睡眠和24小时活动节奏和中风风险:一项前性队列研究
Sanne J W Hoepel1, Bernhard P Berghout2,3, Annemarie I Luik2,4
1Department of Epidemiology, Erasmus University Medical Centre, Rotterdam, The Netherlands, s.hoepel@erasmusmc.nl.
Neuroepidemiology
|January 31, 2024
概括
碎片化的24小时活动节奏,而不是睡眠时间,增加了老年人的中风风险. 保持稳定的日常活动模式对于预防中风至关重要.
科学领域:
- 时间生物学 时间生物学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 自我报告的睡眠时间与中风风险有关.
- 客观睡眠和24小时活动节律与中风的关联不太清楚.
研究的目的:
- 调查客观睡眠测量,24小时活动节奏和中风风险之间的联系.
- 在基于人口的队列中分析动图估计的睡眠和活动模式.
主要方法:
- 来自鹿特丹研究的1,718名中年和老年参与者没有中风.
- 在7天内,Actigraphy测量了睡眠 (总睡眠时间,效率,延迟,睡眠开始后醒来) 和24小时活动节奏 (稳定性,变化性,最不活跃的5小时开始).
- 考克斯的比例危险模型分析了与中风风险的关联,平均随访时间为12.2年.
主要成果:
- 没有明确的协会,在actigraphy估计的睡眠和中风风险.
- 更分散的24小时活动节奏与中风风险增加有关 (HR 1.28).
- 不太稳定和更分散的活动节奏与更高的缺血性中风风险有关.
结论:
- 干扰的24小时活动节奏,而不是睡眠本身,与中风风险增加有关.
- 不稳定和碎片化的活动模式可能是比睡眠时间更重要的中风风险贡献者.
- 研究结果强调了定期活动模式对脑血管健康的重要性.
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