加速度计测量不规则睡眠时间与2型糖尿病风险之间的关联:英国生物银行的一项前性队列研究
Sina Kianersi1,2, Heming Wang2,3, Tamar Sofer2,4
1Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Diabetes care
|July 17, 2024
概括
不规则的睡眠时间增加了糖尿病的风险. 这种风险在糖尿病多基因风险评分 (PRS) 较低,睡眠时间较长的人群中较高,这突出显示了睡眠变化是关键因素.
科学领域:
- 内分泌学 在内分泌学.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠时间的变化是新兴的代谢健康问题.
- 了解睡眠不规则和糖尿病发病率之间的联系对于预防策略至关重要.
研究的目的:
- 调查不规则睡眠时间与患2型糖尿病的风险之间的关联.
- 在7年的随访期内,在英国大量人口中评估这一关联.
主要方法:
- 利用了来自84,421名英国生物库参与者的数据,在基线时没有糖尿病.
- 睡眠持续时间的变化被测量使用7夜加速度计数据 (人体内的标准偏差).
- 考克斯的比例危险模型分析了7年的中位数随访期间发生的糖尿病病例.
主要成果:
- 在睡眠时间变化和糖尿病风险之间观察到显著的非线性关系.
- 与SD ≤ 60分钟的人相比,睡眠时间变化较大的人 (SD > 60分钟) 患病糖尿病的风险比SD ≤ 60分钟的人高34%.
- 在调整了生活方式和临床因素后,这种联系减弱了,但仍然显著,特别是在那些糖尿病多基因风险得分较低和睡眠时间较长的人群中.
结论:
- 不规则的睡眠时间独立地与发生糖尿病的风险增加有关.
- 这种关联在具有较低糖尿病遗传倾向和较长整体睡眠时间的个体中尤为明显.
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