COVID-19对老年糖尿病女性睡眠质量和自主功能的影响
Leonardo Hesley Ferraz Durans1, Ellian Robert Vale Santos1, Thamyres da Cruz Miranda1
1Laboratory of Cardiovascular Adaptation to Exercise (LACORE), Physical Education Department, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Autonomic neuroscience : basic & clinical
|September 1, 2023
概括
患有COVID-19病史的老年糖尿病女性的睡眠质量较差,心率变化率 (HRV) 降低,表明自主功能受损. 这表明COVID-19对该人口的心血管健康有持久的影响.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
背景情况:
- 后COVID-19综合征带来了各种各样的长期健康挑战.
- 糖尿病 (二型) 是一种影响老年人群的重大并发症.
- 心脏自主调节和睡眠质量是整体健康的关键指标.
研究的目的:
- 为了研究后COVID-19综合征对睡眠质量的影响.
- 分析COVID-19感染后老年糖尿病妇女的心脏自主调节.
- 为了比较这些参数,糖尿病妇女有或没有COVID-19病史和肺部损害.
主要方法:
- 研究包括41名患有2型糖尿病的老年妇女 (60-75岁).
- 参与者被分为:糖尿病组 (DG),糖尿病+COVID-19组 (CG) 和糖尿病+COVID-19+肺部妥协组 (IG).
- 通过匹兹堡问卷评估睡眠质量;使用10分钟休息心电图分析评估心率自主功能.
主要成果:
- 两组之间没有发现年龄,血糖,血压或身体组成的显著差异.
- 在COVID-19组中观察到睡眠持续时间,效率,干扰和白天嗜睡的显著损害.
- 与DG相比,CG和IG中发现了自主指数的降低 (例如,SDNN,RMSSD,HF-log),表明副交感活动减少.
结论:
- 患有COVID-19病史的老年糖尿病女性的睡眠质量有所下降.
- 在这个群体中,COVID-19感染,有或没有肺部损伤,会对心脏自主调节产生负面影响.
- 研究结果表明,在老年糖尿病女性中,COVID-19 后存在持续的副交感自主功能障碍.
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