Sleep Problems Associate With Multimorbidity: A Systematic Review and Meta-analysis.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yaguan Zhou, Yichen Jin, Yi Zhu, Weiwei Fang, Xiaochen Dai, Carmen Lim, Shiva Raj Mishra, Peige Song, Xiaolin Xu
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引用次数: 2

Abstract

Objectives: To summarize the evidence on the association between sleep problems and multimorbidity. Methods: Six electronic databases (PubMed, Web of Science, Embase, China National Knowledge Infrastructure, VIP, and Wan fang) were searched to identify observational studies on the association between sleep problems and multimorbidity. A random-effects model was used to estimate the pooled odds ratios (ORs) and 95% confidence intervals for multimorbidity. Results: A total of 17 observational studies of 133,575 participants were included. Sleep problems included abnormal sleep duration, insomnia, snoring, poor sleep quality, obstructive sleep apnea (OSA) and restless legs syndrome (RLS). The pooled ORs (95% CIs) for multimorbidity were 1.49 (1.24-1.80) of short sleep duration, 1.21 (1.11-1.44) of long sleep duration and 2.53 (1.85-3.46) for insomnia. The association of other sleep problems with multimorbidity was narratively summarized due to limited number of comparable studies. Conclusion: Abnormal sleep duration and insomnia are associated with higher odds of multimorbidity, while the evidence on association of snoring, poor sleep quality, obstructive sleep apnea and restless legs syndrome with multimorbidity remains inconclusive. Interventions targeting sleep problems should be delivered for better management of multimorbidity.

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与多病相关的睡眠问题:系统回顾和荟萃分析。
目的:总结有关睡眠问题与多病之间关系的证据。方法:检索PubMed、Web of Science、Embase、中国知识基础设施、VIP和万方等6个电子数据库,以确定睡眠问题与多病之间关系的观察性研究。随机效应模型用于估计多发病的合并优势比(or)和95%置信区间。结果:共纳入17项观察性研究,133,575名参与者。睡眠问题包括睡眠时间异常、失眠、打鼾、睡眠质量差、阻塞性睡眠呼吸暂停(OSA)和不宁腿综合征(RLS)。多病的合并or (95% ci)分别为短睡眠时间组1.49(1.24 ~ 1.80)、长睡眠时间组1.21(1.11 ~ 1.44)、失眠组2.53(1.85 ~ 3.46)。由于可比性研究的数量有限,其他睡眠问题与多病的关联被叙述性地总结。结论:睡眠时间异常和失眠与多病的发生率较高,而打鼾、睡眠质量差、阻塞性睡眠呼吸暂停和不宁腿综合征与多病的相关性尚无定论。针对睡眠问题的干预措施应提供更好的管理多病。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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