睡眠时间和人类乳头瘤病毒感染风险:由NHANES数据揭示的U形关系
Huangyu Hu1,2, Yue Wu3, Min Zhao2
1Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
PloS one
|April 5, 2024
概括
短时间和长时间的睡眠都会增加人类乳头瘤病毒 (HPV) 感染的风险. 降低HPV风险的最佳睡眠时间约为7小时,偏差增加了易感性.
科学领域:
- 流行病学 流行病学
- 睡眠医学 睡眠医学
- 传染病研究 传染病研究
背景情况:
- 人类乳头瘤病毒 (HPV) 感染是一种常见的性传播感染,具有重大公共卫生影响.
- 睡眠时间和质量越来越被认为是影响免疫功能和整体健康的关键因素.
- 了解睡眠模式和HPV感染风险之间的相互作用对于制定有针对性的预防策略至关重要.
研究的目的:
- 调查睡眠持续时间 (SDT) 和阻塞性睡眠呼吸暂停 (OSA) 与HPV和高风险HPV (HR-HPV) 感染之间的关联.
- 使用NHANES数据分析SDT和HPV/HR-HPV感染之间的潜在非线性关系.
- 探索影响这些关联的子组变化和相互作用.
主要方法:
- 国家健康和营养检查调查 (NHANES) 数据的横截面分析.
- 权衡的多变量和后勤回归模型来评估SDT和OSA与HPV/HR-HPV的关联.
- 限制立方线 (RCS) 用于评估SDT和HPV/HR-HPV感染之间的非线性关系.
主要成果:
- 在SDT和HPV感染之间观察到U形关系,睡眠7小时与最低风险相关.
- SDT < 7小时增加了26.3%的HPV风险 (OR = 1.26),而SDT > 9小时增加了57.4%的风险 (OR = 1.574).
- 在OSA和HPV/HR-HPV感染之间没有发现显著的关联;在完全调整的模型中,SDT-HR-HPV联系并不显著.
结论:
- 睡眠时间不足和过长都与HPV感染的可能性增加有关.
- 这些发现表明睡眠时间是可能影响HPV感染风险的可修改因素.
- 需要进一步的研究来阐明生物机制,并为未来的研究完善睡眠评估方法.
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