Bhattacharyya Neil
Department of Otology & Laryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
Laryngoscope. 2015 Oct;125(10):2413-6. doi: 10.1002/lary.25346. Epub 2015 May 6.
OBJECTIVES/HYPOTHESIS: Determine the prevalence of snoring and if snoring is associated with negative effects on sleep patterns and other health conditions.
Cross-sectional analysis of large-scale national risk-factor survey.
The Behavioral Risk Factor Surveillance System for the 2012 sleep health component was analyzed to determine the relationships between respondents' sleep patterns including average hours slept, days of insufficient sleep, falling asleep while driving, and the presence of snoring. The associations between snoring and coronary artery disease, stroke, and depressive disorder were also determined.
Among 8,137,604 weighted respondents (raw N = 22,745), 52.8% (95% confidence interval, 51.9%-53.8%) reported that they snored. Males were more likely to report snoring than females (59.0% vs. 46.9%, respectively, P < .001) and increasing body mass index was associated with a higher prevalence of snoring (normal weight, 36% snoring vs. obese, 71%; P < .001). Snorers reported decreased sleep time, more lack of sleep days, and unintentional falling asleep days than nonsnorers (6.97 vs. 7.15 hours, 9.1 vs. 7.6 days, and 3.3 vs. 2.1 days, respectively; all P < .001). Snorers were more likely to have fallen asleep while driving than nonsnorers (odds ratio, 1.49; P < .001). Snorers also demonstrated increased odds ratios for coronary artery disease and depressive disorder (odds ratios 1.40 and 1.39; respectively, P < .001), but not for stroke (P = .421).
Self-reported snoring is associated with significant negative sleep pattern behaviors as well as coronary artery disease and depressive disorders. Further study of snoring as a risk factor for poor sleep and other diseases is warranted.
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目的/假设：确定打鼾的患病率，以及打鼾是否与睡眠模式和其他健康状况的负面影响相关。
对大规模全国风险因素调查进行横断面分析。
分析2012年睡眠健康部分的行为风险因素监测系统，以确定受访者的睡眠模式（包括平均睡眠时间、睡眠不足天数、驾车时入睡情况）与打鼾之间的关系。还确定了打鼾与冠状动脉疾病、中风和抑郁症之间的关联。
在8137604名加权受访者（原始样本量N = 22745）中，52.8%（95%置信区间，51.9%-53.8%）报告有打鼾。男性比女性更有可能报告打鼾（分别为59.0%和46.9%，P <.001），体重指数增加与打鼾患病率较高相关（正常体重者打鼾率为36%，肥胖者为71%；P <.001）。打鼾者报告的睡眠时间减少、睡眠不足天数更多、意外入睡天数比不打鼾者多（分别为6.97小时对7.15小时、9.1天对7.6天、3.3天对2.1天；均P <.001）。打鼾者比不打鼾者在驾车时入睡的可能性更大（优势比，1.49；P <.001）。打鼾者患冠状动脉疾病和抑郁症的优势比也增加（优势比分别为1.40和1.39；均P <.001），但中风的优势比未增加（P = 0.421）。
自我报告的打鼾与显著的负面睡眠模式行为以及冠状动脉疾病和抑郁症相关。有必要进一步研究打鼾作为睡眠不佳和其他疾病的风险因素。
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