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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
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睡眠质量差的老年人是否有更糟糕的心脏自主控制?
Alaine S L Rocha1,2,3, Vitória de Barros Siqueira4, Paula A Maduro2,3
1Departamento de Fisioterapia, Universidade Federal do Ceará, Fortaleza.
Canadian geriatrics journal : CGJ
|June 2, 2023
概括
这项研究发现,在睡眠质量好和坏的老年人之间,心脏自主控制没有显著差异. 心率变化指标在两组中都相似,这表明睡眠质量可能不会直接影响该人群的自主功能.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
背景情况:
- 心脏自主控制对心血管健康至关重要,特别是在老年人中.
- 众所周知,睡眠质量会影响生理功能,包括自主神经系统活动.
- 了解老年人群中睡眠和心脏功能之间的关系对于公共健康至关重要.
研究的目的:
- 为了研究老年人与良好的睡眠质量和睡眠质量差异之间的心脏自主控制的差异.
- 评估心率变化 (HRV) 参数作为与睡眠质量相关的自主功能指标.
主要方法:
- 一项涉及巴西40名老年人 (≥60岁) 的横截面研究.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 用智能手机应用程序和无线发射器通过RR间隔测量心率变化 (HRV),用Kubios HRV软件分析.
主要成果:
- 31名参与者被纳入最终分析;58.1%的睡眠质量差 (PSQI>5).
- 在时间域 (平均RRI,pNN50,SDNN,RMSSD) 或频率域 (LFms2,LFnu,HFms2,HFnu,LF/HF比率) 的HRV参数中,在良好的睡眠质量和不良睡眠质量组之间没有观察到统计学上显著的差异 (p > .05).
- 效果大小分析表明,在良好的睡眠质量组中,HRV指标略有改善,尽管在统计学上并不显著.
结论:
- 根据HRV的评估,心脏自主控制在睡眠质量好和坏的老年人之间没有显著差异.
- 这些发现表明,主观睡眠质量可能不是客观心脏自主功能的主要决定因素,在这个特定的老年人群.
- 可能需要对更大的队列和客观睡眠测量进行进一步的研究,以充分阐明睡眠与衰老中的自主健康之间的复杂关系.
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