穿戴设备测量昼夜休息活动节律与癌症患者的死亡风险
Xionge Mei1,2,3, Nana Zheng1,3, Biao Li1,3
1Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
BMJ health & care informatics
|September 10, 2025
概括
昼夜休息活动节律 (CRAR) 的破坏与癌症患者的死亡风险较高有关. 这些节律障碍是比吸烟或肥胖等因素更强烈的死亡预测因素.
科学领域:
- 时间生物学 时间生物学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 昼夜休息活动节奏 (CRAR) 是影响健康的关键生物节奏.
- 了解CRAR在癌症患者死亡率中的作用对于改善结局至关重要.
研究的目的:
- 调查加速度计测量CRAR与癌症患者死亡风险 (所有原因,癌症,心血管疾病) 之间的关联.
- 将CRAR中断的预测能力与传统风险因素进行比较.
主要方法:
- 利用了来自7456名英国生物库癌症参与者的7天加速仪数据 (2013-2015).
- 在自由生活条件下计算的多维CRAR参数.
- 采用Cox的比例危险模型来评估死亡风险,平均持续9.00年的随访时间.
主要成果:
- 慢性肺癌和心血管疾病 (CRAR) 干扰 (低幅度,低质量,高碎片化) 显著增加了全因,癌症和心血管疾病死亡风险.
- 对死亡率的调整后危险比为1.30至2.66,对于中断的CRAR.
- 这些关联在不同类型的癌症中保持强.
结论:
- CRAR参数,特别是低振幅,是癌症患者死亡率的强有力的预测指标.
- 与睡眠不足,吸烟,酒精,肥胖和饮食相比,CRAR干扰显示出更好的预测能力.
- CRAR指标为瘤学中的风险分层和潜在的治疗目标提供了新的见解.
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