Longitudinal study of risk factors for habitual snoring in a general adult population - The Busselton Health Study
Longitudinal study of risk factors for habitual snoring in a general adult population - The Busselton Health Study
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DOI：
10.1378/chest.130.6.1779
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发表时间：
2006-12-01
期刊：
影响因子：
9.6
通讯作者：
Bartholomew, Helen
中科院分区：
文献类型：
--
作者：
Knuiman, Matthew;James, Alan;Bartholomew, Helen
背景资料：本纵向研究的目的是确定身体的大小，行为和呼吸的危险因素的发展习惯性打鼾在一般成人population.Methods：本研究的样本包括967名成年人，年龄在25至74岁的人报告不打鼾在1981年的布塞尔顿健康调查，谁也参加了1994-1995年的后续调查。Logistic回归被用来确定和量化的基线和改变的影响，为习惯性snore.Results的发展危险因素：共有13%已成为习惯性snorers由1994-1995。男性性别（比值比[OR]，3.5）和基线体重指数（OR，每3.4 kg/m（2）1.4）是习惯性打鼾的重要预测因素;考虑到这些变量后，没有其他基线体型、行为或呼吸/过敏变量与习惯性打鼾的发展显着相关。然而，14年随访期内体重指数的变化（OR，1.55/2.3 kg/m2），发生哮喘（OR，2.8），开始吸烟（OR，2.2）是发展习惯性打鼾的额外重要独立危险因素。这项研究证实了男性、肥胖和体重增加是习惯性打鼾的关键决定因素，并表明哮喘的发展和吸烟也起作用。保持健康的体重和不吸烟是建议的生活方式预防策略，以减少睡眠呼吸障碍及其后遗症的风险。
Background: The aim of this longitudinal study was to identify body size, behavioral, and respiratory risk factors for the development of habitual snoring in a general adult population.Methods: The sample for this study comprised 967 adults aged 25 to 74 years who reported not snoring in the 1981 Busselton Health Survey and who also attended the 1994-1995 follow-up survey. Logistic regression was used to identify and quantify the effect of baseline and change risk factors for the development of habitual snoring.Results: A total of 13% had become habitual snorers by 1994-1995. Male gender (odds ratio [OR], 3.5) and baseline body mass index (OR, 1.4 per 3.4 kg/m(2)) were significant predictors of habitual snoring; after accounting for these variables, no other baseline body size, behavioral, or respiratory/allergy variables were significantly, related to the development of habitual snoring. However, change in body mass index over the 14-year follow-tip period (OR, 1.55 per 2.3 kg/m(2)), development of asthma (OR, 2.8), and commencement of smoking (OR, 2.2) were additional significant independent risk factors for development of habitual snoring.Conclusions: This study has confirmed male gender, obesity, and weight gain as key determinants of habitual snoring, and has indicated that development of asthma and taking up smoking also play a role. Maintaining a healthy weight and not smoking are recommended lifestyle preventive strategies to reduce the risk of sleep-disordered breathing and its sequelae.