约旦医学生日间过度嗜睡与阻塞性睡眠呼吸暂停及其与学业成绩的关联
Excessive Daytime Sleepiness and Obstructive Sleep Apnea Among Medical Students in Jordan and their Association with Academic Performance.
文献信息
| PMID | 42974580 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Abdulrhman H M Muhaisen |
| 作者单位 | Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan. |
| 期刊 | Saudi journal of medicine & medical sciences |
| SCI 分区 | Q2 |
| IF | 2 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景： 日间过度嗜睡（EDS）和阻塞性睡眠呼吸暂停（OSA）相关症状可能影响医学生和实习医生。
目的： 确定约旦医学生和实习医生中EDS和OSA的患病率及其与学业成绩的关联。
方法： 这项横断面调查于2025年11月至2026年2月进行，纳入约旦多所医学院的医学生和实习医生。参与者完成阿拉伯语版柏林问卷和Epworth嗜睡量表（ESS），并报告GPA类别。EDS定义为ESS>10；OSA高风险采用柏林问卷分类确定。双变量P值采用Benjamini-Hochberg程序校正，并进行同时进入法logistic回归。
结果： 共纳入642名参与者，大多数为女性（61.5%）。总体而言，174名（27.1%）参与者存在EDS，68名（10.6%）为OSA高风险。高风险参与者的ESS评分高于低风险参与者（中位数[IQR]，9.5[5.0] vs. 8.0[6.0]；校正P<0.001）。即使去除柏林问卷中的疲劳条目、仅使用打鼾/目击呼吸暂停域，该关联仍然存在（校正P=0.013）。女性（校正OR：1.64；95%CI，1.11-2.42；P=0.014）和目击呼吸暂停（校正OR：2.65；95%CI：1.41-4.99；P=0.002）与EDS独立相关。GPA与EDS无关。模型区分度有限（AUC：0.633），敏感性为6.9%。
结论： 约旦医学生和实习医生中日间过度嗜睡较为常见，十分之一的参与者符合问卷定义的OSA高风险标准。女性 and 目击呼吸暂停与EDS独立相关，而学业成绩则无关。模型的区分度和敏感性有限，妨碍其作为筛查工具使用。
英文摘要
BACKGROUND: Excessive daytime sleepiness (EDS) and obstructive sleep apnea (OSA)-related symptoms may affect medical students and interns.
OBJECTIVE: To determine the prevalence of EDS and OSA in medical students and interns from Jordan and its association with academic performance.
METHODS: This cross-sectional survey was conducted between November 2025 and February 2026 and included medical students and interns from multiple medical schools in Jordan. Participants completed Arabic versions of the Berlin Questionnaire and Epworth Sleepiness Scale (ESS) and reported GPA categories. EDS was defined as ESS >10; high risk for OSA was determined using the Berlin Questionnaire classification. Bivariate P values were adjusted using the Benjamini-Hochberg procedure, and simultaneous-entry logistic regression was performed.
RESULTS: A total of 642 participants were included, with the majority being female (61.5%). Overall, 174 (27.1%) partcipants had EDS and 68 (10.6%) were at high risk for OSA. High-risk participants had higher ESS scores than low-risk participants (median [IQR], 9.5 [5.0] vs. 8.0 [6.0]; adjusted P< 0.001). The association persisted even when the fatigue items of the Berlin Questionnaire were removed and only the snoring/witnessed-apnea domain was used (adjusted P = 0.013). Female sex (adjusted OR: 1.64; 95% CI, 1.11-2.42; P = 0.014) and observed apnea (adjusted OR: 2.65; 95% CI: 1.41-4.99; P = 0.002) were independently associated with EDS. GPA was not associated with EDS. Model discrimination was limited (AUC: 0.633), with a sensitivity of 6.9%.
CONCLUSIONS: Excessive daytime sleepiness was found to be common among medical students and interns in Jordan, and 1 in 10 participants met the questionnaire-based criteria of high risk for OSA. Female sex and observed apnea were independently associated with EDS, whereas academic performance was not. The limited discrimination and sensitivity of the model preclude its use as a screening tool.