PREVALENCE OF REPORTED SLEEP DISTURBANCES IN A GENERAL ADULT-POPULATION AND THEIR RELATIONSHIP TO OBSTRUCTIVE AIRWAYS DISEASES
PREVALENCE OF REPORTED SLEEP DISTURBANCES IN A GENERAL ADULT-POPULATION AND THEIR RELATIONSHIP TO OBSTRUCTIVE AIRWAYS DISEASES
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DOI：
10.1378/chest.91.4.540
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发表时间：
1987-04-01
期刊：
影响因子：
9.6
通讯作者：
QUAN, SF
中科院分区：
文献类型：
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作者：
KLINK, M;QUAN, SF
为了确定报告的睡眠障碍在普通成人人群中的流行率以及这些主诉与年龄、性别和并存的阻塞性呼吸道疾病的关系，图森阻塞性呼吸道疾病流行病学研究于1985年对2187名受试者的睡眠症状进行了调查。在所有受试者中，至少有一种睡眠障碍的症状出现在41.4%。女性普遍报告说，启动和维持睡眠障碍(DIMS)和噩梦(NM)的患病率要高得多(p<；.001)。在年龄之前，男性和女性对日间过度嗜睡的主诉患病率相似。然而，在年龄段以后，男性的EDS发生率明显高于女性。至少一种睡眠症状和昏暗的患病率随着年龄的增长而增加。噩梦的流行率似乎只在女性中与年龄有关，随着年龄的增长，她们的患病率呈下降趋势。只有在年龄过后，EDS才有所增加。DIMS和EDS与慢性支气管炎、合并哮喘和慢性支气管炎、肺气肿有显著相关性，但不能单独诊断哮喘。噩梦在哮喘、哮喘、慢性支气管炎和肺气肿患者中报告的频率要高得多，但仅在慢性支气管炎患者中并非如此。哮喘和慢性支气管炎的并存与主诉DIMS、EDS和噩梦的发病率特别高相关。我们的结论是，在普通成年人中，睡眠障碍症状随着年龄的增长而增加，通常在女性中更严重。此外，在患有慢性呼吸道阻塞性疾病的成年人中，特别是那些合并哮喘和慢性支气管炎的成年人中，睡眠症状的患病率增加。
In order to determine the prevalence of reported sleep disturbances in a general adult population and the relationship of these complaints to age, gender and coexistent obstructive airways disease, 2,187 subjects in the Tucson Epidemiologic Study of Obstructive Airways Disease were surveyed in 1985 regarding their sleep symptoms. At least one symptom of disturbed sleep was present in 41.4 percent of all subjects. Women generally reported a significantly higher prevalence of both disorders of initiating and maintaining sleep (DIMS) and nightmares (NM)(p < .001). Before age 64 years, the prevalence of complaints of excessive daytime sleepiness (EDS) among men and women were similar. However, the frequency of EDS was significantly higher in men than women after age 64 years. Prevalence of at least one sleep symptom and DIMS increased with advancing age. The prevalence of nightmares appeared to be age-related only among women, who displayed a declining prevalence with advancing age. EDS increased only after age 64 years. There was a significant relationship between DIMS and EDS with coexistent chronic bronchitis, concomitant asthma and chronic bronchitis, and emphysema, but not asthma as a solitary diagnosis. Nightmares were reported with much greater frequency among subjects with asthma, asthma and chronic bronchitis, and emphysema but not in subjects with chronic bronchitis alone. The presence of coexistent asthma and chronic bronchitis was associated with particularly high prevalence of complaints of DIMS, EDS and nightmares. We conclude that, in the general adult population, sleep disorder symptoms increase with age and usually are greater in women. Furthermore, there is an increased prevalence of sleep symptoms among adults with chronic airways obstructive disease, especially those with coexistent asthma and chronic bronchitis.