睡眠障碍呼吸亚型和未来的饮食质量在动脉样硬化多民族研究
Kaitlin S Potts1, Cecilia Castro-Diehl1, Tianyi Huang2
1Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Sleep health
|October 2, 2025
概括
睡眠呼吸障碍 (SDB) 与随着时间的推移,饮食质量降低有关. 这种关联在患有SDB的人中更强,他们也会感到嗜睡,这突显了睡眠健康和营养之间的重要联系.
科学领域:
- 心血管健康与营养科学 心血管健康与营养科学
- 睡眠医学与公共卫生
背景情况:
- 睡眠呼吸障碍 (SDB) 和饮食质量是影响心脏代谢疾病风险的关键因素.
- 有限的研究已经探索了SDB对个人饮食模式随着时间的推移的影响.
研究的目的:
- 调查睡眠呼吸障碍 (SDB) 亚型与随后的饮食质量之间的关联.
- 在动脉样硬化多民族研究 (MESA) 队列中检查这些关联.
主要方法:
- 使用自我报告的医生诊断的睡眠呼吸暂停或习惯性打来确定睡眠呼吸障碍 (SDB),并根据嗜睡的存在或不存在进一步分类.
- 饮食质量使用2010年替代健康饮食指数 (AHEI) 通过在基线和大约7.8年后的食物频率问卷进行评估.
- 采用多变量线性回归模型来估计AHEI得分的平均差异,调整基线饮食和其他相关的人口和生活方式混因素.
主要成果:
- 该研究包括3294名参与者 (平均年龄62岁,51%为女性),其中29.5%被诊断为SDB.
- 与未受影响者相比,SDB患者在随访时表现出明显较低的AHEI得分 (平均差异:-1.02).
- 两个SDB小组 (有和没有嗜睡) 显示饮食质量下降,在经历嗜睡的SDB组 (平均差异: -1.52) 与没有嗜睡的SDB组 (平均差异: -0.8) 相比,观察到更明显的饮食质量下降.
结论:
- 在多民族人口中,睡眠呼吸障碍 (SDB) 在7.8年的时间内独立地与饮食质量下降有关.
- SDB对饮食质量的负面影响,在与呼吸障碍同时出现嗜睡的个体中得到了放大.
- 研究结果强调了解决SDB对于改善营养健康和潜在减轻心脏代谢风险的重要性.
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