Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, People's Republic of China.
Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, People's Republic of China.
Sleep Breath. 2024 Jun;28(3):1459-1464. doi: 10.1007/s11325-024-03004-5. Epub 2024 Feb 19.
To investigate the prevalence and associated factors of excessive daytime sleepiness (EDS) among rural-dwelling Chinese older adults.
We collected data on demographic, epidemiological, and clinical factors via in-person interviews and clinical examinations following a structured questionnaire. The 15-item Geriatric Depression Scale (GDS-15) was used to assess depressive symptoms, the Berlin questionnaire (BQ) to assess obstructive sleep apnea (OSA) risk; and the Epworth Sleepiness Scale (ESS) to assess sleep characteristics. EDS was defined as the total ESS score > 10.
This population-based study engaged 4845 participants (age ≥ 65 years, 57.3% female) in the 2018 examination of the Multimodal Interventions to Delay Dementia and Disability in Rural China. The prevalence of EDS was 9.3% in the total sample, 8.3% in females, and 10.6% in males, and the prevalence decreased with advanced age. Logistic regression analysis revealed that EDS was significantly associated with age (multivariable-adjusted odds ratio [OR] = 0.97; 95% confidence interval [CI] 0.95-0.99), female sex (0.53; 0.36-0.77), hypertension (0.68; 0.54-0.85), depressive symptoms (2.68; 2.07-3.46), high OSA risk (2.11; 1.69-2.63), and poor sleep quality (2.12; 1.60-2.82).
EDS affects nearly one-tenth of rural older adults in China. Older age, female sex, and hypertension were associated with a decreased likelihood of EDS, while depressive symptoms, high OSA risk, and poor sleep quality were correlated with an elevated likelihood of EDS.
调查中国农村老年人群中白天过度嗜睡（EDS）的患病率及相关因素。
我们通过面对面访谈和临床检查收集了人口统计学、流行病学和临床因素的数据，并采用结构化问卷进行调查。使用 15 项老年抑郁量表（GDS-15）评估抑郁症状，柏林问卷（BQ）评估阻塞性睡眠呼吸暂停（OSA）风险，Epworth 嗜睡量表（ESS）评估睡眠特征。EDS 定义为 ESS 总分>10。
本项基于人群的研究纳入了 2018 年中国农村多模态干预延缓痴呆和残疾研究中 4845 名（年龄≥65 岁，57.3%为女性）参与者。总样本中 EDS 的患病率为 9.3%，女性为 8.3%，男性为 10.6%，患病率随年龄增长而降低。Logistic 回归分析显示，EDS 与年龄（多变量校正比值比[OR]0.97；95%置信区间[CI]0.95-0.99）、女性（0.53；0.36-0.77）、高血压（0.68；0.54-0.85）、抑郁症状（2.68；2.07-3.46）、高 OSA 风险（2.11；1.69-2.63）和睡眠质量差（2.12；1.60-2.82）显著相关。
EDS 影响中国近十分之一的农村老年人群。年龄较大、女性和高血压与 EDS 可能性降低相关，而抑郁症状、高 OSA 风险和睡眠质量差与 EDS 可能性增加相关。
