Gastroesophageal reflux disease is associated with high risk of obstructive sleep apnea syndrome
10.3760/cma.j.issn.0578-1426.2018.11.006
- VernacularTitle:胃食管反流病合并高危阻塞性睡眠呼吸暂停综合征的人群特征分析
- Author:
Meiling CHEN
1
;
Ying XIONG
;
Li ZENG
;
Hong WEI
;
Yonggang TAN
Author Information
1. 518035 深圳市第二人民医院消化内科;汕头大学医学院,515041
- Keywords:
Gastroesophageal reflux;
Sleep apnea;
obstructive;
Case-control studies
- From:
Chinese Journal of Internal Medicine
2018;57(11):824-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between gastroesophageal reflux disease (GERD) and obstructive sleep apnea syndrome(OSAS). Methods Patients diagnosed as GERD and healthy controls without GERD related symptoms or endoscopic esophagitis were enrolled from October 2017 and December 2017. All subjects completed Berlin Questionaire to assess the risk of OSAS. Univariate and multivariate logistic regression models were applied to identify risk factors of OSAS. Results A total of 177 subjects (97 GERD, 80 controls) were finally selected. Significantly more patients in GERD group had high risk OSAS than those in controls [36.1％(35/97) vs. 17.5％(14/80), P=0.005]. In GERD group, patients with erosive reflux diseases (ERD) had especially higher proportion of high risk OSAS compared with the non-ERD group and the healthy controls [53.3％(24/45) vs. 20.8％(10/48) and 17.5％(14/80), P=0.001]. On univariate analysis, male, aging and reflux esophagitis were identified as risk factors of OSAS (all P<0.01). On multivariate analysis, male (OR=12.156, 95％CI 1.382-106.905, P=0.024), aging (OR=1.132, 95％CI 1.051-1.220, P=0.001), acid regurgitation with reflux esophagitis (OR=5.157, 95％CI 1.327-20.034, P=0.018) were significant risk factors. Conclusions More GERD patients are combined with high risk OSAS than controls, especially subjects with reflux esophagitis. Male and aging GERD patients with acid regurgitation and reflux esophagitis need further evaluation on OSAS screening.
