Smith Matthew Lee, Smith Harold A, Wilson Kelly L, Ahn SangNam, Pulczinski Jairus C, Ory Marcia G
Department of Health Promotion and Behavior, The University of Georgia College of Public, Health, Athens (Dr M. L. Smith); Department of Social and Behavioral Health, School of Public Health, Texas A&M Health Science Center, College Station (Drs Ahn and Ory and Mr Pulczinski); Dental Sleep Medicine of Indiana, Indianapolis (Dr H. A. Smith); Department of Health and Kinesiology, Texas A&M University, College Station (Dr Wilson); and Division of Health Systems Management and Policy, The University of Memphis School of Public Health, Memphis, Tennessee (Dr Ahn).
Fam Community Health. 2014 Oct-Dec;37(4):258-70. doi: 10.1097/FCH.0000000000000042.
This study examined risk factors and perceived severity of obstructive sleep apnea-related conditions among college students based on weight categories. Data collected from 1399 college students were analyzed using multinomial and binary logistic regressions. Overweight and obese participants were more likely to snore and report familial risk for cardiovascular disease compared with their normal weight counterparts. Relative to normal weight participants, obese participants perceived snoring (odds ratio [OR] = 1.10), irritability (OR = 1.16), and high blood pressure (OR = 1.21) as more severe; they perceived erectile dysfunction (OR = 0.89) and cardiovascular disease (OR = 0.71) as less severe. Efforts are needed to identify obstructive sleep apnea risk and create systems for weight loss interventions, screening, and diagnosis.
本研究基于体重类别，调查了大学生中阻塞性睡眠呼吸暂停相关病症的风险因素及感知严重程度。对从1399名大学生收集的数据进行了多项和二元逻辑回归分析。与正常体重的参与者相比，超重和肥胖参与者更有可能打鼾，并报告有心血管疾病家族风险。相对于正常体重参与者，肥胖参与者认为打鼾（优势比[OR]=1.10）、易怒（OR=1.16）和高血压（OR=1.21）更为严重；他们认为勃起功能障碍（OR=0.89）和心血管疾病（OR=0.71）没那么严重。需要努力识别阻塞性睡眠呼吸暂停风险，并建立体重减轻干预、筛查和诊断系统。
