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睡眠模式不佳与美国40岁及以上人群良性前列腺增生的患病率相关:一项基于美国国家健康和营养检查调查的横断面研究。

Poor sleep patterns are associated with the prevalence of benign prostatic hyperplasia in US aged 40 and older: A cross-sectional study based on NHANES.

作者信息

Zhao Dingliang, Han Junjie, Lv Chengsen, Gao Jialin

机构信息

Department of Urology II, The First Hospital of Jilin University, Changchun, China.

Department of Urology, The Second Hospital of Jilin University, Changchun, China.

出版信息

PLoS One. 2025 Feb 25;20(2):e0319434. doi: 10.1371/journal.pone.0319434. eCollection 2025.

Abstract

BACKGROUND

The connection between sleep patterns (sleep duration, trouble sleeping and sleep disorders) and benign prostatic hyperplasia, commonly referred to as BPH, is not yet clear. Our aim is to investigate the impact of sleep patterns on BPH risk in US men aged 40 and older.

METHODS

We performed an observational analysis using data from NHANES 2005-2008 on males aged 40 and up, including a total of 2,555 participants. After accounting for confounding variables, we applied weighted multivariable logistic regression to assess the relationship between sleep patterns and BPH risk according to the complex multi-stage sampling design of NHANES.

RESULTS

In this study, 11.79% of the 2,555 American participants aged over 40 reported to have BPH. after adjusting for confounding variables, multivariable logistic regression analysis showed that short sleep duration, compared to healthy sleep duration (7-9 hours), was linked to a significantly higher risk of BPH (OR: 1.92, 95% CI: 1.42-2.41). Trouble sleeping and sleep disorder were also strongly associated with BPH. Moreover, there appears to be a stronger association among those with poor sleep patterns (OR: 2.07, 95% CI: 1.46-2.91).

CONCLUSION

Poor sleep patterns in men over 40 in the U.S. is significantly linked to a higher incidence of benign prostatic hyperplasia.

摘要

背景

睡眠模式(睡眠时间、睡眠困难和睡眠障碍)与良性前列腺增生(通常称为BPH)之间的联系尚不清楚。我们的目的是研究睡眠模式对40岁及以上美国男性患BPH风险的影响。

方法

我们使用2005 - 2008年美国国家健康与营养检查调查(NHANES)中40岁及以上男性的数据进行了一项观察性分析,共有2555名参与者。在考虑混杂变量后,我们根据NHANES复杂的多阶段抽样设计,应用加权多变量逻辑回归来评估睡眠模式与BPH风险之间的关系。

结果

在这项研究中,2555名40岁以上的美国参与者中有11.79%报告患有BPH。在调整混杂变量后,多变量逻辑回归分析表明,与健康睡眠时间(7 - 9小时)相比,睡眠时间短与BPH风险显著升高相关(OR:1.92,95% CI:1.42 - 2.41)。睡眠困难和睡眠障碍也与BPH密切相关。此外,睡眠模式差的人之间似乎存在更强的关联(OR:2.07,95% CI:1.46 - 2.91)。

结论

美国40岁以上男性的不良睡眠模式与良性前列腺增生的较高发病率显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ff/11856457/c870412ff318/pone.0319434.g001.jpg

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