心脏代谢指数作为睡眠障碍和死亡率的预测指标:一个横截面研究
Zhisen Xu1, Xuanfang Qian2,3, Junyao Xu2
1Harbin 242 Hospital, Harbin, China.
Medicine
|April 7, 2025
概括
更高的心脏代谢指数 (CMI) 与睡眠障碍和死亡率的风险增加有关. 这一发现表明CMI可以帮助评估睡眠障碍的严重程度,并监测整体健康状况.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 代谢健康 代谢健康
背景情况:
- 心脏代谢指数 (CMI) 是心脏代谢健康的标志物,与失脂症,肥胖,高血糖症和高血压等疾病有关.
- 这些情况也与睡眠障碍如睡眠呼吸暂停和失眠有关,但与CMI的直接关系尚未得到充分确立.
研究的目的:
- 调查CMI与睡眠障碍相关的发病率和死亡率风险之间的关联.
- 确定CMI是否可以作为睡眠障碍评估的指标.
主要方法:
- 采用来自国家健康和营养检查调查 (2007-2014) 的6220名成年人 (≥20岁) 的数据进行横截面研究.
- 使用腰围,身高,甘油三和高密度脂蛋白-C计算的CMI.
- 参与者被分类为CMI第三类;睡眠障碍状态根据调查数据确定.
- 使用了后勤回归,子组分析和生存分析.
主要成果:
- 较高的CMI与睡眠障碍的风险增加显著相关 (OR=1.13,95% CI:1.03-1.24).
- 较高的CMI三位数与最低的CMI三位数相比,睡眠障碍的患病率更高 (OR=1.46,95% CI:1.27-1.68).
- 更高的CMI也与所有原因死亡率的增加有关 (OR=1.34,95%CI:1.08-1.67).
结论:
- 心脏代谢指数升高与患上睡眠障碍和死亡率增加的风险更高有关.
- CMI可能是监测心脏代谢健康和评估睡眠障碍严重程度的有价值,具有成本效益的工具.
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