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中老年午睡频率、时长与心绞痛相关性分析OA

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

中文摘要英文摘要

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2 269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(0 min、<30 min及≥30 min)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≥30 min(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.

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 fre-quency 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≥30minutes(OR=1.92,95%CI=1.41~2.61,P<0.001)were independently associated with an increased prevalence of angi-na pectoris.It was found in different subgroups that the association between napping frequency and angina pectoris was more significant in the population aged<60 years(Pinteraction=0.009),while no significant interaction effect was observed in other subgroup analyses.Conclusion:A napping frequency of≥5 times per week and a daily napping duration of≥30 minutes can significantly increase the risk of angina pectoris.Improving napping habits may have positive significance for reducing the occurrence of angina pectoris.

李白嘉;范雅娟;黄玉洁;王崴;马现仓;闫斌

西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061西安交通大学第一附属医院,精神心理卫生科,陕西 西安 710061||西安交通大学第一附属医院,临床研究中心,陕西 西安 710061

医药卫生

午睡频率午睡时长心绞痛年龄

Napping frequencyNapping durationAngina pectorisAge

《川北医学院学报》 2026 (5)

562-567,6

陕西省重点研发计划项目(2025SF-YBXM-499)

10.3969/j.issn.1005-3697.2026.05.009

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