晚餐到睡觉时间与儿童胃食道逆流相关疾病之间的关联
Kensuke Uraguchi1, Naomi Matsumoto1, Toshiharu Mitsuhashi2
1Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, JPN.
Cureus
|February 20, 2025
概括
晚餐到睡觉时间缩短会增加儿童喘风险. 晚餐后等待超过120分钟才能入睡,可能有助于预防与胃食道逆流相关的儿童喘病例.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 胃食道逆流性疾病 (GERD) 涉及由胃中的逆流引起的食道损伤,导致胃灼热和吐.
- 胃食道逆流 (GER) 与中耳炎,鼻炎和喘等疾病有关.
- 调查晚餐到睡觉时间对GER相关疾病的影响对于儿科健康至关重要.
研究的目的:
- 检查晚餐睡前时间与GER相关疾病之间的关联.
- 特别关注中耳炎,过敏性鼻炎和儿童喘.
- 确定潜在的生活方式修改,以预防与GER相关的疾病.
主要方法:
- 纵向队列研究利用日本出生队列 (2001年,2010年) 的二次数据.
- 晚餐到睡觉的时间分类为>120分钟 (较长),≤120分钟 (较短) 或不规则.
- 用于计算风险比率 (RRs) 的经过修改的波桑回归与强大的方差.
主要成果:
- 总共有60,392名儿童进行了分析.
- 晚餐到睡觉时间较短 (<120分钟) 与喘风险较高有关 (aRR=1.10).
- 晚餐到睡觉时间缩短与中耳炎或过敏性鼻炎之间没有发现显著的关联;在2001年出生的儿童中发现了更高的喘风险.
结论:
- 晚餐到睡觉时间在120分钟内增加了儿童喘的风险.
- 改变生活方式,特别是管理晚餐到睡觉的时间,对于预防GER影响的喘很重要.
- 这突出了行为因素在某些儿科喘病例的发展中的作用.
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