自我报告的户外照明暴露时间和事件心脏衰竭
Ziteng Zhang1, Bowei Yu1, Ying Sun1
1Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People's Hospital Shanghai JiaoTong University School of Medicine Shanghai China.
Journal of the American Heart Association
|February 13, 2024
概括
暴露于适度的户外光线可能有助于预防心力衰竭. 太少和太多的每日光线暴露都与心力衰竭发病率的风险增加有关.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 环境健康 环境健康
背景情况:
- 心力衰竭是一个重大的公共卫生问题.
- 健康的生活方式对于预防心力衰竭至关重要.
- 室外光线暴露对心力衰竭风险的影响尚不清楚.
研究的目的:
- 调查户外照明时间与患心力衰竭的风险之间的关联.
- 探索这种关联中的潜在非线性关系.
主要方法:
- 一项使用2006-2010年英国生物库数据的队列研究.
- 包括40至70岁的参与者,在基线时没有心力衰竭.
- 通过使用Cox比例危险模型和受限立方线,分析自报的户外光照和心力衰竭发病率,平均随访时间为12.61年.
主要成果:
- 在户外照明时间和心力衰竭风险之间观察到J形的非线性关联.
- 与1.0-2.5小时相比,每天暴露在室外光线中少于1.0小时或超过2.5小时的参与者患心力衰竭的风险明显更高.
- 在完全调整的模型中,<1.0小时和>2.5小时的危险比 (HR) 分别为1.10 (95% CI,1.03-1.18) 和1.07 (95% CI,1.03-1.11).
结论:
- 适度的户外光照 (1.0-2.5小时/天) 与发生性心力衰竭的风险较低有关.
- 不足和过度的户外照明暴露都可能增加心力衰竭的风险.
- 优化每日户外光线暴露可能是预防心力衰竭的潜在策略.
相关概念视频
Hazard Rate
108
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
108
Assessment of the Cardiovascular System I: Subjective Data
343
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
343
Relative Risk
171
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
171


