Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea
This study assessed the effects of obstructive sleep apnea (OSA) on mental health, health-related quality of life (HRQoL), and multimorbidity in Korean adults. The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019-2020). The risk of OSA was asse...
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| description | This study assessed the effects of obstructive sleep apnea (OSA) on mental health, health-related quality of life (HRQoL), and multimorbidity in Korean adults.
The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019-2020). The risk of OSA was assessed using STOP-BANG questionnaire. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), and stress was measured using a questionnaire. HRQoL was determined by EuroQol 5-dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8) scores. Multimorbidity was defined as the presence of 2 or more chronic diseases. A complex sample multivariate logistic regression analysis was conducted.
Participants with a high OSA risk were more likely to a have high PHQ-9 score (OR 4.31, 95% confidence interval [CI] 2.80-6.65), total depression (OR 4.07, 95% CI 2.67-6.19) stress (OR 2.33, 95% CI 1.85-2.95), lower EQ-5D (OR 2.88, 95% CI 2.00-4.15) and HINT-8 scores (OR 2.87, 95% CI 1.65-4.98), and multimorbidity (OR 2.62, 95% CI 2.01-3.41) than participants with low OSA risk. High OSA risk was significantly associated with all EQ-5D and HINT-8 items.
This study adds to the few population-based studies showing associations between mental health, HRQoL, and multimorbidity using nationwide data. OSA prevention might be helpful for good mental health, improving HRQoL, and comorbidity burdens. The results provide novel insights regarding the association between sleep apnea and multimorbidity. |
| doi_str_mv | 10.1371/journal.pone.0287182 |
| format | Article |
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The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019-2020). The risk of OSA was assessed using STOP-BANG questionnaire. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), and stress was measured using a questionnaire. HRQoL was determined by EuroQol 5-dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8) scores. Multimorbidity was defined as the presence of 2 or more chronic diseases. A complex sample multivariate logistic regression analysis was conducted.
Participants with a high OSA risk were more likely to a have high PHQ-9 score (OR 4.31, 95% confidence interval [CI] 2.80-6.65), total depression (OR 4.07, 95% CI 2.67-6.19) stress (OR 2.33, 95% CI 1.85-2.95), lower EQ-5D (OR 2.88, 95% CI 2.00-4.15) and HINT-8 scores (OR 2.87, 95% CI 1.65-4.98), and multimorbidity (OR 2.62, 95% CI 2.01-3.41) than participants with low OSA risk. High OSA risk was significantly associated with all EQ-5D and HINT-8 items.
This study adds to the few population-based studies showing associations between mental health, HRQoL, and multimorbidity using nationwide data. OSA prevention might be helpful for good mental health, improving HRQoL, and comorbidity burdens. The results provide novel insights regarding the association between sleep apnea and multimorbidity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0287182</identifier><identifier>PMID: 37319130</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Apnea ; Biology and Life Sciences ; Body mass index ; Care and treatment ; Chronic illnesses ; Comorbidity ; Complications and side effects ; Confidence intervals ; COVID-19 ; Diagnosis ; Exercise ; Health aspects ; Health risks ; Medicine and Health Sciences ; Mental depression ; Mental health ; Nutrition ; Population studies ; Population-based studies ; Psychological aspects ; Quality of life ; Questionnaires ; Regression analysis ; Sleep apnea ; Sleep apnea syndromes ; Sleep disorders ; Statistical analysis ; Surveys</subject><ispartof>PloS one, 2023-06, Vol.18 (6), p.e0287182-e0287182</ispartof><rights>Copyright: © 2023 Lee, Jung. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Lee, Jung. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Lee, Jung 2023 Lee, Jung</rights><rights>2023 Lee, Jung. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c693t-150fc3562fc4c5658a80a18c568a402ead32fa74f03a76c0bcb072100b2c465d3</citedby><cites>FETCH-LOGICAL-c693t-150fc3562fc4c5658a80a18c568a402ead32fa74f03a76c0bcb072100b2c465d3</cites><orcidid>0000-0001-5346-7315</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10270340/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10270340/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37319130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Mee-Ri</creatorcontrib><creatorcontrib>Jung, Sung Min</creatorcontrib><title>Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This study assessed the effects of obstructive sleep apnea (OSA) on mental health, health-related quality of life (HRQoL), and multimorbidity in Korean adults.
