JAHA:客观睡眠效率可预测社区人群心血管疾病

2021-03-16 MedSci原创 MedSci原创

通过多导睡眠描记术客观获得的较差SE差和睡眠后长时间清醒与CVD风险增加有关。

很少有证据表明客观睡眠效率(SE)在主要血管疾病(CVD)事件发生率中的作用。

近日,心血管疾病领域权威杂志JAHA上发表了一篇研究文章,该研究在多导睡眠图的基础上旨在探讨SE与心血管疾病之间的相关性。

该研究共选取了来自SHHS(睡眠心脏健康研究)的3810名参与者。在近11年的随访期间,研究人员对受试者心血管疾病进行了评估。该研究主要复合心血管结局是主要不良心血管事件,定义为心血管疾病死亡、充血性心力衰竭、心肌梗死卒中。次要复合心血管结局是主要不良心血管事件加血运重建。客观测量的SE,包括SE和睡眠后觉醒,是基于家用多导睡眠描记仪记录来获取。研究人员采用Cox回归分析探讨了SE与CVD之间的关系。

经多因素Cox回归分析,不良SE(<80%)与主要(风险比[HR]为1.338;95%置信区间为1.025-1.745;P=0.032)和次要复合心血管结局(HR为1.250;95%置信区间为1.027-.521;P=0.026);它也认为是CVD死亡率的预测因子(HR为1.887;95%置信区间为1.224-2.909;P=0.004)。此外,睡眠后觉醒的第4个四分位数(>78.0分钟)与主要(HR为1.436;95%置信区间为1.066-1.934;P=0.017)和次要复合心血管结局(HR为1.374;95%置信区间为1.103-1.712;P=0.005)以及CVD死亡率(HR为2.240;95%置信区间为1.377-3.642;P=0.001)密切相关。

由此可见,通过多导睡眠描记术客观获得的较差SE差和睡眠后长时间清醒与CVD风险增加有关

原始出处:

Bin Yan.et al.Objective Sleep Efficiency Predicts Cardiovascular Disease in a Community Population: The Sleep Heart Health Study.J AM HEART ASSOC.2021.https://www.ahajournals.org/doi/10.1161/JAHA.120.016201

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  1. [GetPortalCommentsPageByObjectIdResponse(id=953278, encodeId=742b9532e82a, content=睡好更重要啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7e45192195, createdName=1471c526m36暂无昵称, createdTime=Fri Apr 02 13:25:49 CST 2021, time=2021-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949534, encodeId=f84994953453, content=提升睡眠效率很重要👍👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9441611373, createdName=yb1987, createdTime=Fri Mar 19 17:28:56 CST 2021, time=2021-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268458, encodeId=d8ce126845873, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1395897, encodeId=af25139589e30, content=<a href='/topic/show?id=7a89e4036eb' target=_blank style='color:#2F92EE;'>#社区#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74036, encryptionId=7a89e4036eb, topicName=社区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96f62500201, createdName=12498e67m28暂无昵称, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498843, encodeId=83d0149884316, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=)]
    2021-04-02 1471c526m36暂无昵称

    睡好更重要啊

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=953278, encodeId=742b9532e82a, content=睡好更重要啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7e45192195, createdName=1471c526m36暂无昵称, createdTime=Fri Apr 02 13:25:49 CST 2021, time=2021-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949534, encodeId=f84994953453, content=提升睡眠效率很重要👍👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9441611373, createdName=yb1987, createdTime=Fri Mar 19 17:28:56 CST 2021, time=2021-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268458, encodeId=d8ce126845873, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1395897, encodeId=af25139589e30, content=<a href='/topic/show?id=7a89e4036eb' target=_blank style='color:#2F92EE;'>#社区#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74036, encryptionId=7a89e4036eb, topicName=社区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96f62500201, createdName=12498e67m28暂无昵称, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498843, encodeId=83d0149884316, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Thu Mar 18 10:54:56 CST 2021, time=2021-03-18, status=1, ipAttribution=)]
    2021-03-19 yb1987

    提升睡眠效率很重要👍👍

    0

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    2021-03-18 zhaohui6731
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