当前和前吸烟者的心血管健康,睡眠时间和死亡风险
Bowei Yu1, Ying Sun1, Yuefeng Yu1
1Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|February 6, 2024
概括
坚持理想的心血管健康指标 (ICVHMs) 显著降低了前吸烟者因任何原因死亡的风险. 然而,即使在最佳的ICVHMs中,目前的吸烟者仍然面临较高的死亡风险,这凸显了戒烟的关键需求.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 与从未吸烟者相比,前吸烟者患肺癌和全因死亡率的风险更高.
- 理想心血管健康指标 (ICVHMs) 减轻吸烟相关死亡风险的潜力仍然是一个研究领域.
研究的目的:
- 研究理想心血管健康指标 (ICVHMs) 与前和现吸烟者的全因死亡率之间的关联.
- 确定是否遵守ICVHMs可以抵消与吸烟相关的死亡风险增加.
主要方法:
- 利用378,147名英国生物库参与者的数据,将美国心脏协会的Life's Simple 7与ICVHM的睡眠时间结合起来.
- 采用COX回归模型来分析ICVHMs与所有原因死亡率之间的关联,平均随访时间为13.3年.
主要成果:
- 前吸烟者有6个或更多的ICVHM,死亡风险与从未吸烟者相比较.
- 当前吸烟者,即使有6个或更多的ICVHM,与从未吸烟者相比,所有原因的死亡风险明显更高.
- 死亡风险随着前 (HR 0.87) 和现在 (HR 0.91) 吸烟者的ICVHM数量增加而降低.
结论:
- 实现更多的理想心血管健康指标 (ICVHMs) 对于降低前吸烟者死亡风险至关重要.
- 戒烟对目前的吸烟者来说仍然至关重要,因为即使是最佳的心血管健康指标也不能完全否定死亡风险的增加.
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