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在临床队列中,睡眠姿势和自主神经系统活动跨年龄和性别:对全国门诊心电图数据库的分析
Emi Yuda1,2,3, Junichiro Hayano3,4
1Innovation Center for Semiconductor and Digital Future (ICSDF), Mie University, Tsu 514-8507, Japan.
Sensors (Basel, Switzerland)
|October 16, 2025
概括
睡眠姿势在睡眠期间显著影响自主神经系统 (ANS) 活动. 左侧睡眠姿势与心率较低有关,而右侧姿势显示心率较高,影响心率变化 (HRV).
科学领域:
- 身体生理学 身体生理学
- 心脏病学 心脏病学
- 睡眠科学 睡眠科学
背景情况:
- 睡眠期间的自主神经系统 (ANS) 活动对心血管健康至关重要.
- 有限的研究已经探索了睡眠姿势对ANS活动的影响,特别是在临床环境中.
研究的目的:
- 为了研究睡眠姿势与睡眠期间自主神经系统 (ANS) 活动之间的关联.
- 分析不同睡眠姿势中的心率变化 (HRV) 指数.
主要方法:
- 分析了ALLSTAR数据库中130,885个人的24小时霍尔特心电图记录.
- 使用三轴加速度计数据对睡眠姿势进行分类 (仰卧,右侧,左侧,俯卧).
- 根据年龄和性别计算和分层的HRV指数 (HR,SDRR,HF,LF,VLF,CVHR,Hsi).
主要成果:
- 在大多数年龄组中,心率 (HR) 在左侧姿势中始终最低,在右侧姿势中最高.
- 其他HRV指数显示出一致的横向效应,尽管效应大小小.
- 睡眠姿势与估计的睡眠呼吸暂停严重程度的关联是微不足道的.
结论:
- 睡眠姿势是统计学上显著的独立因素,影响睡眠期间的ANS活动.
- 虽然从统计学上显著,但姿势诱导的HRV差异的临床相关性需要进一步解释.
- 左侧睡眠姿势可能与睡眠期间更有利的自主调节有关.
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