Guangzhou Institute of Oncology, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, Guangdong Province, China.
College of Pharmacy, Xi'an Medical University, Xi'an, Shaanxi Province, China.
J Int Med Res. 2020 Jul;48(7):300060520937164. doi: 10.1177/0300060520937164.
Sleeping habits may greatly impact the prevalence of functional dyspepsia (FD). This study examined relationships between aspects of sleep impairment and FD.
This prospective study included university student volunteers. Following enrolment, FD was diagnosed based on the Rome IV criteria, dividing participants into an FD group or controls. The FD group was further subdivided into long-term (disease course >6 months) and short-term (disease course 3-6 months) FD groups. Participants completed the Pittsburgh Sleep Quality Index (PSQI), the Rome IV Diagnostic Questionnaire for Gastrointestinal Disorders in Adults, and a visual analogue scale (VAS).
Out of 418 participants in total, sleep quality, latency, and duration, habitual sleep efficiency, sleep disturbances, sleep medication use, daytime dysfunction, and PSQI scores were higher in the FD groups versus controls. Components of PSQI scores emerged as risk factors, and were higher in the long-term versus short-term dyspepsia group. Moreover, these components were positively correlated with frequency/severity of postprandial distress syndrome and early satiation. Total PSQI scores were positively correlated with VAS scores.
Several PSQI components are associated with FD occurrence, symptom frequency, and symptom severity.
睡眠习惯可能会极大地影响功能性消化不良(FD)的患病率。本研究探讨了睡眠障碍各方面与 FD 之间的关系。
这是一项前瞻性研究,纳入了大学生志愿者。入组后,根据罗马 IV 标准诊断 FD,将参与者分为 FD 组或对照组。FD 组进一步分为长期(病程>6 个月)和短期(病程 3-6 个月)FD 组。参与者完成匹兹堡睡眠质量指数(PSQI)、罗马 IV 成人胃肠道疾病诊断问卷和视觉模拟量表(VAS)。
在总共 418 名参与者中,FD 组的睡眠质量、潜伏期和持续时间、习惯性睡眠效率、睡眠障碍、睡眠药物使用、日间功能障碍和 PSQI 评分均高于对照组。PSQI 评分的各个组成部分均为危险因素,且在长期 FD 组中更高。此外,这些成分与餐后不适综合征和早饱的频率/严重程度呈正相关。总 PSQI 评分与 VAS 评分呈正相关。
多项 PSQI 成分与 FD 的发生、症状频率和严重程度相关。