没有主观投诉的客观嗜睡会降低高血压风险
Nikolaos Athanasiou1,2, Slobodanka Pejovic1, Julio Fernandez-Mendoza1
1Sleep Research and Treatment Center, Department of Psychiatry and Behavioral Health, Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA.
Sleep
|December 12, 2025
概括
客观的嗜睡,没有过度的白天嗜睡 (EDS),可以防止高血压. 这一发现表明临床医生评估患者心血管风险的潜在好处.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 过度的白天嗜睡 (EDS) 与心血管问题有关.
- 客观性嗜睡 (睡眠开始的短时间延迟,SOL) 与认知缺陷有关,但与心血管风险无关.
- 没有EDS的客观嗜睡和高血压风险之间的关联尚未被探索.
研究的目的:
- 研究没有EDS的客观嗜睡与高血压风险之间的关联.
- 在一个大规模的一般人口样本中分析这种关联.
主要方法:
- 从没有EDS的宾夕法尼亚州立大学队列中对1590名成年人的横截面和纵横分析.
- 客观性嗜睡通过多睡眠学定义为SOL ≤7分钟.
- 高血压被评估为流行 (高血压或药物) 和事件 (新治疗).
主要成果:
- 客观性嗜睡与较低的高血压患病率 (22.1%对比32.3%) 和发病率 (8.8%对比17.3%) 相关.
- 具有客观嗜睡的个体有普遍 (OR=0.44) 和偶发 (OR=0.31) 高血压的几率降低.
- 将客观的嗜睡与EDS结合起来,抵消了对高血压的保护作用.
结论:
- 在没有EDS的情况下,客观的嗜睡表明与高血压风险的保护性关联.
- 这些发现为临床医生在评估高血压风险时提供了宝贵的见解.
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