SLEEP-DISORDERED BREATHING IN COMMUNITY-DWELLING ELDERLY

SLEEP-DISORDERED BREATHING IN COMMUNITY-DWELLING ELDERLY
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DOI:
10.1093/sleep/14.6.486
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发表时间:
1991-12-01
期刊:
影响因子:
5.6
通讯作者:
KAPLAN, O
KAPLAN, O
中科院分区:
医学2区
文献类型:
--
作者:
ANCOLIISRAEL, S;KRIPKE, DF;KAPLAN, O

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这是一项关于睡眠呼吸障碍的调查的最终结果,该调查对随机选择的大量老年人样本的客观和主观信息进行了检查。我们在加州圣迭戈市随机选择了427名65岁及以上的老年人。24%的人呼吸暂停指数(AI)大于或等于5,62%的人呼吸障碍指数(RDI)大于或等于10。睡眠呼吸障碍的相关因素包括相对体重高、打鼾、夜间呼吸停止、夜间徘徊或混乱、白天嗜睡和抑郁。体重指数、在不合适的时间入睡、男性、睡前2小时内不饮酒和午睡是睡眠呼吸障碍的最佳预测指标。尽管有统计学意义,所有访谈变量与呼吸暂停指数之间的关联都很小。没有人口统计学变量和症状的组合可以高度可靠地预测AI或RDI。
These are the final results of a survey of sleep-disordered breathing, which examined objective and subjective information from a large randomly selected elderly sample. We randomly selected 427 elderly people aged 65 yr and over in the city of San Diego, California. Twenty-four percent had an apnea index, AI, greater-than-or-equal-to 5 and 62% had a respiratory disturbance index, RDI, greater-than-or-equal-to 10. Correlates of sleep-disordered breathing included high relative weight and reports of snoring, breathing cessation at night, nocturnal wandering or confusion, daytime sleepiness and depression. Body mass index, falling asleep at inappropriate times, male gender, no alcohol within 2 hr of bedtime and napping were the best predictors of sleep-disordered breathing. Despite statistical significance, all of the associations between interview variables and apnea indices were small. No combination of demographic variables and symptoms allowed highly reliable prediction of AI or RDI.