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Daytime sleepiness, snoring and gastro-oesophageal reflux amongst young adults in three European countries

Daytime sleepiness, snoring and gastro-oesophageal reflux amongst young adults in three European countries

Journal of Internal Medicine 237(3): 277-285

Objectives: To study the geographical variation in daytime sleepiness, snoring and disrupted breathing during sleep and to identify and compare risk factors using the same method in four European cities. Design: A cross-sectional, multicentre epidemiological survey. Setting: Reykjavik in Iceland, Uppsala and Goteborg in Sweden and Antwerp in Belgium. Participants: A random population sample of 2202 subjects who participated in the European Community Respiratory Health Survey. Main outcome measures: Sleep disturbances and daytime symptoms. Results: At all the centres, 5% of the men and 2-3% of the women reported snoring every night. Daytime sleepiness (DS) was more often reported in Uppsala (odds ratio (OR) and 95% confidence interval: 1.6 (1.2-2.1)) than in the other centres, whilst daytime tiredness (DT) was most common in Reykjavik (OR 1.8 (1.4-2.1)). Snoring was positively correlated with age, male gender and body-mass index in all areas. Symptoms of gastro-oesophageal reflux were associated with DS: OR 2.6 (1.5-4.4) and DT: OR 4.5 (2.7-7.6) and disrupted breathing: OR 3.8 (1.4-10). DS and DT were reported more often by women than by men. Conclusion: The prevalence of snoring was about the same in all four areas, whilst there was a geographical variation in daytime sleepiness and tiredness. As complaints of DS and DT and disrupted breathing were more common in subjects who reported symptoms of gastro-oesophageal reflux, we suggest that polysomnographic studies comparing sleep patterns in adult patients with and without reflux should be conducted.

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Accession: 008419614

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PMID: 7891048

DOI: 10.1111/j.1365-2796.1995.tb01176.x

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