加速度计测量的昼夜调整预测了中年和老年人中所有原因和心血管死亡率
Jiarong Xie1,2, Tianchen Qian1,2, Pengyao Lin1
1Department of Gastroenterology, the First Affiliated Hospital of Ningbo University, Ningbo, China.
European journal of preventive cardiology
|July 17, 2025
概括
昼夜调整不良,以低相位数和不规则时间测量,显著增加了成年人因各种原因和心血管死亡的风险. 这些发现突出了昼夜指标作为健康监测的潜在生物标志物.
科学领域:
- 心血管健康 心血管健康
- 时间生物学 时间生物学
- 公共卫生 公共卫生
背景情况:
- 循环节调整对于心脏代谢调节至关重要.
- 可穿戴技术提供了评估昼夜节律的新方法.
- 了解昼夜时间对死亡率的影响对于公共卫生至关重要.
研究的目的:
- 调查加速计衍生的昼夜调整指标是否预测死亡率.
- 评估同步强度和时间偏差的独立预测值.
- 检查与所有原因和心血管疾病 (CVD) 死亡率的关联.
主要方法:
- 从NHANES周期 (2011-2014) 中分析了4814名美国成年人 (≥45岁).
- 使用手腕穿戴的加速度计 (相位大小和角度) 测量循环节对齐.
- 与2019年12月31日的国家死亡指数相关的死亡率数据;使用考克斯回归和竞争风险模型进行分析.
主要成果:
- 较低的相位数 (同步强度) 与增加全因死亡风险有关.
- 晚期和晚期的昼夜定时 (分相角) 都显示出与全因死亡率的U形关联.
- 先进的时间与心脏病特异性死亡率增加68%的风险显著相关.
结论:
- 减少昼夜同步和时间错位与死亡风险增加有关.
- 从加速度计中获得的昼夜指标可以作为潜在的生物标志物.
- 这些发现支持基于可穿戴设备的监测和针对心脏代谢健康的有针对性的行为干预措施.
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