Influencing factors for snoring among people with high risk of atherosclerotic cardiovascular disease
CHEN Qifeng1, HUANG Wen1, XU Lulu1, HE Liang2, XU Laichao1
1. Shaoxing Center for Disease Control and Prevention, Shaoxing, Zhejiang 312000, China; 2. Zhuji Center for Disease Control and Prevention, Zhuji, Zhejiang 311800, China
Abstract：Objective To investigate the influencing factors of snoring among people with high risk of atherosclerotic cardiovascular disease (ASCVD), so as to provide evidence for improving sleep respiratory health and preventing and controlling cardiovascular disease risks. Methods From May to July 2021, a multi-stage cluster random sampling method was used to select individuals aged 35 to 70 years at high risk of ASCVD in Shaoxing City, Zhejiang Province, as the study subjects. Data on demographic information, disease history, lifestyle, and anthropometric and biochemical indicators (including height, weight, waist circumference, and blood biochemical parameters) were collected through questionnaire surveys, physical examinations, and laboratory tests. Snoring was assessed using the Berlin Questionnaire. Factors affecting snoring were analyzed using a multivariable logistic regression model. Results A total of 1 695 individuals were surveyed, including 940 males (55.46%) and 755 females (44.54%), with a mean age of (62.56±6.08) years. Snoring was reported in 383 individuals, accounting for 22.60%. Multivariable logistic regression analysis revealed that males(OR=1.410, 95%CI: 1.102-1.803), with a history of hypertension (OR=1.714, 95%CI: 1.220-2.406), who were overweight (OR=1.608, 95%CI:1.189-2.163) or obese (OR=1.603, 95%CI: 1.056-2.434), and with increased waist circumference (OR=1.020, 95%CI: 1.001-1.039) had a higher likelihood of snoring among the ASCVD high-risk people. Conclusion The prevalence of snoring among people with high risk of ASCVD was 22.60%, primarily influenced by gender, history of hypertension, body mass index, and waist circumference.
[1] 国家心血管病中心,中国心血管健康与疾病报告编写组,胡盛寿.中国心血管健康与疾病报告2024概要[J].中国循环杂志,2025,40(6):521-559. [2] 罗元欣,彭德荣,张琳,等.中老年人群打鼾与动脉粥样硬化心血管疾病10年发病评估风险的相关性研究[J].中国全科医学,2024,27(7):810-815. [3] 何权瀛. 充分认识和高度重视阻塞性睡眠呼吸暂停的危害[J].中华医学信息导报,2021,36(6):18-19. [4] 中国医师协会睡眠医学专业委员会,中国医师协会神经内科医师分会睡眠学组,宿长军,等.中国成人失眠共病阻塞性睡眠呼吸暂停诊治指南(2024版)[J].中国全科医学,2025,28(11):1289-1303. [5] 郑彤,姚侃,钱轶峰,等.成年打鼾人群患阻塞性睡眠呼吸暂停的危险因素分析[J].中国口腔颌面外科杂志,2024,22(2):137-142. [6] 中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.血脂异常基层诊疗指南(实践版·2019)[J].中华全科医师杂志,2019,18(5):417-421. [7] NETZER N C,STOOHS R A,NETZER C M,et al.Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome[J].Ann Intern Med,1999,131(7):485-491. [8] 韩颖颖,蔡波,吉光,等.江苏省社区人群鼾症与心血管病高危风险的关系[J].中国慢性病预防与控制,2020,28(9):673-676. [9] 中华人民共和国国家卫生健康委员会.体重管理指导原则(2024年版)[EB/OL].[2026-01-27].https://www.nhc.gov.cn/wjw/ylyjs/202412/b3d40e0141834897808ce6c9dce76a60/files/1736390749000_59785.pdf. [10] 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[J].中华流行病学杂志,2019,40(8):917-923. [11] 赵廷明,李鑫,向静,等.通江县35~75岁居民习惯性打鼾调查[J].职业卫生与病伤,2022,37(3):155-160. [12] 谢开婿,王春梅,陈玲琍,等.睡眠打鼾与浙江省成年人高血压患病关联的研究[J].中华流行病学杂志,2020,41(5):722-726. [13] 陈甘潇,夏豪.阻塞性睡眠呼吸暂停综合征型高血压的研究进展[J].医学综述,2020,26(12):2420-2424,2429. [14] 苏秋云,刘晓侠,刘丹妮,等.上海市中老年人睡眠问题与高血压的关系研究[J].中国慢性病预防与控制,2024,32(2):95-99. [15] KHAZAIE H,NEGAHBAN S,GHADAMI M R,et al.Among middle-aged adults,snoring predicted hypertension independently of sleep apnoea[J].J Int Med Res,2018,46(3):1187-1196. [16] 杨洋,何田静,祝淑珍,等.成年人群睡眠与肥胖的关联研究[J].预防医学,2023,35(2):116-120. [17] 孙静,陈莉,怀德,等.阻塞性睡眠呼吸暂停低通气综合征患者发生心血管疾病风险的因素分析[J].心血管康复医学杂志,2024,33(5):546-549. [18] ZHOU T F,CHEN S H,MAO J S,et al.Association between obstructive sleep apnea and visceral adiposity index and lipid accumulation product:NHANES2015-2018[J/OL].Lipids Health Dis,2024,23(1)[2026-01-27].https://doi.org/10.1186/s12944-024-02081-5.
