Abstract：
Objectives Minor health complaints related to stress, mental health, sleep, and fatigue are closely associated with each other, and their deterioration may cause lifestyle diseases. The health status of people can be predicted through a questionnaire by exploring the relationship between their state of minor health complaints and objective health status indices. Therefore, we conducted a systematic review of the relationship between a questionnaire on the state of minor health complaints and health status indices among Japanese people who have a high level of stress, which they experience on a daily basis, using epidemiological literature. Additionally, we considered items for the questionnaire which were necessary for an index development.Methods The PubMed database was searched for papers on \"autonomic nervous system,\" \"sleep disorders,\" \"mental health and stress,\" and \"fatigue,\" using keywords mentioned in previous studies on minor health complaints. The extracted research papers were screened according to the following inclusion criteria: 1) the participants were healthy Japanese people; 2) descriptions included characteristics of the target population; 3) use of analytic epidemiological study design, intervention studies, and systematic reviews; 4) minor health complaints assessed by a questionnaire; 5) evaluation of the relationship between the questionnaires for minor health complaints and the health index; and 6) written in Japanese or English. Based on this, ten papers were adopted.Results Of the 10 papers collected, one was a cohort study, three were case-control studies, and six were cross-sectional studies. The participants in five of them were working adults. Reports on three out of six questionnaires on stress, four out of seven on sleep, and all two on comprehensive health status showed significant associations between minor health complaints assessed by the questionnaires and the index for health status. The increase in responses about work-related stress from the questionnaire was associated with an increase in the \"risk of developing depression\" [odds ratio 2.96 (confidence interval: 1.04-8.42)]. Poor sleep quality was associated with an increase in \"changes in autonomic index,\" \"number of comorbidities and the rate of depression,\" and the \"risk of work-related injuries.\" Moreover, the health score was associated with the \"autonomic nervous system index\".Conclusion These results suggest that a questionnaire evaluating minor health complaints should include questions about \"stress,\" \"sleep quality,\" and \"comprehensive health status.\" Since studies that appropriately adopted for risk of bias were limited, it is necessary to further examine these relationships by applying prospective studies such as cohort studies and intervention studies.
摘要：
目标与压力有关的轻微健康投诉，心理健康,睡眠,和疲劳密切相关，它们的恶化可能导致生活方式疾病。人们的健康状况可以通过问卷调查来预测，通过探索他们的轻微健康投诉状态与客观健康状况指数之间的关系。因此,我们对压力较高的日本人的未成年人健康投诉状况与健康状况指数之间的关系进行了系统回顾，他们每天都会经历，使用流行病学文献。此外,我们考虑了问卷中指数开发所必需的项目。方法在PubMed数据库中搜索有关“自主神经系统”的论文，“\”睡眠障碍，“心理健康和压力，“和”疲劳，“使用以前关于轻微健康投诉的研究中提到的关键词。根据以下纳入标准对提取的研究论文进行筛选:1)参与者为健康日本人;2)描述包括目标人群的特征;3)使用分析流行病学研究设计,干预研究，和系统评价；4）通过问卷评估的未成年人健康投诉；5）评估未成年人健康投诉问卷与健康指数之间的关系；6）用日语或英语撰写。基于此,通过了十篇论文。结果收集到的10篇论文中,一个是队列研究，三个是病例对照研究，六项是横断面研究。其中五个参与者是工作的成年人。关于压力的六份问卷中有三份的报告，七个人中有四个在睡觉，所有两项关于综合健康状况的调查均显示，问卷评估的轻微健康投诉与健康状况指数之间存在显着关联。问卷中有关工作相关压力的回答增加与“患抑郁症的风险”[比值比2.96（置信区间：1.04-8.42）]的增加有关。睡眠质量差与自主神经指数变化的增加有关，合并症的数量和抑郁的发生率，与工伤有关的风险。\"此外，健康评分与“自主神经系统指数”相关。结论这些结果表明，评估轻微健康投诉的问卷应包括有关“压力”的问题，“\”睡眠质量，“和”全面的健康状况。“由于适当采用偏见风险的研究是有限的，有必要通过应用前瞻性研究如队列研究和干预研究来进一步检验这些关系.
