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韩国成年人健康相关行为与阻塞性睡眠呼吸暂停的关系。

Association between health-related behaviors and obstructive sleep apnea among Korean adults.

机构信息

Department of Nursing, Chung-Ang University, 84, Heukseok-ro, Dongjak-gu, Seoul, 06974, Republic of Korea.

出版信息

Sci Rep. 2024 Sep 11;14(1):21244. doi: 10.1038/s41598-024-72401-3.

DOI:10.1038/s41598-024-72401-3
PMID:39261636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11390712/
Abstract

We aimed to investigate the association between health-related behaviors and obstructive sleep apnea (OSA) among Korean adults. A cross-sectional design using national open data was employed. Data from 8,096 adults aged 40 years and above who participated in the Korea National Health and Nutrition Examination Survey between 2019 and 2021 were analyzed. The participants' OSA risk level was assessed using the STOP-Bang questionnaire. A logistic regression analysis was performed to investigate the association between health-related behaviors and high risk for OSA. The association between health-related behaviors and OSA risk remained significant for former smokers (OR = 1.643) and high-risk drinking (OR = 1.365), after adjusting for variables that showed significant differences in general and metabolic characteristics. Implementing lifestyle modifications is crucial for mitigating the health and societal impact of OSA. Understanding and addressing modifiable risk factors, including high-risk drinking and smoking, should be prioritized in nursing intervention. Nursing interventions are critical for preventing and managing OSA among Korean adults. Prioritizing high-risk behaviors through cessation programs and education is essential. Vulnerability of individuals living alone must be addressed through community outreach and support services. Emphasizing routine screenings for pre-hypertension and pre-diabetes, promoting balanced nutrition, and encouraging physical activity are crucial.

摘要

本研究旨在探讨韩国成年人健康相关行为与阻塞性睡眠呼吸暂停(OSA)的相关性。采用横断面设计,利用全国公开数据进行分析。研究对象为 2019 年至 2021 年参加韩国国家健康与营养调查的 8096 名 40 岁及以上成年人。采用 STOP-Bang 问卷评估参与者的 OSA 风险水平。采用 logistic 回归分析探讨健康相关行为与 OSA 高风险的相关性。在校正一般和代谢特征存在显著差异的变量后,发现与 OSA 风险相关的健康相关行为仍然显著,包括前吸烟者(OR=1.643)和高风险饮酒者(OR=1.365)。实施生活方式改变对于减轻 OSA 的健康和社会影响至关重要。在护理干预中,应优先考虑理解和解决可改变的危险因素,包括高风险饮酒和吸烟。护理干预对于预防和管理韩国成年人的 OSA 至关重要。通过戒烟计划和教育来优先考虑高风险行为至关重要。必须关注独居个体的脆弱性,并提供社区外展和支持服务。强调高血压前期和糖尿病前期的常规筛查、促进均衡营养和鼓励体育锻炼至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed72/11390712/c32f82955089/41598_2024_72401_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed72/11390712/2e1ed0c4191b/41598_2024_72401_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed72/11390712/c32f82955089/41598_2024_72401_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed72/11390712/2e1ed0c4191b/41598_2024_72401_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed72/11390712/c32f82955089/41598_2024_72401_Fig2_HTML.jpg

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本文引用的文献

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Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea.与心理健康、健康相关的生活质量和多种疾病相关的阻塞性睡眠呼吸暂停:韩国全国代表性样本的调查。
PLoS One. 2023 Jun 15;18(6):e0287182. doi: 10.1371/journal.pone.0287182. eCollection 2023.
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Association between smoking and obstructive sleep apnea based on the STOP-Bang index.
基于 STOP-Bang 指数的吸烟与阻塞性睡眠呼吸暂停的相关性研究。
Sci Rep. 2023 Jun 5;13(1):9085. doi: 10.1038/s41598-023-34956-5.
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The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis.电子健康素养与健康相关行为的关系:系统评价和荟萃分析。
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Sex differences in polysomnographic findings in patients with obstructive sleep apnea.阻塞性睡眠呼吸暂停患者多导睡眠图结果中的性别差异。
Sleep Med. 2023 Jan;101:429-436. doi: 10.1016/j.sleep.2022.11.025. Epub 2022 Nov 26.
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Comorbidities associated with high-risk obstructive sleep apnea based on the STOP-BANG questionnaire: a nationwide population-based study.基于 STOP-BANG 问卷的与高危阻塞性睡眠呼吸暂停相关的合并症:一项全国范围内基于人群的研究。
Korean J Intern Med. 2023 Jan;38(1):80-92. doi: 10.3904/kjim.2022.198. Epub 2022 Nov 10.
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Association of Dietary Behaviors with Poor Sleep Quality and Increased Risk of Obstructive Sleep Apnea in Korean Military Service Members.韩国军人的饮食行为与睡眠质量差及阻塞性睡眠呼吸暂停风险增加的关联
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