Department of Gastroenterology, Ulsan University College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.
Department of Gastroenterology, Konyang University Hospital, Daejeon, South Korea.
J Gastroenterol Hepatol. 2021 Mar;36(3):687-693. doi: 10.1111/jgh.15198. Epub 2020 Aug 20.
BACKGROUND AND AIM: The few studies concerning the association between sleep disorders and functional dyspepsia (FD) have yielded inconsistent results. We compared the prevalence of sleep disorders in patients with FD and healthy controls, and evaluated whether FD was independently associated with sleep disorders, and the risk factors for sleep disorders in patients with FD. METHODS: This prospective, multicenter, cross-sectional study was conducted from August 2014 to December 2017 at 12 hospitals in South Korea. The inclusion criterion was the presence of FD (for ≥18 years) according to the Rome III criteria. Healthy controls were recruited from among patients who visited the Health Examination Center for check-ups. RESULTS: In total, 526 subjects were prospectively enrolled in this study (201 with FD and 325 healthy controls). The prevalence of sleep disorders was significantly higher among the patients with FD than among the healthy controls (41.8% vs 18.8%, P = 0.000). In a multivariate analysis, FD (odds ratio [OR] = 1.851; 95% confidence interval [CI] 1.194-2.870; P = 0.006), female sex (OR = 1.672; 95% CI 1.063-2.628; P = 0.026), and anxiety (OR = 3.325; 95% CI 2.140-5.166; P = 0.000) were independent risk factors for sleep disorders in the overall cohorts. In patients with FD only, low body mass index, heartburn, and anxiety were independent risk factors for sleep disorders in a further multivariate analysis. CONCLUSION: Sleep disorders were common in patients with FD. FD was significantly associated with sleep disorders in our patient population, irrespective of the presence of heartburn or psychiatric disorders.
背景与目的:少数关于睡眠障碍与功能性消化不良(FD)之间关联的研究得出了不一致的结果。我们比较了 FD 患者与健康对照组之间睡眠障碍的患病率,并评估了 FD 是否与睡眠障碍独立相关,以及 FD 患者睡眠障碍的危险因素。
方法:这是一项前瞻性、多中心、横断面研究,于 2014 年 8 月至 2017 年 12 月在韩国的 12 家医院进行。纳入标准为根据罗马 III 标准存在 FD(年龄≥18 岁)。健康对照组从接受健康检查中心体检的患者中招募。
结果:本研究共前瞻性纳入 526 例受试者(FD 患者 201 例,健康对照组 325 例)。FD 患者睡眠障碍的患病率明显高于健康对照组(41.8% vs. 18.8%,P=0.000)。多因素分析显示,FD(比值比[OR] 1.851;95%置信区间[CI] 1.194-2.870;P=0.006)、女性(OR 1.672;95%CI 1.063-2.628;P=0.026)和焦虑(OR 3.325;95%CI 2.140-5.166;P=0.000)是总体队列中睡眠障碍的独立危险因素。仅在 FD 患者中,进一步的多因素分析显示,低体重指数、烧心和焦虑是睡眠障碍的独立危险因素。
结论:睡眠障碍在 FD 患者中很常见。FD 与我们患者人群中的睡眠障碍显著相关,无论是否存在烧心或精神障碍。
World J Gastroenterol. 2013-8-28
Zh Nevrol Psikhiatr Im S S Korsakova. 2021
Ann Med Surg (Lond). 2025-7-25
Front Neurosci. 2022-3-9
J Neurogastroenterol Motil. 2021-10-30