夏令时时钟改变对英格兰的精神和身体健康的急性影响:基于人口的回顾性队列研究
Melanie A de Lange1,2, Kate Birnie1,2, Rebecca C Richmond1,2,3
1MRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
BMJ (Clinical research ed.)
|December 18, 2025
概括
秋季夏令时的变化与较少的心理健康,睡眠和心血管事件有关. 春季时钟变化对健康事件没有显著影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 日光节约时间 (DST) 的时钟变化会扰乱昼夜节律.
- 没有完全理解DST过渡对健康的急性影响.
- 初级和二级保健数据可以揭示人口层面的健康事件趋势.
研究的目的:
- 调查夏令时时钟变化对健康的直接影响.
- 分析英语初级和中等保健中的精神和身体健康事件.
- 为了比较春季和秋季DST过渡后的健康事件率.
主要方法:
- 一项基于人口的回顾性队列研究,使用链接的电子健康记录 (临床实践研究数据链接GOLD).
- 包括英格兰各地超过683,000名个人,分析了2008-2019年的数据.
- 负二项回归模型在过渡后一周的每日事件率与包括心血管疾病,焦虑,抑郁和睡眠障碍在内的疾病的控制期进行了比较.
主要成果:
- 秋季DST变化后的一周,焦虑,急性心血管疾病,抑郁症,精神疾病和睡眠障碍的减少.
- 这些疾病的发病率比率 (IRR) 从0.92 (睡眠障碍) 到0.97 (焦虑) 之间.
- 很少有证据表明,在春季DST变化之后,饮食障碍,道路交通伤害,自我伤害或任何健康事件发生了变化.
结论:
- 秋季DST时钟变化与某些心血管和心理健康事件的减少有关.
- 春季DST时钟变化与健康事件发生率的变化没有显著关联.
- 电子健康记录日期反映了临床记录,不一定是症状发作,这是一个限制.
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