폐쇄성 수면무호흡증과 만성 어지럼의 연관성: 국민건강영양조사 2019-2021
Association Between Obstructive Sleep Apnea and Chronic Dizziness: Results of the Korean National Health and Nutrition Examination Survey 2019–2021
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초록
Background and Objectives The present study was aimed to investigate whether chronicdizziness is associated with obstructive sleep apnea (OSA) in Korean adults. Subjects and Method We analyzed data from the 2019-2021 Korea National Health andNutrition Examination Survey and enrolled 2323 participants over the age of 40 who complet-ed the sleep health and dizziness survey. Participants were assessed for the risk of OSA usingthe STOP-Bang questionnaire and then classified into three groups: low-, intermediate-, andhigh-risk. Logistic regression analyses were used to identify the relationship between chronicdizziness and OSA. Results The intermediate-, high-, and intermediate/high-risk groups comprised older par-ticipants with a higher proportion of male and higher body mass index compared to the low-risk groups (all p<0.001). They also had higher rates of current smoking, high-risk alcoholconsumption, hearing loss, and a higher prevalence of anemia, stroke, hypertension, diabetes,and dyslipidemia. The risk of chronic dizziness was significantly associated with the severityof OSA. Compared to the low-risk OSA group, the risk of chronic dizziness was significantlyhigher in the intermediate- (odds ratio [OR] 2.096; 95% confidence interval [CI] 1.507-2.913),high- (OR 2.119; 95% CI 1.013-4.434), and intermediate/high risk OSA groups (OR 2.097;95% CI 1.508-2.917) after adjusting for the relevant variables. Conclusion These findings suggest that early detection and intervention of OSA may benecessary to prevent the worsening of chronic dizziness in adults.
Abstract
Background and Objectives The present study was aimed to investigate whether chronicdizziness is associated with obstructive sleep apnea (OSA) in Korean adults. Subjects and Method We analyzed data from the 2019-2021 Korea National Health andNutrition Examination Survey and enrolled 2323 participants over the age of 40 who complet-ed the sleep health and dizziness survey. Participants were assessed for the risk of OSA usingthe STOP-Bang questionnaire and then classified into three groups: low-, intermediate-, andhigh-risk. Logistic regression analyses were used to identify the relationship between chronicdizziness and OSA. Results The intermediate-, high-, and intermediate/high-risk groups comprised older par-ticipants with a higher proportion of male and higher body mass index compared to the low-risk groups (all p<0.001). They also had higher rates of current smoking, high-risk alcoholconsumption, hearing loss, and a higher prevalence of anemia, stroke, hypertension, diabetes,and dyslipidemia. The risk of chronic dizziness was significantly associated with the severityof OSA. Compared to the low-risk OSA group, the risk of chronic dizziness was significantlyhigher in the intermediate- (odds ratio [OR] 2.096; 95% confidence interval [CI] 1.507-2.913),high- (OR 2.119; 95% CI 1.013-4.434), and intermediate/high risk OSA groups (OR 2.097;95% CI 1.508-2.917) after adjusting for the relevant variables. Conclusion These findings suggest that early detection and intervention of OSA may benecessary to prevent the worsening of chronic dizziness in adults.
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