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澳大利亚老年人群中白天过度嗜睡的患病率及其相关因素

Prevalence of and associations with excessive daytime sleepiness in an Australian older population.

作者信息

Vashum Khanrin P, McEvoy Mark Anthony, Hancock Stephen John, Islam Md Rafiqul, Peel Roseanne, Attia John Richard, Milton Abul Hasnat

机构信息

University of Newcastle, Callaghan, New South Wales, Australia.

University of Newcastle, Callaghan, New South Wales, Australia

出版信息

Asia Pac J Public Health. 2015 Mar;27(2):NP2275-84. doi: 10.1177/1010539513497783. Epub 2013 Oct 4.

DOI:10.1177/1010539513497783
PMID:24097933
Abstract

The aim of this research is to estimate the prevalence of excessive daytime sleepiness in an older population and associations with sociodemographic, health, and lifestyle factors using a cross-sectional, population-based study. Participants were men (1560) and women (1759), aged 55 to 85 years, enrolled in the Hunter Community Study, a longitudinal study of aging. Measurements were self-reported questionnaires, biochemical measures, and clinical measures. Of the 3319 participants, 3053 participants completed the Epworth Sleepiness Scale questionnaire. The prevalence of excessive daytime sleepiness was 15.3% overall and this was higher in males. In adjusted multivariate analysis, gender, working full time, body mass index, high-density and low-density lipoprotein cholesterol, Center for Epidemiologic Studies-Depression scale score, and Kessler psychological distress score were associated with excessive daytime sleepiness. Given the high prevalence of excessive daytime sleepiness observed in this study, further investigation and/or interventions to reduce adverse health outcomes, especially in males is warranted.

摘要

本研究旨在通过一项基于人群的横断面研究,估计老年人群中白天过度嗜睡的患病率及其与社会人口学、健康和生活方式因素的关联。研究对象为参与亨特社区研究(一项关于衰老的纵向研究)的55至85岁男性(1560人)和女性(1759人)。测量指标包括自我报告问卷、生化指标和临床指标。在3319名参与者中,3053名完成了爱泼华嗜睡量表问卷。总体白天过度嗜睡患病率为15.3%,男性患病率更高。在调整后的多变量分析中,性别、全职工作、体重指数、高密度和低密度脂蛋白胆固醇、流行病学研究中心抑郁量表评分以及凯斯勒心理困扰评分与白天过度嗜睡有关。鉴于本研究中观察到的白天过度嗜睡的高患病率,有必要进行进一步调查和/或干预,以减少不良健康后果,尤其是在男性中。

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