日本男性上班族的身体活动与睡眠呼吸障碍之间的关联：一项横断面研究。

Association between physical activity and sleep-disordered breathing in male Japanese workers: a cross-sectional study.

作者信息

Itoh Hiroaki, Yokoyama Kazuhito, Matsukawa Takehisa, Kitamura Fumihiko

机构信息

Department of Epidemiology and Environmental Health, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

出版信息

BMC Res Notes. 2017 Jan 9;10(1):37. doi: 10.1186/s13104-016-2362-2.

DOI:10.1186/s13104-016-2362-2

PMID:28069061

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5223323/

Abstract

BACKGROUND

Whether physical activity reduces the risk of sleep-disordered breathing (SDB) for non-obese people remains unclear. The present cross-sectional study examined the association between physical activity and SDB among non-obese male Japanese workers.

METHODS

All 200 workers in a company in Tokyo, Japan, who drove a motor vehicle as part of their job, were invited to be screened for SDB to prevent traffic accidents. Of these, 195 agreed to participate in this study. The number of apnea and hypopnea episodes occurring during one night was measured using a single-channel airflow monitor to obtain an individual respiratory disturbance index (RDI). SDB was defined as RDI ≥15 apneas/hypopneas/h. Non-obese males (body mass index <30 kg/m) were included in the analysis. Unconditional logistic regression analysis was used to calculate crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for SDB by physical activity level tertile, as measured by the International Physical Activity Questionnaire.

RESULTS

The prevalence of SDB was 26.9%. The unadjusted analysis showed a significant inverse association between physical activity and SDB: crude ORs for the tertiles of physical activity were 1.00 (low), 1.58 (middle), and 0.27 (high) (95% CI 0.08-0.88; P for trend = 0.007). However, this association was attenuated after adjusting for covariates: Adjusted ORs were 1.00 (low), 1.65 (middle), and 0.41 (high) (95% CI 0.10-1.61; P for trend = 0.11).

CONCLUSIONS

In a cross-sectional study among non-obese male workers in Japan, we found no significant association between physical activity and SDB.

摘要

背景

体育活动是否能降低非肥胖人群睡眠呼吸紊乱（SDB）的风险尚不清楚。本横断面研究调查了非肥胖日本男性工人的体育活动与SDB之间的关联。

方法

日本东京一家公司的所有200名以驾驶机动车为工作内容的工人受邀接受SDB筛查以预防交通事故。其中，195人同意参与本研究。使用单通道气流监测仪测量一晚期间发生的呼吸暂停和呼吸不足事件数量，以获得个体呼吸紊乱指数（RDI）。SDB定义为RDI≥15次呼吸暂停/呼吸不足/小时。分析纳入非肥胖男性（体重指数<30kg/m²）。采用无条件逻辑回归分析，根据国际体力活动问卷测量的体力活动水平三分位数计算SDB的粗比值比（OR）和调整后比值比以及95%置信区间（CI）。

结果

SDB的患病率为26.9%。未调整分析显示体育活动与SDB之间存在显著负相关：体力活动三分位数的粗OR分别为1.00（低）、1.58（中）和0.27（高）（95%CI 0.08 - 0.88；趋势P = 0.007）。然而，在调整协变量后这种关联减弱：调整后的OR分别为1.00（低）、1.65（中）和0.41（高）（95%CI 0.10 - 1.61；趋势P = 0.11）。