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Predictors of Sleep Apnea in the Canadian Population

机译:加拿大人口中睡眠呼吸暂停的预测指标

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Older age, obesity, hypertension, snoring, and excessive daytime sleepiness have been associated with sleep apnea. The objective of this study was to determine the prevalence (crude and adjusted), as well as the risk factors, of sleep apnea in the adult Canadian population. Data from the 2009 Sleep Apnea Rapid Response (SARR) questionnaire were used to identify the risk factors, and all sleep-related questions in the SARR questionnaire were used. The outcome variable of interest was health professional-diagnosed sleep apnea. Covariates of interest were demographic variables, population characteristics, respiratory and cardiovascular diseases, and enabling resources. The multiple logistic regression model adjusted for the clustering effect was used to analyze the data. Sleep apnea was diagnosed in 858,913 adults (3.4% of the population), and more men (65.4%) than women (34.6%) were diagnosed with sleep apnea. Multivariable logistic regression analysis indicated that age (45 and older), loud snoring, sudden awakening with gasping/choking (rare/sometimes and once or more a week), and nodding off/falling asleep in driving in the past 12 months were significantly associated with diagnosed sleep apnea. Predictive probability demonstrated that in overweight and obese persons, ≥15 minutes of daily exercise significantly decreased the risk of diagnosed sleep apnea. The conclusion of this study is that in the Canadian population, sleep apnea is associated with older age, loud snoring, and sleeping problems. The protective effect of exercise warrants further investigation.
机译:老年人,肥胖,高血压,打和白天过度嗜睡与睡眠呼吸暂停有关。这项研究的目的是确定加拿大成年人群中睡眠呼吸暂停的患病率(粗略和调整后)以及危险因素。使用2009年睡眠呼吸暂停快速反应(SARR)问卷中的数据来确定危险因素,并使用SARR问卷中所有与睡眠有关的问题。感兴趣的结果变量是健康专家诊断的睡眠呼吸暂停。感兴趣的协变量是人口统计学变量,人口特征,呼吸系统疾病和心血管疾病以及赋能资源。调整了聚类效果的多元逻辑回归模型用于分析数据。在858,913名成年人(占人口的3.4%)中诊断出睡眠呼吸暂停,被诊断出患有睡眠呼吸暂停的男性(65.4%)多于女性(34.6%)。多变量logistic回归分析表明,在过去的12个月中,年龄(45岁及以上),打,、大声打with,突然喘着气/窒息(少见/有时一次或每周一次或多次)以及打no /入睡等显着相关。诊断为睡眠呼吸暂停。预测概率表明,在超重和肥胖的人中,每天锻炼≥15分钟可显着降低诊断为睡眠呼吸暂停的风险。这项研究的结论是,在加拿大人群中,睡眠呼吸暂停与年龄较大,打呼loud和睡眠问题有关。运动的保护作用值得进一步研究。

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