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睡眠障碍与便秘风险的关联:系统评价和荟萃分析。

Association between sleep disorders and constipation Risk: A systematic review and Meta-Analysis.

机构信息

School of Clinical Medicine, Changchun University of Chinese Medicine, Changchun, China.

Department of Pediatrics, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, Jilin, China.

出版信息

J Clin Neurosci. 2024 Aug;126:12-20. doi: 10.1016/j.jocn.2024.05.030. Epub 2024 May 30.


DOI:10.1016/j.jocn.2024.05.030
PMID:38821029
Abstract

OBJECTIVES: The objective of this study was to evaluate the potential relationship between sleep disturbances and various types of constipation in patients. METHODS: We conducted systematic searches in the research databases PubMed, EMBASE, Web of Science, and Cochrane Library to identify qualifying studies. Using Stata software version 14.0, we calculated the Odds Ratio (OR) and 95 % confidence interval (CI) for constipation in patients with sleep disorders. If P > 0.1 and I2 ≤ 50 %, we employed a fixed-effects model; otherwise, we applied a random-effects model. We assessed publication bias using funnel plots and Egger's test. RESULT: The pooled analysis demonstrated that individuals with sleep disorders were associated with an increased risk of all-cause constipation (OR = 1.47; 95 %CI: 1.31-1.64; I2 = 88.8 %, P<0.001). Specifically, both children (OR = 1.29; 95 %CI: 1.16-1.42; I2 = 63.8 %, P<0.001) and adults (OR = 1.65; 95 %CI: 1.39-1.97; I2 = 92.4 %, P<0.001) with a history of sleep disorders exhibited an increased risk of all-cause constipation.. Furthermore, patients with a history of insufficient sleep were also associated with an increased risk of constipation (OR = 1.33; 95 %CI: 1.20-1.46; I2 = 6.7 %, P<0.001). Additionally, patients with poor sleep quality were found to have an increased risk of constipation (OR = 1.56; 95 %CI: 1.0-2.45; I2 = 90.9 %, P = 0.05). Lastly, patients with insomnia were found to have the highest risk of constipation (OR = 1.94; 95 %CI: 1.37-2.76; I2 = 97.8 %, P<0.001). CONCLUSION: This meta-analysis indicates that sleep disorders are associated with an elevated risk of constipation. Insomnia, poor sleep quality, and insufficient sleep duration all contribute to elevating the risk of constipation. These findings emphasize the significance of recognizing sleep disorders as an independent risk factor for constipation in both children and adults.

摘要

目的:本研究旨在评估睡眠障碍与各种类型的便秘之间的潜在关系。

方法:我们在 PubMed、EMBASE、Web of Science 和 Cochrane Library 等研究数据库中进行了系统检索,以确定合格的研究。使用 Stata 软件版本 14.0,我们计算了睡眠障碍患者便秘的优势比(OR)和 95%置信区间(CI)。如果 P>0.1 且 I2≤50%,我们采用固定效应模型;否则,我们采用随机效应模型。我们使用漏斗图和 Egger 检验评估发表偏倚。

结果:汇总分析表明,睡眠障碍患者发生全因便秘的风险增加(OR=1.47;95%CI:1.31-1.64;I2=88.8%,P<0.001)。具体来说,儿童(OR=1.29;95%CI:1.16-1.42;I2=63.8%,P<0.001)和成人(OR=1.65;95%CI:1.39-1.97;I2=92.4%,P<0.001)中既往有睡眠障碍史的患者全因便秘的风险均增加。此外,既往睡眠不足的患者发生便秘的风险也增加(OR=1.33;95%CI:1.20-1.46;I2=6.7%,P<0.001)。此外,睡眠质量差的患者发生便秘的风险增加(OR=1.56;95%CI:1.0-2.45;I2=90.9%,P=0.05)。最后,失眠患者发生便秘的风险最高(OR=1.94;95%CI:1.37-2.76;I2=97.8%,P<0.001)。

结论:本荟萃分析表明,睡眠障碍与便秘风险升高相关。失眠、睡眠质量差和睡眠时间不足均会增加便秘的风险。这些发现强调了认识到睡眠障碍是儿童和成人便秘的一个独立危险因素的重要性。

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