The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019-2020). The risk of OSA was assessed using STOP-BANG questionnaire. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), and stress was measured using a questionnaire. HRQoL was determined by EuroQol 5-dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8) scores. Multimorbidity was defined as the presence of 2 or more chronic diseases. A complex sample multivariate logistic regression analysis was conducted.
Participants with a high OSA risk were more likely to a have high PHQ-9 score (OR 4.31, 95% confidence interval [CI] 2.80-6.65), total depression (OR 4.07, 95% CI 2.67-6.19) stress (OR 2.33, 95% CI 1.85-2.95), lower EQ-5D (OR 2.88, 95% CI 2.00-4.15) and HINT-8 scores (OR 2.87, 95% CI 1.65-4.98), and multimorbidity (OR 2.62, 95% CI 2.01-3.41) than participants with low OSA risk. High OSA risk was significantly associated with all EQ-5D and HINT-8 items.
This study adds to the few population-based studies showing associations between mental health, HRQoL, and multimorbidity using nationwide data. OSA prevention might be helpful for good mental health, improving HRQoL, and comorbidity burdens. The results provide novel insights regarding the association between sleep apnea and multimorbidity.</description><subject>Apnea</subject><subject>Biology and Life Sciences</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Chronic illnesses</subject><subject>Comorbidity</subject><subject>Complications and side effects</subject><subject>Confidence intervals</subject><subject>COVID-19</subject><subject>Diagnosis</subject><subject>Exercise</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Nutrition</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Sleep apnea</subject><subject>Sleep apnea syndromes</subject><subject>Sleep disorders</subject><subject>Statistical 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sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea</title><author>Lee, Mee-Ri ; Jung, Sung Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c693t-150fc3562fc4c5658a80a18c568a402ead32fa74f03a76c0bcb072100b2c465d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Apnea</topic><topic>Biology and Life Sciences</topic><topic>Body mass index</topic><topic>Care and treatment</topic><topic>Chronic illnesses</topic><topic>Comorbidity</topic><topic>Complications and side effects</topic><topic>Confidence intervals</topic><topic>COVID-19</topic><topic>Diagnosis</topic><topic>Exercise</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Medicine and Health Sciences</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Nutrition</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Sleep apnea</topic><topic>Sleep apnea syndromes</topic><topic>Sleep disorders</topic><topic>Statistical analysis</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Mee-Ri</creatorcontrib><creatorcontrib>Jung, Sung Min</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints in Context (Gale)</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health 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Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Mee-Ri</au><au>Jung, Sung Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-06-15</date><risdate>2023</risdate><volume>18</volume><issue>6</issue><spage>e0287182</spage><epage>e0287182</epage><pages>e0287182-e0287182</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study assessed the effects of obstructive sleep apnea (OSA) on mental health, health-related quality of life (HRQoL), and multimorbidity in Korean adults.
The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019-2020). The risk of OSA was assessed using STOP-BANG questionnaire. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), and stress was measured using a questionnaire. HRQoL was determined by EuroQol 5-dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8) scores. Multimorbidity was defined as the presence of 2 or more chronic diseases. A complex sample multivariate logistic regression analysis was conducted.
Participants with a high OSA risk were more likely to a have high PHQ-9 score (OR 4.31, 95% confidence interval [CI] 2.80-6.65), total depression (OR 4.07, 95% CI 2.67-6.19) stress (OR 2.33, 95% CI 1.85-2.95), lower EQ-5D (OR 2.88, 95% CI 2.00-4.15) and HINT-8 scores (OR 2.87, 95% CI 1.65-4.98), and multimorbidity (OR 2.62, 95% CI 2.01-3.41) than participants with low OSA risk. High OSA risk was significantly associated with all EQ-5D and HINT-8 items.
This study adds to the few population-based studies showing associations between mental health, HRQoL, and multimorbidity using nationwide data. OSA prevention might be helpful for good mental health, improving HRQoL, and comorbidity burdens. The results provide novel insights regarding the association between sleep apnea and multimorbidity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37319130</pmid><doi>10.1371/journal.pone.0287182</doi><tpages>e0287182</tpages><orcidid>https://orcid.org/0000-0001-5346-7315</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Apnea Biology and Life Sciences Body mass index Care and treatment Chronic illnesses Comorbidity Complications and side effects Confidence intervals COVID-19 Diagnosis Exercise Health aspects Health risks Medicine and Health Sciences Mental depression Mental health Nutrition Population studies Population-based studies Psychological aspects Quality of life Questionnaires Regression analysis Sleep apnea Sleep apnea syndromes Sleep disorders Statistical analysis Surveys |
| title | Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea |
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