美国异常睡眠时间与中风之间的关联
Sara Hassani1, Bruce Ovbiagele1, Daniela Markovic1
1From the Department of Neurology (S.H.), Duke University School of Medicine, Durham, NC; Department of Neurology (B.O.), University California San Francisco; Department of Medicine Statistics Core (D.M.), University California Los Angeles; and Department of Neurology (A.T.), University Southern California, Los Angeles.
Neurology
|September 11, 2024
概括
以前患有中风的人更有可能经历异常的睡眠时间,包括更长和更短的睡眠时间. 这突出了中风幸存者护理的潜在干预领域.
科学领域:
- 心血管健康 心血管健康
- 睡眠医学 睡眠医学
- 神经学 神经学
背景情况:
- 美国心脏协会的生命必需品8现在包括睡眠时间,以保持理想的心血管健康.
- 关于中风病史患者睡眠时间模式的数据有限.
研究的目的:
- 为了比较以前有或没有中风病史的个体之间的睡眠时间.
- 调查中风幸存者的异常睡眠时间的流行情况.
主要方法:
- 利用了2005-2018年国家健康和营养检查调查 (NHANES) 的数据.
- 分析了37987名没有中风的人和1572名自我报告中风的人的睡眠时间.
- 采用了罗-斯科特奇二次测试和多项逻辑回归来进行分析.
主要成果:
- 与没有中风的人相比,先前中风的个体报告>8小时/晚 (OR 2.03) 和<6小时/晚 (OR 1.87) 的几率更高.
- 经过调整后,每晚>8小时 (aOR 1.54) 和<6小时 (aOR 1.50) 的关联仍然显著.
- 观察到与<7小时/晚的关联,但在调整后减弱 (aOR 1.15).
结论:
- 与普通人群相比,美国中风幸存者出现异常睡眠时间的可能性更高.
- 异常的睡眠时间对中风幸存者来说是一个重大问题.
- 研究的局限性包括其横截面设计和依赖自我报告的数据.
相关概念视频
Insufficient Sleep and Sleep Deprivation
136
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
136
Sleepwalking and Sleep Talking
129
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
129
Sleep Apnea
131
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
131
Sleep-Wake Cycles
1.2K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.2K
Insomnia
81
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
81
REM Sleep Behavior Disorder
162
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
162


