with a recent similar study of orchestral musicians. A prospective interventional study would be required to determine whether playing a wind or brass instrument improves these variables in patients complaining of disruptive snoring.
确定吹奏管乐器是否与减少打鼾或日间疲劳有关。
横断面、对照、匿名、基于问卷的观察性研究。
排练和表演厅。
来自苏格兰五个职业管弦乐队的 340 名音乐家。
打鼾结局调查量表和嗜睡评分。
分层线性回归分析。
吹奏管乐器组和其他职业音乐家的打鼾严重程度（打鼾结局调查量表评分）或日间嗜睡（嗜睡评分）差异无统计学意义。以打鼾严重程度（打鼾结局调查量表评分）为因变量，性别、年龄和体重指数三个协变量为自变量的回归模型具有统计学意义[F(3, 206) = 28.77, P < 0.01, 调整后的 r(2) = 0.285]。年龄、体重指数和男性性别均与打鼾结局调查量表评分（即打鼾更严重）呈显著负相关。增加乐器类型并不能显著提高模型拟合度，乐器类型的回归系数也无统计学意义。当使用 Epworth 嗜睡评分作为因变量时，也得到了类似的结果。
本研究表明，吹奏管乐器演奏者与其他职业管弦乐队音乐家的打鼾严重程度或日间嗜睡程度无显著差异。这一结果可能归因于研究人群中打鼾/日间嗜睡程度相对较低。该研究结果与之前研究吹奏乐器和迪吉里杜管演奏对睡眠的影响的研究结果不同，但与最近一项对管弦乐队音乐家的类似研究结果一致。需要前瞻性干预研究来确定吹奏管乐器是否能改善有打鼾症状患者的这些变量。
