Abstract
Aim. To assess the prevalence of sleep-disordered breathing (SDB), their relation to emotional complaints, antropometric measures and life-style factors in representative cohort of a large city inhabitants (Saint-Petersburg). Material and methods. Using structured interview and antropometric methods we studied 358 citizens of Saint-Petersburg at the age of 21-68 y.o. The presence/absence of the following were evaluated: dyssomnias, SDB (snore, breathing pauses), emotional complaints, body mass index, life-style characteristics. 21,5% of respondents could not respond definitely about the sleep breathing quality, of those mostly women (25,9% vs 14,2%; p<0,05). Finally we analyzed 281 respondents 115 men and 166 women. Results. Regular snore do confirm 29,6% men and 22,9% women. Proportional increase of snoring with the age was found only in women (r=0,21; p<0,01). Apnea episodes are reported by 14,3% respondents. Clear differences by this parameter in men and women in different ages are not found. Not depending on gender and age the snore prevalence was related to obesity markers: body mass index (r=0,26; p<0,001) and waist circumference (r=0,24; p<0,001). There was no relationship of apnea prevalence and obesity markers. There was connection between snore prevalence with sleepiness level (r=0,21, p=0,001), emotional tension (r=0,24, p<0,001) and despondency (r=0,20, p<0,01), prevalence of bruxism (r=0,18, p<0,01) and awake with the feeling of suffocation/ heaviness in the chest (r=0,17, p<0,01). Apnea prevalence correlated with typicality of fatigue after night sleep (r=0,16, p<0,01), awake with the feeling of suffocation / heaviness in the chest (r=0,17, p<0,01), and with bruxism prevalence (r=0,16, p =0,01). There was no clear evidence of SDB with lifestyle connections. Conclusion. Every fourth adult of Saint-Petersburg shows the signs of SDB, which are linked with overall sleep quality decrease, dyssomnias and emotional complaints, and with obesity values.
Highlights
Using structured interview and antropometric methods we studied 358 citizens of Saint-Petersburg at the age of 21-68 y. o
Распространенность регулярного храпа среди взрослого населения варьирует в широких пределах (8-36% у женщин и 19-54% у мужчин) и в целом увеличивается с возрастом; о наличии эпизодов прекращения дыхания во сне сообщают 4-15% [3]
22 номера (годовая подписка) 11 номеров (полугодовая подписка) 22 номера (годовая подписка)
Summary
Χ2=1,85; p=0,76 зодах апноэ, более характерны жалобы на чувство усталости после ночного сна. Более частый храп связан с выраженностью явлений эмоциональной напряженности (тревоги, раздражительности). Значимых различий по другим оцениваемым характеристикам сна и диссомническим жалобам (средняя продолжительность ночного сна и периода засыпания, снохождение, кошмарные сновидения, частота пробуждений ночью, прием снотворных препаратов и другие) выявлено не было. При учете факторов пола и возраста отмечались статистически значимые связи частоты храпа с уровнем сонливости (r=0,21; p=0,001), выраженностью эмоциональной напряженности (r=0,24; p
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