Prevalence and comorbidity of sleep conditions in Australian adults: 2016 Sleep Health Foundation national survey
| Autor: | R. Douglas McEvoy, Nigel Stocks, Robert J. Adams, David Alejandro González-Chica, Tiffany K. Gill, Carol J. Lang, Sarah Appleton, Anne W. Taylor |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Excessive daytime sleepiness Comorbidity Young Adult 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Restless Legs Syndrome Sleep Initiation and Maintenance Disorders Prevalence medicine Insomnia Humans 030212 general & internal medicine Depression (differential diagnoses) Aged Sleep Apnea Obstructive business.industry Panic disorder Epworth Sleepiness Scale Snoring Australia Middle Aged medicine.disease Health Surveys nervous system diseases Obstructive sleep apnea Cross-Sectional Studies Chronic Disease Anxiety Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Sleep Health. 4:13-19 |
| ISSN: | 2352-7218 |
| DOI: | 10.1016/j.sleh.2017.10.006 |
| Popis: | Objective To determine the prevalence of sleep conditions (obstructive sleep apnea [OSA], insomnia symptoms, simple snoring, and restless legs) and their associated burden of chronic conditions in a community sample. Design Cross-sectional national adult online survey. Setting Community-based sample. Participants Australian adults ≥18 years, N = 1011. Measurements A cross-sectional national online survey assessed diagnosed OSA, OSA symptoms, insomnia symptoms, sleep problems, excessive daytime sleepiness (Epworth Sleepiness Scale ≥11), and physician-diagnosed health conditions (heart disease, diabetes, hypertension, reflux disease, lung disease, depression, anxiety/panic disorder, arthritis). Possible undiagnosed OSA was estimated using self-reported frequent loud snoring and witness apneas. International Criteria for Sleep Disorders-3 criteria identified insomnia symptoms. Logistic regression models adjusted for age, sex, obesity, and smoking determined correlates of sleep disorders. Results Comorbid sleep conditions were common, with 56% of participants demonstrating ≥1 condition. Reporting ≥1 mental health condition (depression and/or anxiety) was independently associated with diagnosed OSA (odds ratio [95% confidence interval {CI}]: 6.6 [3.2-13.6]), undiagnosed OSA (3.2 [1.8-5.8]), simple snoring (2.4 [1.2-4.5]), insomnia symptoms (4.3 [2.5-7.3]), and restless legs (1.9 [1.2-3.1]). Diagnosed OSA was significantly associated with ≥1 cardiometabolic condition (2.9 [1.4-6.0]) and arthritis (3.6 [1.8-7.2]). ESS ≥11 was associated with diagnosed (3.1 [1.4-6.8]) and undiagnosed OSA (6.2 [3.4-11.4]), insomnia symptoms (2.6 [1.4-4.9]), and restless legs (2.3 [1.4-4.0]), and these sleep conditions were also significantly associated with ≥2 diagnosed medical problems. Conclusion Strategies to facilitate the diagnosis and management of often comorbid sleep disorders in primary care are required to reduce the significant sleep-related disparities in cardiometabolic and mental health. |
| Databáze: | OpenAIRE |
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