Sleep disordered breathing in an elderly community-living population: Relationship to cardiac function, insomnia symptoms and daytime sleepiness
Sleep disordered breathing in an elderly community-living population: Relationship to cardiac function, insomnia symptoms and daytime sleepiness
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DOI：
10.1016/j.sleep.2009.01.011
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发表时间：
2009-10-01
期刊：
影响因子：
4.8
通讯作者：
Brostrom, Anders
中科院分区：
文献类型：
--
作者：
Johansson, Peter;Alehagen, Urban;Brostrom, Anders
目的：描述社区老年人睡眠呼吸障碍（SDB）的患病率及其与收缩功能、不同失眠症状以及白天过度嗜睡（EDS）的关系。此前尚未对此进行过调查。方法：对 331 名健康状况足以独立生活在自己家中的受试者（71-87 岁）进行了超声心动图检查和睡眠呼吸记录。采用问卷评估失眠症状和EDS。结果：轻度SDB（AHI 5-15）占32%。 16% 的人患有中度 SDB (AHI 15-30)，7% 的人患有重度 SDB (AHI > 30)。与收缩功能正常的患者 (AHI 5.0) 相比，收缩功能轻度受损 (AHI 11.7) 和收缩功能中度受损 (AHI 10.9) 的患者的中位 AHI 显着较高 (p < 0.001)。收缩功能受损与中枢性睡眠呼吸暂停（CSA）相关，但与阻塞性睡眠呼吸暂停无关。在失眠症状和 EDS 方面，只有入睡困难与 AHI 显着相关（p < 0.05）。结论：SDB 在老年人中很常见。 CSA 可能与收缩功能受损/心力衰竭有关。然而，由于失眠症状和 EDS 与 SDB 相关性较差，因此在该人群中检测 SDB 可能存在问题。 (c) 2009 Elsevier B.V. 保留所有权利。
Objective: To describe the prevalence of sleep disordered breathing (SDB) and its relationship to systolic function, different insomnia symptoms as well as excessive daytime sleepiness (EDS) in elderly community-living people. This has not been investigated previously.Method: Three hundred thirty-one subjects (71-87 years) healthy enough to be independently living in their own homes underwent echocardiographic examinations and sleep respiratory recordings. Questionnaires were used to evaluate insomnia symptoms and EDS.Results: Mild SDB (AHI 5-15) was found in 32%. Moderate SDB (AHI 15-30) occurred in 16%, and 7% had severe SDB (AHI > 30). Median AHI was significantly higher (p < 0.001) in those with mildly impaired systolic function (AHI 11.7) and moderately impaired systolic function (AHI 10.9) compared to those with normal systolic function (AHI 5.0). Impaired systolic function was associated with central sleep apnea (CSA) but not with obstructive sleep apnea. Concerning insomnia symptoms and EDS, only difficulties in initiating sleep correlated significantly (p < 0.05) with AHI.Conclusion: SDB is common among the elderly. CSA may be related to impaired systolic function/heart failure. However, detection of SDB in this population may be problematic since insomnia symptoms and EDS correlated poorly with SDB. (c) 2009 Elsevier B.V. All rights reserved.