Huang Jianchai, Qi Jiachao, Lin Qichang, Li Shuqi, Chen Gongping, Ding Haibo, Zhao Jianming
Department of Respiratory Medicine, First Affiliated Hospital of Fujian Medical University, Fujian Provincial Sleep-disordered Breathing Clinic Center, Laboratory of Respiratory Disease of Fujian Medical University, Fuzhou, Fujian, 350005, China.
Department of Respiratory Medicine, Ningde Hospital of Fujian Province, Ningde, Fujian, 352100, China.
Clin Respir J. 2018 Mar;12(3):966-973. doi: 10.1111/crj.12613. Epub 2017 Feb 9.
Snoring has been associated with a number of abnormal conditions, but little work has been done on its association with components of metabolic syndrome based on the epidemiology in Chinese adults.
This study aimed to investigate the association between snoring and components of metabolic syndrome in southeastern Chinese adults.
A two-stage, cross-sectional community-based study was performed in Fuzhou, Southeast China, from 2005 to 2009. Stage 1: 5500 subjects were administered a questionnaire. Data on self-reported snoring status, daytime somnolence, demographic data, disease histories, and potential confounders were collected and anthropometric measurements were performed. Stage 2: 1000 subjects who were already investigated underwent a blood test and measurement of blood pressure.
Data from 4286 subjects were available; 606 subjects were habitual snorers. The prevalence of overweight or obesity, hyperglycemia, hypertension, and dyslipidemia in occasional and habitual snorers was higher than that in the study population (16.66%, 7.89%, 10.52%, and 5.81%, respectively). A significantly increasing trend based on snoring frequency existed in the prevalence of metabolic disorders. The prevalence of components of metabolic syndrome continued to be significantly associated with snoring frequency after controlling confounding factors. Odds ratios of suffering from the aforementioned conditions for occasional and habitual snorers were 1.5-2.5 (P < 0.05) and 2.4-4.8 (P < 0.001) times higher, respectively, compared with nonsnorers.
The prevalence of snoring and components of metabolic syndrome is high in southeastern Chinese adults. Both habitual and occasional snoring are closely associated with metabolic disorders independent of confounding factors.
打鼾与多种异常情况相关,但基于中国成年人流行病学,关于打鼾与代谢综合征各组分之间关联的研究较少。
本研究旨在调查中国东南部成年人打鼾与代谢综合征各组分之间的关联。
2005年至2009年在中国东南部的福州进行了一项两阶段、基于社区的横断面研究。第一阶段:对5500名受试者进行问卷调查。收集自我报告的打鼾状况、日间嗜睡情况、人口统计学数据、疾病史和潜在混杂因素的数据,并进行人体测量。第二阶段:对已经接受调查的1000名受试者进行血液检查和血压测量。
获得了4286名受试者的数据;606名受试者为习惯性打鼾者。偶尔打鼾者和习惯性打鼾者中超重或肥胖、高血糖、高血压和血脂异常的患病率高于研究人群(分别为16.66%、7.89%、10.52%和5.81%)。代谢紊乱的患病率随打鼾频率呈显著上升趋势。在控制混杂因素后,代谢综合征各组分的患病率仍与打鼾频率显著相关。与非打鼾者相比,偶尔打鼾者和习惯性打鼾者患上述疾病的比值比分别高1.5 - 2.5倍(P < 0.05)和2.4 - 4.8倍(P < 0.001)。
中国东南部成年人中打鼾和代谢综合征各组分的患病率较高。习惯性打鼾和偶尔打鼾均与代谢紊乱密切相关,且不受混杂因素影响。