Department of Human Physiology, School of Medicine, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
Department of Environmental and Occupational Health and Safety, Institute of Public Health, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
Biomed Res Int. 2020 May 15;2020:1810836. doi: 10.1155/2020/1810836. eCollection 2020.
Rapid eye movement sleep behavior disorder (RBD) is characterized by dream-enacting behavior (shouting, punching, and falling out of bed) related to unpleasant dreams and loss of normal rapid eye movement (REM) sleep muscle atonia. Rapid eye movement sleep enhances learning and memory by regulating neuronal synapses, and if it is undesirable, it can lead to cognitive impairment and poor academic performance and may end up with death. To the best of our searching databases, there is no such study conducted in Ethiopia. Therefore, this study is aimed at determining self-reported symptoms of RBD and its associated factors among the University of Gondar medicine and health science students (2019).
We conducted a cross-sectional study from June 1 to July 2019, among medicine and health science students at the University of Gondar using a simple random sampling technique. A self-reported RBD screening questionnaire was used to collect the data. We used Epi Info™ 7.0.8.3 and Stata 14 for data entry and statistical analyses, respectively. Descriptive statistics (frequency with percent and mean with standard deviation) and adjusted odds ratio (AOR) with 95% uncertainty interval (UI) were computed. In a multivariable binary logistic regression, variables with a < 0.05 were declared as significant.
Three hundred and eighty-seven students took part in the study. The mean age of participants was 20.81 (±1.83) years. The prevalence of self-reported RBD was 46.25% [95% UI (41.26%-51.24)]. Physical exercise immediately before sleep (AOR = 2.50, 95% UI (1.24-5.02)), using Facebook immediately before sleep (AOR = 1.93, 95% UI (1.18-3.15)), having daytime sleepiness (AOR = 1.92, 95% UI (1.16-3.19)), and self-reported depressive symptoms (AOR = 2.40, 95% UI (1.45-3.99)) were significantly associated with self-reported RBD.
The current study revealed a high prevalence of self-reported RBD. This remarkable problem suggested a need to design strategies to prevent RBD symptoms among university students through targeting screening of depression, daytime sleepiness, and adjusting bedtime routines such as physical exercise and internet use immediately before going to bed.
快速眼动睡眠行为障碍（RBD）的特征是与不愉快的梦境相关的梦境行为（大喊、打拳和从床上摔下来），以及正常快速眼动（REM）睡眠肌肉弛缓的丧失。快速眼动睡眠通过调节神经元突触来增强学习和记忆，如果它是不期望的，它可能导致认知障碍和学业成绩不佳，最终导致死亡。就我们搜索数据库的情况而言，在埃塞俄比亚还没有进行过这样的研究。因此，本研究旨在确定在贡德尔大学医学和健康科学专业的学生中，自我报告的 RBD 症状及其相关因素（2019 年）。
我们于 2019 年 6 月 1 日至 7 月 2 日在贡德尔大学进行了一项横断面研究，采用简单随机抽样技术对医学和健康科学专业的学生进行研究。使用自我报告的 RBD 筛查问卷收集数据。我们分别使用 Epi Info™ 7.0.8.3 和 Stata 14 进行数据录入和统计分析。使用描述性统计（频率和百分比，均值和标准差）和调整后的优势比（AOR）及其 95%置信区间（UI）进行计算。在多变量二元逻辑回归中，将 < 0.05 的变量视为显著。
387 名学生参加了研究。参与者的平均年龄为 20.81（±1.83）岁。自我报告的 RBD 患病率为 46.25%[95%UI（41.26%-51.24%）]。睡眠前进行体育锻炼（AOR=2.50，95%UI（1.24-5.02））、睡前立即使用 Facebook（AOR=1.93，95%UI（1.18-3.15））、白天嗜睡（AOR=1.92，95%UI（1.16-3.19））和自我报告的抑郁症状（AOR=2.40，95%UI（1.45-3.99））与自我报告的 RBD 显著相关。
本研究显示自我报告的 RBD 患病率较高。这一显著问题表明，需要通过针对抑郁、白天嗜睡和调整睡前常规（如睡前进行体育锻炼和使用互联网）来设计策略，以预防大学生出现 RBD 症状。
