Durán Agüero Samuel, Sánchez Reyes Hugo, Díaz Narváez Víctor, Araya Pérez Mónica
Nutrición y Dietética, Facultad de Ciencia de la Salud, Universidad San Sebastián, Concepción, Chile.
Universidad de Chile, Santiago, Chile.
Rev Esp Geriatr Gerontol. 2015 Nov-Dec;50(6):270-3. doi: 10.1016/j.regg.2015.02.008. Epub 2015 Apr 17.
To determine the prevalence of mild and excessive somnolence and the associated factors with the presence of daytime sleepiness in the elderly.
A total of 1780 independent individuals 60 years and older of both sexes (70.9±7.9 years old; females 62%), were included, of which 1704 of them completed all the information. All of them were assessed using an Epworth sleepiness scale (ESE), an Pittsburgh sleep quality index, plus information of cigarettes smoking, dinner time, and an anthropometric evaluation. An ESE score>10 was considered drowsiness and scores>15 excessive or severe drowsiness.
Among the population under 80 years, 5.3% showed ESE score>15 and 26.2% an ESE score>10. For over 80 years, the prevalence of sleepiness was 6.3% for an ESE score>15 and 32.5% for an ESE score>10. In the adjusted model, the factors associated with increased risk of sleepiness (ESE>10) were age older than 80 years (OR=1.58; 95% CI=1.14 to 2.19) and dinner after 21 hours (OR=1.3; 95% CI=1.01 to 1.68). By contrast, only age older than 80 years was independently associated with severe sleepiness (OR=1.81; 95% CI=1.01 to 3.29).
Meals after 21 hours and age above 80 years are associated with increased likelihood of daytime sleepiness. Instead, only older than 80 years is associated with severe daytime sleepiness.
确定老年人中轻度和过度嗜睡的患病率以及与日间嗜睡相关的因素。
纳入了总共1780名60岁及以上的独立个体（年龄70.9±7.9岁；女性占62%），其中1704人完成了所有信息。对所有参与者使用爱泼沃斯思睡量表（ESE）、匹兹堡睡眠质量指数进行评估，并收集吸烟、晚餐时间及人体测量评估等信息。ESE评分>10被认为是嗜睡，评分>15为过度或严重嗜睡。
在80岁以下人群中，5.3%的人ESE评分>15，26.2%的人ESE评分>10。80岁以上人群中，ESE评分>15时嗜睡患病率为6.3%，ESE评分>10时为32.5%。在调整模型中，与嗜睡风险增加（ESE>10）相关的因素是年龄大于80岁（OR=1.58；95%CI=1.14至2.19）和晚餐时间在21点之后（OR=1.3；95%CI=1.01至1.68）。相比之下，只有年龄大于80岁与严重嗜睡独立相关（OR=1.81；95%CI=1.01至3.29）。
21点之后用餐和80岁以上年龄与日间嗜睡可能性增加相关。相反，只有80岁以上年龄与严重日间嗜睡相关。
