[논문]Prevalence of Self-Perceived Snoring and Apnea and Their Association with Daytime Sleepiness in Korean High School Students

Yang, Kwang Ik; Kim, Jee Hyun; Hwangbo, Young; Koo, Dae Lim; Kim, Daeyoung; Hwang, Kyoung Jin; Hong, Seung Bong

doi:10.3988/jcn.2017.13.3.265

Prevalence of Self-Perceived Snoring and Apnea and Their Association with Daytime Sleepiness in Korean High School Students 원문보기

Journal of clinical neurology, v.13 no.3, 2017년, pp.265 - 272

Yang, Kwang Ik (Sleep Disorders Center, Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.) , Kim, Jee Hyun (Department of Neurology, Dankook University College of Medicine, Dankook University Hospital, Cheonan, Korea.) , Hwangbo, Young (Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.) , Koo, Dae Lim (Department of Neurology, Seoul National University Boramae Hospital, Seoul, Korea.) , Kim, Daeyoung (Department of Neurology, Chungnam National University College of Medicine, Daejeon, Korea.) , Hwang, Kyoung Jin (Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea.) , Hong, Seung Bong (Department of Neurology, Neuroscience Center, Samsung Medical Center, Samsung Biomedical Research Institute, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University School of Medicine, Seoul, Korea.)

Abstract ▼ AI-Helper

Background and PurposeThere has been no nationwide population-based study of the prevalence of self-perceived snoring/apnea in Korean adolescents. The purpose of this study was to estimate prevalence of self-perceived snoring/apnea in Korean high-school students and to evaluate their association with daytime sleepiness.MethodsAn online survey was used to investigate 12,672 students at 75 high schools across the 15 nationwide districts of South Korea. The variables were obtained using a self-reported questionnaire. The students answered questions about self-perceived snoring/apnea during the past 30 days. Daytime sleepiness was measured using a validated Korean version of the Epworth Sleepiness Scale, which was modified for adolescents. Covariates were the sex, school grade, frequency of self-perceived snoring/apnea, body mass index, sleep duration during a school day, and subjective perception of sleep duration.ResultsThe prevalence of self-perceived snoring/apnea was 22.8% (26.4% for males vs. 18.8% for females, p<0.001) and 9.2% (10.5% for males vs. 7.7% for females, p<0.001). Obesity was significantly associated with self-perceived snoring [odds ratio (OR)=2.18, 95% confidence interval (CI)=1.94–2.46] and apnea (OR=1.57, 95% CI=1.33–1.86). Multivariate analysis showed that any frequency of self-perceived snoring/apnea was significantly associated with excessive daytime sleepiness (EDS). The OR of EDS increased significantly with the frequency of snoring and apnea. Female, sleep duration of <5 hours during a school day, and subjective perceptions of insufficient and considerable sleep durations were also significantly associated with EDS.ConclusionsThe prevalence of self-perceived snoring/apnea was significantly higher in students who were male and obese. Students with self-perceived snoring/apnea exhibited more significant EDS and an increased risk of EDS as the frequency of snoring and apnea increased.

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Prevalence of Self-Perceived Snoring and Apnea and Their Association with Daytime Sleepiness in Korean High School Students 원문보기

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Prevalence of Self-Perceived Snoring and Apnea and Their Association with Daytime Sleepiness in Korean High School Students 원문보기

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