Asplund R
County Hospital, Strömsund, Sweden.
J Intern Med. 1996 Mar;239(3):261-7. doi: 10.1046/j.1365-2796.1996.453806000.x.
To investigate daytime sleepiness and napping in relation to age, health and nocturnal sleep.
An epidemiological survey by means of a questionnaire.
The counties of Västerbotten and Norrbotten in northern Sweden.
All 10,216 members of the pensioners' association SPF.
Daytime sleep, daytime sleepiness, health, night sleep, somatic diseases and medication.
Daytime sleepiness was 4.9 (3.7-6.4) and 5.1 (4.2-6.1) times more common in men and women, respectively, in poor health than in those in good health. It was also more common in subjects suffering from cardiac diseases, diabetes and musculo-skeletal diseases, urological symptoms, and diseases with sensory and neurological impairments, compared with symptomless subjects. Stepwise regression analysis showed an increase in daytime sleepiness in men in association with impaired general health (r2 = 0.067), frequent awakenings (r2 = 0.098), higher age (r2 = 0.109) and difficulty in falling asleep again after nocturnal awakening (r2 = 0.115), and in the women, in association with impaired health (r2 = 0.118), difficulty in falling asleep again (r2 = 0.149), frequent awakenings (r2 = 0.160) and higher age (r2 = 0.171). There was no further increase in r2 = either for men or women in relation to use of hypnotics.
Age, poor health and different somatic diseases, but not hypnotics, are associated with daytime sleepiness in elderly persons.
研究日间嗜睡及小睡与年龄、健康状况和夜间睡眠的关系。
采用问卷调查的流行病学调查。
瑞典北部的韦斯特博滕县和北博滕县。
退休人员协会SPF的所有10216名成员。
日间睡眠、日间嗜睡、健康状况、夜间睡眠、躯体疾病和药物治疗。
健康状况较差的男性和女性出现日间嗜睡的频率分别比健康状况良好者高4.9（3.7 - 6.4）倍和5.1（4.2 - 6.1）倍。与无症状者相比，患有心脏病、糖尿病、肌肉骨骼疾病、泌尿系统症状以及感觉和神经功能障碍疾病的受试者中，日间嗜睡也更常见。逐步回归分析显示，男性日间嗜睡增加与总体健康受损（r² = 0.067）、频繁觉醒（r² = 0.098）、年龄较大（r² = 0.109）以及夜间觉醒后再次入睡困难（r² = 0.115）有关；女性日间嗜睡增加与健康受损（r² = 0.118）、再次入睡困难（r² = 0.149）、频繁觉醒（r² = 0.160）和年龄较大（r² = 0.171）有关。无论男性还是女性，使用催眠药与r²值均无进一步增加。
年龄、健康状况不佳和不同的躯体疾病而非催眠药与老年人的日间嗜睡有关。
