中老年午睡频率、时长与心绞痛相关性分析
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R749.99

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陕西省重点研发计划项目(2025SF-YBXM-499)


Correlation between napping frequency and duration and angina pectoris in middle-aged and elderly people
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    摘要:

    目的:本研究旨在探讨午睡时长和频率与心绞痛(AP)发生率之间的关联。方法:研究人群来自睡眠心脏健康 研究的2269例受试者。收集受试者在基线时的一般资料和午睡习惯(时长和频率),统计平均11年的随访期间首次确诊的 心绞痛。采用 Logistic回归分析评价午睡时长和频率与心绞痛发生风险的相关性。结果:不同午睡频率(0次/周、1~2次/ 周、3~4次/周及≥5次/周)和时长(0min、<30min及≥30min)的人群在年龄、性别、体质量指数(BMI)、饮酒、血脂水平(总 胆固醇、高密度脂蛋白、甘油三酯)、糖尿病、高血压、心绞痛等方面均有不同程度差异(P<0.05)。校正混杂因素后发现,午睡 频率≥5次/周(OR=1.65,95% CI=1.27~2.14,P<0.001)或午睡时间≥30min(OR=1.92,95% CI=1.41~2.61,P< 0.001)均会显著增加心绞痛发病风险。在不同亚组中发现,午睡频率与心绞痛的关联在年龄<60的人群中更显著(P交互 = 0.009),其他亚组分析未见显著交互作用。结论:每周午睡频率≥5次和每天午睡时间≥30min会显著增加心绞痛的发病风 险,改善午睡习惯可能对降低心绞痛发生具有积极意义。

    Abstract:

    Objective: To explore the association between the duration and frequency of napping and the incidence of angina pectoris (AP). Methods: A total of 2,269 subjects from the Sleep Heart Health Study were selected. Baseline data and napping habits (duration and frequency) were collected. The first diagnosed cases of angina pectoris during an average follow-up period of 11 years were recorded. Logistic regression analysis was used to evaluate the correlation between napping duration and frequency and the incidence of angina pectoris. Results: Significant differences were observed among groups with different napping frequencies (0 times/week, 1–2 times/week, 3–4 times/week, and ≥5 times/week) and durations (0 minutes, <30 minutes, and ≥30 minutes) in terms of gender, age, body mass index (BMI), alcohol consumption, blood lipid levels (total cholesterol, high-density lipoprotein, triglycerides), diabetes, hypertension, and angina pectoris (P<0.05). After adjusting for confounding factors, the study found that napping habits of ≥5 times/week (OR=1.65, 95%CI=1.27–2.14, P<0.001) and ≥30 minutes (OR=1.92, 95%CI=1.41–2.61, P<0.001) were independently associated with an increased prevalence of angina pectoris. In different subgroups, the association between napping frequency and angina pectoris was more significant in the population aged <60 years (P interaction=0.009), while no significant interaction effect was observed in other subgroup analyses.

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李白嘉;范雅娟;黄玉洁;王崴;马现仓;闫斌.中老年午睡频率、时长与心绞痛相关性分析[J].川北医学院学报,2026,41(5):562-567.

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  • 在线发布日期: 2026-05-29
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