TY  - JOUR
PY  - 2021//
TI  - The risk factors for insomnia and sleep-disordered breathing in military communities: a meta-analysis
JO  - PLoS one
A1  - Huang, Yujia
A1  - Xu, Jingzhou
A1  - Zheng, Siqi
A1  - Xu, Shuyu
A1  - Wang, Yajing
A1  - Du, Jing
A1  - Xiao, Lei
A1  - Zhang, Ruike
A1  - Wang, Hao
A1  - Tang, Yunxiang
A1  - Su, Tong
SP  - e0250779
EP  - e0250779
VL  - 16
IS  - 5
N2  - BACKGROUND: Many reviews and meta-analyses had been conducted to investigate risk factors for sleep disorders in the general population. However, no similar research has been performed in the military population though insomnia and sleep-disordered breathing are quite prevalent in that population. <br><br>OBJECTIVES: To investigate risk factors for insomnia and sleep-disordered breathing in military personnel. <br><br>METHODS: A systematic literature search was performed from inception to March 2021 and 6496 records were produced. Two authors independently screened records for eligibility. <br><br>RESULTS were presented as odds ratios, and a random-effect model was used to pool results. Data analysis was performed respectively according to military personnel type (i.e., veteran, active-duty personnel). Risk factors were sorted into three categories: sociodemographic, army-specific, and comorbidity. This meta-analysis was registered in PROSPERO before data analysis (registration No: CRD42020221696). <br><br>RESULTS: Twenty-seven articles were finally included in the quantitative analysis. For sleep-disordered breathing in active-duty personnel, four sociodemographic (i.e., overweight/obesity, higher body mass index, male gender, >35 years old) and one comorbidity (i.e., depression) risk factors were identified. For insomnia in active-duty personnel, four sociodemographic (i.e., aging, alcohol dependence, white race, and female gender), two army-specific (i.e., deployment experience, combat experience), and four comorbidity (i.e., depression, post-traumatic stress disorder, traumatic brain injury, and anxiety) risk factors were identified. For insomnia in veterans, one army-specific (i.e., combat experience) and one comorbidity (i.e., post-traumatic stress disorder) risk factor was identified. <br><br>CONCLUSIONS: Several risk factors were identified for insomnia and sleep-disordered breathing in the current meta-analysis. Risk factors for veterans and active-duty personnel were partially different. Research on sleep breathing disorders remains limited, and more convincing evidence would be obtained with more relevant studies in the future.<p />  <p>Language: en</p>
LA  - en
SN  - 1932-6203
UR  - http://dx.doi.org/10.1371/journal.pone.0250779
ID  - ref1
ER  -