睡眠质量和体力活动对血压波动的影响
Adam de Havenon1, Guido Falcone1, Cyprien Rivier1
1Department of Neurology, Center for Brain and Mind Health, Yale University School of Medicine, New Haven, CT, United States of America.
PloS one
|April 16, 2024
概括
睡眠质量差和身体不活动与更高的血压变化 (BPV) 有关. 这些生活方式因素无论是独立的还是联合的都会增加心血管风险,突出了BPV管理的可修改目标.
科学领域:
- 心血管健康 心血管健康
- 睡眠科学 睡眠科学
- 身体活动研究 身体活动研究
背景情况:
- 高血压变化 (BPV) 是心血管疾病和死亡率的重要预测因素.
- 已经确定了增加BPV的少数可修改的风险因素,需要对生活方式影响进行研究.
研究的目的:
- 为了研究睡眠质量和体力活动水平与不同成年人群的纵向BPV之间的关联.
- 为了确定睡眠不足和身体不活动是否独立或互动地影响BPV.
主要方法:
- 利用了来自17个国家的29375名社区成年人的数据,在一年内使用了家庭测量设备.
- 通过睡眠中断和身体活动通过平均每日步数评估睡眠质量,分为三级.
- 定义高血压值为静脉血压标准偏差的顶端三位数,并对共变量进行统计调整.
主要成果:
- 睡眠不足 (睡眠中断的前三位数) 与高BPV (OR=1.37) 的几率增加了37%.
- 身体不活动 (步数的最低三位数) 与高BPV (OR=1.44) 的几率增加44%有关.
- 当将睡眠不足和不活动相结合时,观察到一种超级添加效应,最糟糕的暴露状态显示高BPV的几率比率为2.01,相比于最佳状态.
结论:
- 睡眠质量差和身体不活动独立地与增加的血压变化有关.
- 睡眠不足和身体不活动对BPV的综合影响是超添加的,表明心血管风险的协同作用增加.
- 这些发现强调了解决睡眠和活动作为管理BPV和降低心血管风险的可修改目标的重要性.
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