Prevalence of Sleep Disorders and Association With Mortality: Results From the NHANES 2009–2010

全国健康与营养检查调查 医学 体质指数 危险系数 优势比 冲程(发动机) 冠状动脉疾病 置信区间 睡眠(系统调用) 睡眠障碍 内科学 人口 横断面研究 精神科 环境卫生 失眠症 病理 机械工程 工程类 计算机科学 操作系统
作者
Phillip Huyett,Noah Siegel,Neil Bhattacharyya
出处
期刊:Laryngoscope [Wiley]
卷期号:131 (3): 686-689 被引量:56
标识
DOI:10.1002/lary.28900
摘要

Objectives To determine the prevalence of sleep disorders in the United States and the association between sleep disorders and all‐cause mortality. Methods A cross‐sectional analysis of the 2009 to 2010 National Health and Nutrition Examination Survey (NHANES) and 2015 National Death Index (NDI) was performed. The 2009 to 2010 NHANES national household survey for adults ≥ 18 years was examined for the prevalence of sleep disorders as well as standard demographics and the presence of comorbidities (coronary artery disease [CAD], stroke, and emphysema). This dataset was linked to the 2015 NDI to associate the presence of sleep disorders with 5‐year all‐cause mortality. Results The study sample had a mean age of 46.1 years old, was 48.3% male, and had an average body mass index (BMI) of 28.7 (28.4–28.9). 7.1% (6.5%–7.7%) of adults reported being diagnosed with a sleep disorder, which represents an estimated 15.9 million (13.2–18.6) patients. The estimated mortality rate for those having a sleep disorder was 9.3% (7.2%–11.9%) compared to 5.2% (4.5%–5.9%) without a sleep disorder (odds ratio 1.89, P = <.001). After adjusting for age, sex, BMI, CAD, stroke, and emphysema, having a sleep disorder remained a significant predictor of increased mortality (hazard ratio, 1.5 [1.02–2.18], P = .042). Conclusion This study reports a high prevalence of self‐reported but physician‐diagnosed sleep disorders; however, this likely represents an underestimate. Given the association with all‐cause mortality, there is a need for increased recognition of undiagnosed sleep disorders within the United States. Level of Evidence 2b Laryngoscope , 131:686–689, 2021
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