Sleep disorders in the elderly with and without chronic airflow obstruction: the SARA study

Sleep disorders in the elderly with and without chronic airflow obstruction: the SARA study
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DOI:
10.1093/sleep/26.3.318
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发表时间:
2003-05-01
期刊:
影响因子:
5.6
通讯作者:
Rengo, F
Rengo, F
中科院分区:
医学2区
文献类型:
--
作者:
Bellia, V;Catalano, F;Rengo, F

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目的:我们的目的是检验这一假设,即在老年人群中,慢性气道阻塞与较高的睡眠障碍患病率相关;确定睡眠障碍的主要相关因素,并验证哮喘和COPD患者是否具有不同的睡眠障碍模式。方法:对734例65岁及以上的哮喘或慢性阻塞性肺疾病患者进行了EPESE问卷调查以及1237名年龄相当的无呼吸道疾病但无其他慢性病的个体(对照组)。四种睡眠障碍被量化:入睡困难,夜间觉醒,早晨疲劳和早醒。对人口统计学数据、个人病史、临床和功能状态进行多维度评估。结果:445例患者和697名对照者(60.6%对56.4%,ns)报告了一种或多种睡眠障碍。早晨疲劳和早醒在病例中更为普遍(38%对27.8%,p
Objectives: Our objectives were to test the hypothesis that, in the geriatric population, chronic airway obstruction is associated with a higher prevalence of sleep disturbances; to identify the main correlates of sleep disturbances, and to verify whether asthma and COPD patients have different patterns of sleep disturbances.Methods: The EPESE questionnaire was administered to 734 patients aged 65 years and over with asthma or chronic obstructive pulmonary disease (cases) and 1237 individuals of comparable age who were free of respiratory disease but not of other chronic conditions (controls). Four sleep disturbances were quantified: difficulty in falling asleep, nocturnal awakening, morning tiredness, and early awakening. Multidimensional assessment of demographic data, personal history, clinical, and functional status was performed. Independent correlates of sleep disturbances were identified by logistic regression analysis.Results: One or more sleep disturbances were reported by 445 cases and 697 controls (60.6% vs. 56.4%, ns). Morning tiredness and early awakenings were more prevalent among cases (38% vs. 27.8%, p