Zentrum Für Zahn-, Mund und Kieferheilkunde, Universitätsmedizin Greifswald, Greifswald, Germany.
Klinik Und Poliklinik Für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Germany.
Sleep Breath. 2023 May;27(2):459-467. doi: 10.1007/s11325-022-02614-1. Epub 2022 Apr 29.
Socioeconomic factors are known to modulate health. Concerning sleep apnea, influences of income, education, work, and living in a partnership are established. However, results differ between national and ethnic groups. Results also differ between various clinical studies and population-based approaches. The goal of our study was to determine if such factors can be verified in the population of Pomerania, Germany.
A subgroup from the participants of the population-based Study of Health in Pomerania volunteered for an overnight polysomnography. Their data were subjected to an ordinal regressions analysis with age, sex, body mass index (BMI), income, education, work, and life partner as predictors for the apnea-hypopnea index.
Among the subgroup (N = 1209) from the population-based study (N = 4420), significant effects were found for age, sex, and BMI. There were no significant effects for any of the socioeconomic factors.
Significant effects for well-established factors as age, sex, and BMI show that our study design has sufficient power to verify meaningful associations with sleep apnea. The lack of significant effects for the socioeconomic factors suggests their clinical irrelevance in the tested population.
社会经济因素已知可调节健康。关于睡眠呼吸暂停，收入、教育、工作和伴侣关系的影响已得到确立。然而，这些结果在不同的国家和种族群体之间存在差异。不同的临床研究和基于人群的方法也会产生不同的结果。我们的研究目的是确定在德国波美拉尼亚地区的人群中是否可以验证这些因素。
从基于人群的波美拉尼亚健康研究的参与者中抽取一个亚组，自愿接受一夜的多导睡眠图检查。他们的数据接受了有序回归分析，年龄、性别、体重指数（BMI）、收入、教育、工作和生活伴侣作为预测呼吸暂停低通气指数的因素。
在来自基于人群的研究的亚组（N=4420）中（N=1209），年龄、性别和 BMI 存在显著影响。任何社会经济因素都没有显著影响。
对年龄、性别和 BMI 等既定因素的显著影响表明，我们的研究设计具有足够的能力来验证与睡眠呼吸暂停的有意义关联。社会经济因素的显著影响表明，在测试人群中，它们在临床方面无关紧要。
