医学
多导睡眠图
优势比
内科学
白天过度嗜睡
失眠症
队列
前瞻性队列研究
可能性
人口
队列研究
心血管健康
心脏病学
疾病
睡眠障碍
逻辑回归
精神科
呼吸暂停
环境卫生
作者
Nadine Häusler,Q. Lisan,Thomas T. van Sloten,José Haba‐Rubio,Marie‐Cécile Perier,Frédérique Thomas,Nicolás Danchin,Catherine Guibout,Pierre Boutouyrie,Raphaël Heinzer,Xavier Jouven,Pedro Marques‐Vidal,Jean‐Philippe Empana
出处
期刊:Heart
[BMJ]
日期:2019-04-08
卷期号:105 (19): 1500-1506
被引量:5
标识
DOI:10.1136/heartjnl-2018-314485
摘要
Objective We aimed to investigate the association between cardiovascular health (CVH), as defined by the American Heart Association, and several sleep disturbances. Methods Two community-based cohorts, the Paris Prospective Study 3 (PPS3, France, n=6441) and the CoLaus study (Switzerland, n=2989) were analysed. CVH includes 7 metrics which all can be classified as poor, intermediate and ideal. Global CVH score was categorised into poor (0–2 ideal metrics), intermediate (3–4 ideal metrics) and ideal (≥5 ideal metrics). Associations between global CVH and self-reported sleep disturbances (proxy of sleep-disordered breathing [SDB], excessive daytime sleepiness, insomnia symptoms and short/long sleep duration) and SDB severity measured by polysomnography (PSG) were investigated. Adjusted OR/relative risk ratio (RRR) and 95% CIs were estimated. Subjects with previous cardiovascular disease were excluded. Results Compared with poor CVH, subjects with intermediate and ideal global CVH had lower odds of self-reported SDB in both cohorts (ORs 0.55; 95% CI 0.44 to 0.68 and 0.35; 95% CI 0.22 to 0.53, respectively) and had lower SDB severity measured by PSG (RRR 0.07; 95% CI 0.02 to 0.20) in CoLaus. Subjects with intermediate and ideal global CVH had lower odds of excessive daytime sleepiness in PPS3 (ORs 0.82; 0.72 to 0.95 and 0.80; 0.82 to 1.02, respectively). No consistent associations were found between CVH and sleep duration or insomnia symptoms. Conclusions Higher levels of CVH are associated with lower odds of SDB and excessive daytime sleepiness. However, causal interpretation cannot be made and associations might be bidirectional.
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