身体活动,睡眠障碍和工作类型在预防高血压患者认知功能的下降
Mengdi Zhang1, Huachen Jiao2, Cong Wang3
1The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
BMC public health
|December 6, 2023
概括
患有睡眠障碍的高血压患者面临更高的认知衰退风险. 参与中度至高强度的体力活动和某些类型的工作可以显著降低这种风险.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 高血压是认知功能下降 (CFD) 的已知危险因素.
- 了解影响高血压患者CFD的因素对于有针对性的干预至关重要.
- 这项研究调查了这一群体中与CFD相关的身体活动,睡眠障碍和工作类型.
研究的目的:
- 探索身体活动水平,睡眠障碍和工作类型对高血压患者认知功能下降的影响.
- 建立决策树模型,分析这些因素对CFD发生率的预测意义.
- 确定高血压患者认知健康的保护性和风险因素.
主要方法:
- 一项涉及从山东省医院招募的基本高血压患者的横截面研究.
- 使用迷你精神状态检查 (MMSE) 评估认知功能.
- 评估了睡眠质量 (匹兹堡睡眠质量指数 - PSQI),体力活动 (国际体力活动问卷 - IPAQ) 和工作类型.
主要成果:
- 睡眠障碍显著增加了高血压患者CFD的风险 (OR:1.85).
- 精神工作 (OR:0.12) 和手工/精神工作组合 (OR:0.5) 显示对CFD有保护作用.
- 中度 (OR:0.53) 和高强度的体力活动 (OR:0.26) 对CFD有保护作用. 在决策树模型中,体力活动水平是最重要的预测因素 (54%).
结论:
- 中度至高强度的体力活动可以降低高血压患者认知功能下降的风险.
- 睡眠障碍被认为是这一群体认知能力下降的重要危险因素.
- 参与精神工作和高强度体力活动是缓解高血压患者CFD发病的有效策略.
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