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在有或没有动脉样性心血管疾病的成年人中,健康的睡眠模式,死亡率和预期寿命
Haibin Li1, Yu Liu2, Baosheng Sun3
1Department of Cardiology, Heart Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China; Medical Research Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
JACC. Advances
|January 20, 2026
概括
健康的睡眠模式显著降低死亡率,并增加所有成年人的预期寿命. 对于患有动脉样硬化心血管疾病 (ASCVD) 的人来说,益处甚至更大,重点是睡眠.
科学领域:
- 睡眠科学 睡眠科学
- 心血管健康的心血管健康
- 公共卫生 公共卫生
背景情况:
- 健康的睡眠对于预防慢性疾病至关重要.
- 睡眠对死亡率和预期寿命的影响,特别是对于那些患有动脉样硬化心血管疾病 (ASCVD) 的人来说,尚不清楚.
研究的目的:
- 研究睡眠模式与死亡率之间的关联.
- 评估ASCVD和没有ASCVD的成年人睡眠模式和预期寿命之间的关系.
主要方法:
- 来自国家健康访谈调查 (2013-2018) 的148,622名美国成年人的分析.
- 开发一个复合的睡眠分数来分类睡眠模式为贫穷,中等或健康.
- 利用多变量Cox模型和灵活的参数生存模型来分析死亡率和预期寿命.
主要成果:
- 健康的睡眠模式与ASCVD和非ASCVD组的全因死亡率显著降低有关.
- 如果有ASCVD,健康睡眠的个体的预期寿命增加了3.0年,如果没有ASCVD,则增加了1.5年.
- 在睡眠模式和ASCVD死亡率状态之间观察到显著的附加相互作用.
结论:
- 多维健康睡眠与降低死亡率和延长成人预期寿命有关.
- 健康睡眠对死亡率和预期寿命的绝对好处在ASCVD患者中更为明显.
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