Wang Chuanxi, Bao Ning, Jiang Zhengxuan
The Second Clinical College, Anhui Medical University, Hefei 230601, China.
Healthcare (Basel). 2025 May 13;13(10):1136. doi: 10.3390/healthcare13101136.
The aim of this study was to assess the relationship between sleep-related variables (sleep duration, sleep trouble, and sleep disorder), comprehensive sleep patterns, and the reported history of cataract surgery in the U.S. population aged 20 years and older. We utilized data from the National Health and Nutrition Examination Survey (NHANES) 2005-2008 database. First, we analyzed the association between covariates and the reported history of cataract surgery using univariable Poisson regression. Subsequently, we constructed three models to evaluate the association between sleep-related variables and the reported history of cataract surgery using multivariable Poisson regression. Subgroup analyses were conducted to determine whether the association between sleep and the reported history of cataract surgery exhibited heterogeneity. Finally, we performed a sensitivity analysis to assess the stability of the results. A total of 8591 participants were included in this study, among whom 774 had a history of cataract surgery. After adjusting for all covariates, participants experiencing sleep trouble had a higher prevalence of reported history of cataract surgery than participants without sleep trouble [PR = 1.40; 95%CI = (1.22, 1.62)]. Regarding combined sleep, participants with poor sleep patterns had a 36% higher prevalence of reported history of cataract surgery than those with healthy sleep patterns [PR = 1.36; 95%CI = (1.13, 1.64)]. The results of the sensitivity analysis indicate that the relationship between sleep patterns and the reported history of cataract surgery is robust. Sleep trouble and poor sleep patterns are positively linked to the high prevalence of a reported history of cataract surgery. Further research is needed to explore the underlying mechanisms.
本研究的目的是评估美国20岁及以上人群中与睡眠相关的变量(睡眠时间、睡眠问题和睡眠障碍)、综合睡眠模式与白内障手术报告史之间的关系。我们利用了2005 - 2008年国家健康与营养检查调查(NHANES)数据库中的数据。首先,我们使用单变量泊松回归分析协变量与白内障手术报告史之间的关联。随后,我们构建了三个模型,使用多变量泊松回归评估与睡眠相关的变量和白内障手术报告史之间的关联。进行亚组分析以确定睡眠与白内障手术报告史之间的关联是否存在异质性。最后,我们进行了敏感性分析以评估结果的稳定性。本研究共纳入8591名参与者,其中774人有白内障手术史。在对所有协变量进行调整后,有睡眠问题的参与者白内障手术报告史的患病率高于没有睡眠问题的参与者[PR = 1.40;95%CI =(1.22, 1.62)]。关于综合睡眠,睡眠模式差的参与者白内障手术报告史的患病率比睡眠模式健康的参与者高36%[PR = 1.36;95%CI =(1.13, 1.64)]。敏感性分析结果表明,睡眠模式与白内障手术报告史之间的关系是稳健的。睡眠问题和不良睡眠模式与白内障手术报告史的高患病率呈正相关。需要进一步研究以探索其潜在机制。