Menopause:更年期女性不可忽视睡眠呼吸障碍!

2016-10-26 MedSci MedSci原创

纵向数据显示,女性从绝经前期过渡到绝经后期,睡眠呼吸障碍的风险增加。麦迪逊医学院和威斯康星大学公共卫生学院的Anna G. Mirer博士和同事分析了219名年龄在38岁到62岁的女性数据,来自威斯康辛州睡眠队列研究。研究人员通过每天的日记、月经流量、激素类药物的使用等确定参与者的更年期状态。妇女在家接受多导睡眠监测研究,每6个月测量睡眠呼吸暂停低通气指数(AHI),共计1667个睡眠研究。线性回

纵向数据显示,女性从绝经前期过渡到绝经后期,睡眠呼吸障碍的风险增加。

麦迪逊医学院和威斯康星大学公共卫生学院的Anna G. Mirer博士和同事分析了219名年龄在38岁到62岁的女性数据,来自威斯康辛州睡眠队列研究。

研究人员通过每天的日记、月经流量、激素类药物的使用等确定参与者的更年期状态。妇女在家接受多导睡眠监测研究,每6个月测量睡眠呼吸暂停低通气指数(AHI),共计1667个睡眠研究。

线性回归分析中,研究人员发现,与绝经前期女性相比,围绝经期女性的AHI高出21%(AHI ratio = 1.21; 95% CI, 0.96-1.54),绝经后期女性的AHI高出31%(AHI ratio =1.31; 95% CI, 1.02-1.68),绝经期状态不明的女性的AHI高出41%(AHI ratio = 1.41; 95% CI, 1.08-1.82);校正年龄和体型后,这些联系仍存在。

研究人员称:年龄、BMI、腰围和颈围也与AHI有关,但是这些关联不能解释更年期阶段与AHI的联系。

更年期每增加一年,AHI就增高4%(95% CI, 2-6),且独立于年龄和体型。

原始出处:


Menopause increases risk for sleep-disordered breathing
.Healio.October 25, 2016

Mirer AG, et al. Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study.Menopause. 2016;doi:10.1097/GME.0000000000000744.

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    2016-11-04 小靖儿

    更年期与睡眠呼吸障碍的相关性是什么呢

    0

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    2016-10-29 1e16063cm16(暂无匿称)

    学习新知识

    0

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青少年和年轻的成年人睡眠呼吸障碍(SDB)的潜在风险和患病率仍不清楚。研究人员假设,在年轻的西班牙裔成年人中SDB患病率比有限证据表明的数据要高。这是一项以西班牙人群为基础的研究,作为智利国家卫生服务调查数据库的一部分。在这项研究中,只有15岁至40岁的受试者被包括在内。睡眠和人口调查问卷被用来评估SDB患病率及其危险因素。对每一位受试者都进行了人体测量。每个SDB相关的症状都计算了患病率。回归模

JAMA OHNS:儿童睡眠呼吸障碍的诊断和治疗时机——公共医疗保险能否保障?

睡眠呼吸障碍(sleep disordered breathing,SDB)或呼吸暂停(sleep apnea)是指一组发生在睡眠状态下的呼吸疾病,表现为在睡眠过程中反复间断出现呼吸停顿或低通气。小儿SDB由于夜间缺氧、C02滞留,干扰脑组织能量代谢,患儿白天多表现为晨起头痛、嗜睡、烦躁、易激惹、注意力不集中,甚至性格、行为异常。30%~50%患儿生长发育不同程度落后于同龄儿,长期上呼吸道阻塞,张