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40至64岁女性的日间嗜睡与躯体健康及医疗治疗的关系

Daytime sleepiness in 40-64 year-old women in relation to somatic health and medical treatment.

作者信息

Asplund R, Aberg H

机构信息

County Hospital, Strömsund, Sweden.

出版信息

Scand J Prim Health Care. 1998 Jun;16(2):112-6. doi: 10.1080/028134398750003278.

DOI:10.1080/028134398750003278
PMID:9689690
Abstract

OBJECTIVE

To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication.

DESIGN

An epidemiological survey using a questionnaire.

SETTING

The county of Jämtland in northern Sweden.

SUBJECTS

3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-year age group.

MAIN OUTCOME MEASURES

Daytime sleepiness (DS), health, night sleep, somatic diseases, and medication.

RESULTS

DS was more common in subjects suffering from asthma, cardiac diseases, hypertension, muscular pain, and frequent nocturnal micturition. In a logistic regression analysis with DS as the dependent variable and age, health, nocturnal sleep, frequent awakenings, inability to fall asleep again after nocturnal awakening, and hypnotic medication as explanatory variables there was an increase in DS by age in each 5-year class from 40-44 years, but a decrease in DS beyond 60 years. General health, health development during the last 5 years, and sleep characteristics were associated with increased DS. There was no increase in DS related to the use of hypnotics.

CONCLUSIONS

Poor health, a poor night's sleep, and different somatic diseases, but not use of hypnotics, are associated with DS in women aged 40-64.

摘要

目的

研究日间嗜睡及小睡与夜间睡眠、健康状况和药物治疗之间的关系。

设计

采用问卷调查的流行病学调查。

地点

瑞典北部耶姆特兰郡。

研究对象

3669名年龄在40 - 64岁之间的随机选取女性,每个5岁年龄组中的女性数量相近。

主要观察指标

日间嗜睡(DS)、健康状况、夜间睡眠、躯体疾病和药物治疗。

结果

DS在患有哮喘、心脏病、高血压、肌肉疼痛和夜间尿频的受试者中更为常见。在以DS作为因变量,年龄、健康状况、夜间睡眠、频繁觉醒、夜间觉醒后无法再次入睡以及催眠药物作为解释变量的逻辑回归分析中,从40 - 44岁起,每5岁年龄组的DS随年龄增加,但60岁以后DS下降。总体健康状况、过去5年的健康发展以及睡眠特征与DS增加相关。DS与催眠药物的使用无关。

结论

健康状况差、夜间睡眠不佳和不同的躯体疾病,但不包括催眠药物的使用,与40 - 64岁女性的DS相关。

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