Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, 06591, Korea.
BMC Psychiatry. 2023 Jun 27;23(1):467. doi: 10.1186/s12888-023-04983-7.
We aimed to examine the association between Obstructive Sleep Apnea (OSA) risk, health behaviors, and depressive symptoms in a representative Korean sample.
Cross-sectional data from the 2020 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. The sample included 4,352 adults aged 40 years and older. Multiple linear regression analysis was performed to examine the association between OSA risk, health behaviors, and depressive symptoms.
In total, 23.1% of the participants reported a high risk of OSA. Of the respondents, 39.8%, 19.0%, 27.2%, and 8.7% reported hypertension, snoring, tiredness, and observed apnea, respectively. The prevalence of moderate-severe depressive symptoms among adults with high-risk OSA was 7.5%. The significant associations between OSA risk and sex with PHQ-9 were shown in univariate linear regression. In the multiple linear regression analysis, the association between high risk of OSA and PHQ-9 showed in total (B = 1.58; P < 0.001), male (B = 1.21; P < 0.001), and female (B = 1.93; P < 0.001).
A high risk of OSA was associated with an increased prevalence of depressive symptoms. Monitoring the risk factors of depressive symptoms, including OSA, or unhealthy behaviors may decrease the mental health issues of middle-aged and older adults.
我们旨在研究阻塞性睡眠呼吸暂停（OSA）风险、健康行为与抑郁症状在代表性韩国人群中的相关性。
对 2020 年韩国国家健康和营养调查（KNHANES）的横断面数据进行分析。样本包括 4352 名 40 岁及以上成年人。采用多元线性回归分析，研究 OSA 风险、健康行为与抑郁症状之间的相关性。
共有 23.1%的参与者报告存在 OSA 高风险。受访者中，分别有 39.8%、19.0%、27.2%和 8.7%报告患有高血压、打鼾、疲劳和观察到的呼吸暂停。OSA 高风险成年人中，中度至重度抑郁症状的患病率为 7.5%。在单变量线性回归中，OSA 风险与 PHQ-9 之间的显著关联表现为性别差异。在多元线性回归分析中，OSA 高风险与 PHQ-9 之间的相关性在总人群中（B=1.58；P<0.001）、男性（B=1.21；P<0.001）和女性（B=1.93；P<0.001）中均有体现。
OSA 高风险与抑郁症状发生率增加相关。监测包括 OSA 和不健康行为在内的抑郁症状风险因素，可能有助于降低中年及以上人群的心理健康问题。
