LITHUANIAN UNIVERSITY OF HEALTH SCIENCES LUHS LIBRARY REPOSITORY

Nusiskundimai miegu, jų sąsajos su išemine širdies liga, arterine hipertenzija, depresine nuotaika ir su sveikata susijusia gyvenimo kokybe

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dc.contributor.author Andruškienė, Jurgita
dc.date.accessioned 2017-08-21T08:10:50Z
dc.date.available 2017-08-21T08:10:50Z
dc.date.issued 2006
dc.identifier.uri http://repository.lsmuni.lt/handle/1/60016
dc.description.abstract INTRODUCTION Insomnia became an object of concern in Aristotelian times, when he wrote a monograph on sleep disorders (350 BC). Although community of science and medicine has been interested in sleep disorders for almost 2000 years, however, there are not much information about the prevalence of insomnia, especially among citizens of developing countries. Epidemiological information about prevalence of insomnia and sleep complaints varies in different countries [Roth et.al., 1996], because of diversity of methodology for data collection. According to data of research carried out in the United States of America, Europe and Australia, 10–49% of population are not satisfied with their sleep quality. [Walsh, Ustun, 1999]. According to data of lifestyle research in Lithuania (1996), insomnia was a problem for 22.5% of male (from 20 to 64 years old) and 29.3% of female [Grabauskas, Klumbienė, 1998]. Sleep complaints among Lithuanian citizens have not been researched up to now, although, as foreign scientists maintain, sleep disorder can accelerate development of many somatic as well as mental diseases, besides, after a few sleepless nights, follows irritability, decrease of efficiency, it is difficult to concentrate, considerably increases risk of traffic accidents or accidents at work [Balter, Uhlenhuth, 1992]. Supposedly, there is a connection among heart and vascular diseases, sleep disorders and depression [Mahowald et.al., 1989]. Research that was carried out abroad proved that discontent in sleep determined reduced quality of life, especially aspects of mental health and energy as well as vitality [Leger, 2003; Katz, McHorney, 2002; Zammit et.al., 1999]. The main statements proposed for assertation: prevalence of sleep disorders and depression increases among population in different countries [Broman et. al. 2004, Ohayon, 2005]. There is a noticeable connection between sleep disorders, heart and vascular diseases and depression. Supposedly, sleep disorders can determine worsened health – related quality of life. There is no information about prevalence of sleep complaints among Lithuanian citizens, their relations with heart and vascular diseases and emotional state. The aim was to investigate the prevalence of sleep complaints among the 35–74 years old citizens of Palanga and to establish their relations to coronary heart disease, it’s risk factors and arterial hypertension, depressive mood as well as health – related quality of life. The objectives were following: 1. To identify sleep complaints among 35–74 years old citizens of Palanga and to establish factors determining dissatisfaction with sleep. 2. To assess the prevalence of coronary heart disease, arterial hypertension, overweight, obesity, hypercholesterolemia and hyperglycemia among the 35–74 years old citizens of Palanga and the relationship with the age and sex of the researched. 3. To ascertain the relationship between sleep complaints and coronary heart disease, arterial hypertension, as well as risk factors of coronary heart disease. 4. To ascertain the relationship between sleep complaints and depressive mood. 5. To identify the relations between sleep complaints and health –related quality of life. The scientific novelty and the originality of the doctoral dissertation. The first in Lithuania exhaustive data about the prevalence of sleep complaints, citizens‘ sleeping habits in the population was received, the relationship between sleep complaints, sociodemographic and health factors was detected. It has been identified which factors mostly determined dissatisfaction with sleep. The data gave the opportunity to know the situation of the quality of sleep on the seacoast of Lithuania compared to the other countries. The relationship between sleep complaints and coronary heart disease, arterial hypertension as well as between the quality of sleep and depressive mood has been ascertained; the influence of the dissatisfaction with sleep on health – related quality of life has been identified. The practical significance and the work realization in practise. The received data can be used in planning and implementing the projects and programs of the prevention of sleep disorders as well as in