Yang Kwang Ik, Kim Jee Hyun, Hwangbo Young, Koo Dae Lim, Kim Daeyoung, Hwang Kyoung Jin, Hong Seung Bong
Sleep Disorders Center, Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.
Department of Neurology, Dankook University College of Medicine, Dankook University Hospital, Cheonan, Korea.
J Clin Neurol. 2017 Jul;13(3):265-272. doi: 10.3988/jcn.2017.13.3.265.
There has been no nationwide population-based study of the prevalence of self-perceived snoring/apnea in Korean adolescents. The purpose of this study was to estimate prevalence of self-perceived snoring/apnea in Korean high-school students and to evaluate their association with daytime sleepiness.
An online survey was used to investigate 12,672 students at 75 high schools across the 15 nationwide districts of South Korea. The variables were obtained using a self-reported questionnaire. The students answered questions about self-perceived snoring/apnea during the past 30 days. Daytime sleepiness was measured using a validated Korean version of the Epworth Sleepiness Scale, which was modified for adolescents. Covariates were the sex, school grade, frequency of self-perceived snoring/apnea, body mass index, sleep duration during a school day, and subjective perception of sleep duration.
The prevalence of self-perceived snoring/apnea was 22.8% (26.4% for males vs. 18.8% for females, p<0.001) and 9.2% (10.5% for males vs. 7.7% for females, p<0.001). Obesity was significantly associated with self-perceived snoring [odds ratio (OR)=2.18, 95% confidence interval (CI)=1.94-2.46] and apnea (OR=1.57, 95% CI=1.33-1.86). Multivariate analysis showed that any frequency of self-perceived snoring/apnea was significantly associated with excessive daytime sleepiness (EDS). The OR of EDS increased significantly with the frequency of snoring and apnea. Female, sleep duration of <5 hours during a school day, and subjective perceptions of insufficient and considerable sleep durations were also significantly associated with EDS.
The prevalence of self-perceived snoring/apnea was significantly higher in students who were male and obese. Students with self-perceived snoring/apnea exhibited more significant EDS and an increased risk of EDS as the frequency of snoring and apnea increased.
韩国尚未开展过基于全国人口的青少年自我感觉打鼾/呼吸暂停患病率研究。本研究旨在估计韩国高中生自我感觉打鼾/呼吸暂停的患病率，并评估其与日间嗜睡的相关性。
采用在线调查对韩国全国15个地区75所高中的12672名学生进行调查。变量通过自我报告问卷获取。学生们回答了过去30天内自我感觉打鼾/呼吸暂停的相关问题。使用经过验证的适用于青少年的韩国版爱泼沃斯嗜睡量表测量日间嗜睡情况。协变量包括性别、年级、自我感觉打鼾/呼吸暂停的频率、体重指数、上学日的睡眠时间以及对睡眠时间的主观感受。
自我感觉打鼾/呼吸暂停的患病率分别为22.8%（男性为26.4%，女性为18.8%，p<0.001）和9.2%（男性为10.5%，女性为7.7%，p<0.001）。肥胖与自我感觉打鼾[比值比（OR）=2.18，95%置信区间（CI）=1.94 - 2.46]和呼吸暂停（OR=1.57，95%CI=1.33 - 1.86）显著相关。多因素分析显示，任何频率的自我感觉打鼾/呼吸暂停都与日间过度嗜睡（EDS）显著相关。EDS的OR值随着打鼾和呼吸暂停频率的增加而显著升高。女性、上学日睡眠时间<5小时以及对睡眠时间不足和过长的主观感受也与EDS显著相关。
男性和肥胖学生自我感觉打鼾/呼吸暂停的患病率显著更高。自我感觉打鼾/呼吸暂停的学生表现出更显著的EDS，且随着打鼾和呼吸暂停频率的增加，EDS风险升高。
