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)

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Summary

Значимость различий между мужчинами и женщинами

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

Никогда Эпизодически
Нарушения дыхания во сне и антропометрические характеристики
Уровень физической активности
Нарушения дыхания во сне и характеристики образа жизни
Российский кардиологический журнал

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