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功能性消化不良患者的睡眠障碍:来自韩国神经胃肠病学和动力学会的一项多中心研究。

Sleep disorders in patients with functional dyspepsia: A multicenter study from the Korean Society of Neurogastroenterology and Motility.

机构信息

Department of Gastroenterology, Ulsan University College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.

Department of Gastroenterology, Konyang University Hospital, Daejeon, South Korea.

出版信息

J Gastroenterol Hepatol. 2021 Mar;36(3):687-693. doi: 10.1111/jgh.15198. Epub 2020 Aug 20.


DOI:10.1111/jgh.15198
PMID:32720319
Abstract

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.

摘要

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。

相似文献

[1]
Sleep disorders in patients with functional dyspepsia: A multicenter study from the Korean Society of Neurogastroenterology and Motility.

J Gastroenterol Hepatol. 2021-3

[2]
Heartburn in children and adolescents in the presence of functional dyspepsia and/or irritable bowel syndrome correlates with the presence of sleep disturbances, anxiety, and depression.

Medicine (Baltimore). 2021-4-2

[3]
Sleep disturbance and psychological distress are associated with functional dyspepsia based on Rome III criteria.

BMC Psychiatry. 2018-5-18

[4]
Impact of coexisting irritable bowel syndrome and non-erosive reflux disease on postprandial abdominal fullness and sleep disorders in functional dyspepsia.

J Nippon Med Sch. 2013

[5]
Impact of sleep disorders in Japanese patients with functional dyspepsia (FD): nizatidine improves clinical symptoms, gastric emptying and sleep disorders in FD patients.

J Gastroenterol Hepatol. 2013-8

[6]
Prevalence and health/social impacts of functional dyspepsia in Taiwan: a study based on the Rome criteria questionnaire survey assisted by endoscopic exclusion among a physical check-up population.

Scand J Gastroenterol. 2005-4

[7]
The impact of overlapping functional dyspepsia, belching disorders and functional heartburn on anxiety, depression and quality of life of Chinese patients with irritable bowel syndrome.

BMC Gastroenterol. 2020-7-6

[8]
The association of body mass index with functional dyspepsia is independent of psychological morbidity: A cross-sectional study.

PLoS One. 2021

[9]
Gastrointestinal symptoms and associated factors in Chinese patients with functional dyspepsia.

World J Gastroenterol. 2013-8-28

[10]
[The prevalence and risk of sleep disorders in patients with functional dyspepsia: a meta-analysis].

Zh Nevrol Psikhiatr Im S S Korsakova. 2021

引用本文的文献

[1]
Poor sleep quality (PSQ) prevalence in patients with functional dyspepsia (FD): a systematic review and meta-analysis.

Ann Med Surg (Lond). 2025-7-25

[2]
Exploring the Connection between Sleep Disorders, Emotional Distress, and Quality of Life in Functional Dyspepsia.

Actas Esp Psiquiatr. 2025-3

[3]
Global trends in research related to functional dyspepsia and anxiety or depression over the past two decades: a bibliometric analysis.

Front Neurosci. 2023-11-2

[4]
Circadian Rhythms and Melatonin Metabolism in Patients With Disorders of Gut-Brain Interactions.

Front Neurosci. 2022-3-9

[5]
Heartburn, Functional Dyspepsia, Anxiety/Depression, and Sleep Disturbances Are Associated With Clinically Significant Belching.

J Neurogastroenterol Motil. 2021-10-30

[6]
Positive Association Between Sleep Disturbance and Prevalence of Functional Dyspepsia in Japanese Young People.

Dig Dis Sci. 2022-8

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