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中国半数肥胖男士打鼾!阜外医院有研究发现,打鼾者心梗风险增77%

2019-09-13 卢芳 文韬 中国循环杂志

习惯性打鼾不简单,可增加心血管病、糖尿病等慢病风险。近日,中国慢性前瞻性研究在30~79岁51万余国人研究发现,习惯性打鼾标化报告率为21.2%。在肥胖者中,打鼾者尤其多。男女肥胖人群中,习惯性打鼾率分别高达52.2%和34.2%,体重指数(体重与身高平方比值)每增加1 kg/m2,习惯性打鼾的风险增加19%。腰围每增加1 cm,习惯性打鼾风险就增加6%。图1 我国成年人习惯性打鼾与体重指数(BM

习惯性打鼾不简单,可增加心血管病、糖尿病等慢病风险。

近日,中国慢性前瞻性研究在30~79岁51万余国人研究发现,习惯性打鼾标化报告率为21.2%。

在肥胖者中,打鼾者尤其多。男女肥胖人群中,习惯性打鼾率分别高达52.2%和34.2%,体重指数(体重与身高平方比值)每增加1 kg/m2,习惯性打鼾的风险增加19%。

腰围每增加1 cm,习惯性打鼾风险就增加6%。



图1 我国成年人习惯性打鼾与体重指数(BMI)、腰围的关系

打鼾不是什么好事儿。

比如阜外医院赵连成等进行的研究就发现,中年人打鼾频次越多,声音越大,其高甘油三酯血症风险越高。

而阜外医院李卫等进行的研究更是发现,每晚都鼾声大作的人,与安静睡觉的人相比,心肌梗死可能性会增加77%。

每周睡觉时打鼾多于3次的人,心肌梗死发生风险是睡觉安静者的2.7倍。男士们和年轻人的心肌梗死风险更高。

严重打呼噜时,呼吸反复停止,造成血液中氧气含量显着减少,引起全身组织细胞缺氧。频繁缺氧也会导致血管壁损伤,增加血栓形成的风险,引发心肌梗死。

在中国前瞻性研究中,打鼾的男士比女士多,达27%,女士为15.3%。南方比北方习惯性打鼾率高,城市比农村高。

55岁左右的人打鼾最多。其中男性打鼾高峰年龄在50~59岁,女性在55~64岁。

此外,研究还显示,既往吸烟及当前吸烟者更容易打鼾,而且随着吸烟支数的增加而打鼾率增加。饮酒和吸烟一样,都是经常饮酒容易打鼾。

《成人阻塞性睡眠呼吸暂停基层诊疗指南(2018)》指出,打鼾同时白天嗜睡者要小心,最好进行更详细的睡眠病史评估和体格检查。

总之,对付打鼾,该早戒烟酒就早戒烟酒,该努力减肥就努力减肥。

中国慢病前瞻性研究这项最新成果,分析了10个项目地区2004~2008年512713位参与者的资料,参与者平均年龄52岁,男性占41%,城市地区占44.1%。

来源:

[1] 魏玉虾, 申泽薇, 余灿清, 等. 中国30~79岁成年人习惯性打鼾的分布特征及相关因素分析. 中华流行病学杂志, 2019, 40: 917-923.

[2] 夏艳杰,周龙,李莹,等. 打鼾与高甘油三酯血症关系的横断面研究. 中国循环杂志, 2019, 34: 85-89.

[3] Xie D, Li W, Wang Y, et al. Sleep duration, snoring habits and risk of acute myocardial infarction in China population: results of the INTERHEART study. BMC Public Health, 2014, 29;14:531.

[4] 成人阻塞性睡眠呼吸暂停基层诊疗指南(实践版·2018)中华全科医师杂志, 2019, 1(1) : 30-35.

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    2019-09-15 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0

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    2019-09-15 weiz
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    2019-09-14 lovetcm

    心疼男士

    0

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