维生素D缺乏和睡眠障碍与心血管死亡率的共同关联:一个前性队列研究
Shizhen Wang1,2, Dahong Zheng2, Hui Wang3
1The First Affiliated Hospital of Soochow University, Suzhou, China.
Frontiers in nutrition
|April 28, 2025
概括
维生素D缺乏和睡眠障碍独立增加死亡风险. 两者的结合显著增加了所有原因和心血管疾病死亡的风险,突出了综合健康战略的必要性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 睡眠医学 睡眠医学
背景情况:
- 维生素D缺乏和睡眠障碍独立地与增加的死亡率有关.
- 这些疾病对死亡率的综合影响仍未得到充分研究.
研究的目的:
- 研究维生素D缺乏和睡眠障碍对死亡率的单独和联合影响.
- 专门研究心血管疾病死亡率,全因死亡率和癌症死亡率.
主要方法:
- 来自国家健康和营养检查调查 (NHANES) (2005-2018) 的24566名成年人的分析.
- 通过自我报告评估的睡眠障碍;用血清25-基维生素D [25(OH) D]测量维生素D水平.
- 考克斯比例危险模型用于评估与死亡结果的关联.
主要成果:
- 维生素D缺乏和睡眠障碍各自独立地与更高的全因死亡风险有关.
- 无论是维生素D缺乏还是睡眠障碍的个体都显示出所有原因死亡率 (HR, 2.31) 和心血管死亡率 (HR, 2.39) 的风险显著增加.
- 经过对混因素进行调整后,这些综合效应仍然显著.
结论:
- 维生素D缺乏和睡眠障碍的同时存在大大增加了全因和心血管死亡风险.
- 研究结果表明,需要改进饮食和生活方式的干预措施,以同时解决这两种情况.
- 强调营养状况和睡眠健康之间的关键相互作用在确定长期健康结果.
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