pursuing primary prevention in various stages of healthcare. Appealing to the results of the research it is possible to pursue the training of personal and community healthcare workers, educational workers as well as the whole community. The received data will help to plan the course of further research. Approbation of the doctoral dissertation. The results of the research were presented in 2 scientific publications. Structure of the doctoral dissertation. Dissertation consists of Introduction, 5 chapters, Conclusions, References and Publications. CONCLUSIONS 1. Citizens of Palanga most often complained about night time awakenings which troubled them every night - 37.2%, too early awakenings every morning – 7.1%, difficulties falling asleep every evening – 6.9%. Sleep was evaluated as average, rather poor or poor by 49.0% of citizens. Possibility of dissatisfaction with sleep among male was increased by poor evaluation of health (OR – 2.3), frequent stresses (OR – 2.5), regular night time awakenings (OR – 3.0) and longer than 15 minutes sleep latency period (OR – 4.1) among female - sleep duration, shorter than 7 hours (OR – 1.7), frequent stresses (OR – 2.0), poor evaluation of health (OR – 2.8), sleep latency period, longer than 15 minutes (OR – 3.5) and regular night time awakenings (OR – 3.6). 2. Prevalence of coronary heart disease among 35–74 years old citizens of Palanga was 13.4%, arterial hypertension – 8.2%. Most prevalent risk factor of coronary heart disease in the researched population was hypercholesterolemia (74.6%). Overweight was found in 37.5%, obesity – 27.7%, hyperglycemia – 26.4% of population. Coronary heart disease, obesity and hypercholesterolemia were more prevalent among female while arterial hypertension, overweight and hyperglycemia among male. Prevalence of coronary heart disease, arterial hypertension, obesity, hypercholesterolemia and hyperglycemia was increasing with age. 3. Persons, who had arterial hypertension and coronary heart disease, more often than those, who did not have coronary heart disease and (or) arterial hypertension, complained about daily difficulty of falling asleep and night time awakenings. The researched, who were found to have coronary heart disease, to compare with those who did not have that disorder, more often complained about too early awakenings that troubled them every morning, respectively 11.6% vs. 5.7%. Obese individuals were characterised by higher sleep quality index which reflected worse quality of sleep, as compare to persons which weight was normal. 1. Difficulties of falling asleep, regular night time awakenings, too early awakening every morning, sleepiness in the morning and decreased efficiency were reported by citizens, who were found to have depressive mood, to compare with persons who had normal mood, respectively 11.5% vs. 5.1%, 46.7% vs. 33.5%, 10.6% vs. 5.7%, 21.7% vs. 8.6% and 5.1% vs. 0.4%, p<0.001. Those, who were found to have increased risk to have depression, evaluated their quality of sleep as average, rather poor or poor more often than those whose mood was normal. 2. Citizens, who were not satisfied with their sleep, had worse health – related quality of life in every aspect to compare with persons whose quality of sleep was good. Indices of physical role limitation, emotional role limitation, energy–vitality and general health perception were getting worse. Physical and emotional health of persons which were dissatisfied with their sleep decreased independently of age, as compare to individuals which were satisfied with their sleep quality. 3. Almost a half (49.0%) of citizens of Palanga were not satisfied with their sleep quality. Complaints about difficulty of falling asleep, awakenings and too early awakenings were related to arterial hypertension and coronary heart disease. Relation between sleep complaints and depressive mood was determined. Dissatisfaction with sleep conditioned poorer health – related quality of life.
dc.language.iso lit
dc.subject Coronary heart disease
dc.subject Depressive mood
dc.subject Sleep complaints
dc.subject Depresinė nuotaika
dc.subject Nemiga
dc.subject Gyvenimo kokybė
dc.subject Nusiskundimai miegu
dc.subject Arterial hypertension
dc.subject Quality of life
dc.subject Išeminė širdies liga
dc.subject Arterinė hipertenzija
dc.title Nusiskundimai miegu, jų sąsajos su išemine širdies liga, arterine hipertenzija, depresine nuotaika ir su sveikata susijusia gyvenimo kokybe
dc.title.alternative Sleep complaints and their relations to coronary heart disease, arterial hypertension, depressive mood and health - related quality of life
dc.type Daktaro disertacija


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