دانلود مقاله خواب غیر طبیعی به عنوان پیش بینی کننده بیماری های قلبی

چکیده

1. مقدمه

2. روش ها

3. نتایج

4. بحث

5. نتیجه گیری

قدردانی ها

منابع

Abstract

1. Introduction

2. Methods

3. Results

4. Discussion

5. Conclusion

Conflicts of Interest

Acknowledgments

References

چکیده

     هدف مطالعه: این مطالعه با هدف تعیین نقش طول مدت خواب غیرطبیعی در پیش بینی بیماری های قلبی عروقی انجام شده است. مواد و روش ها. ما پایگاه داده آنلاین PubMed را در 30 اوت 2020 برای مجموعه داده های خود جستجو کردیم. ما از کلمات کلیدی زیر استفاده کردیم: مدت زمان خواب و (بیماری قلبی عروقی یا رویداد قلبی عروقی) و (کوهورت یا آینده نگر یا گذشته نگر). ما 653 مطالعه را شناسایی کردیم و پس از حذف مطالعاتی که قبل از سال 2015 منتشر شده بودند، 306 مطالعه را به دست آوردیم. پس از فیلتر کردن 306 مطالعه از طریق غربالگری عنوان و چکیده و استفاده از معیارهای ورود و خروج، چهارده مطالعه را با خواندن متن کامل بررسی کردیم. ما سه مطالعه را به دلیل اطلاعات ناکافی مورد نیاز حذف کردیم و یازده مطالعه را در این مرور سیستماتیک گنجاندیم. نتایج. در مجموع 361041 شرکت‌کننده از ده مطالعه در این مرور سیستماتیک وارد شدند. بروز فشار خون بالا، انفارکتوس میوکارد، بیماری عروق کرونر، نارسایی قلبی، حوادث قلبی عروقی و بیماری های قلبی عروقی در گروه خواب کوتاه 46.12٪، 0.59٪، 5.43٪، 0.09٪، 7.18٪، 1.48٪ و 6.8٪ است. به طور متوالی، در حالی که بروز فشار خون بالا، انفارکتوس میوکارد، بیماری عروق کرونر و نارسایی قلبی در گروه طولانی مدت خواب 30.71٪، 0.61٪، 6.55٪، 1.11٪ و 6.04٪ به طور متوالی است. 9 مطالعه ارتباط بین مدت خواب و بیماری های قلبی عروقی را گزارش کردند در حالی که یک مطالعه هیچ ارتباطی را گزارش نکرد. هفت مطالعه گزارش کردند که مدت زمان کوتاه خواب به طور قابل توجهی با CVD مرتبط است. مدت خواب کوتاه در این مطالعه با فشار خون بالا و نارسایی قلبی همراه بود. فیبریلاسیون دهلیزی و بیماری عروق کرونر با هر دو مدت خواب کوتاه و طولانی همراه بود. نتیجه. مدت خواب غیرطبیعی (مدت خواب کوتاه و طولانی) ممکن است به عنوان پیش بینی کننده بیماری های قلبی عروقی عمل کند. برای جلوگیری از خطر ابتلا به بیماری های قلبی عروقی، باید بر اهمیت داشتن طول مدت خواب طبیعی با سایر اصلاحات سبک زندگی تاکید شود. با این حال، مطالعات بیشتری برای غلبه بر محدودیت این مرور اصولی مورد نیاز است.

توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.

Abstract

    Study Objective: This study is aimed at figuring out the role of abnormal sleep duration in predicting cardiovascular diseases. Methods. We searched the online database PubMed on 30 August 2020 for our data collection. We used the following keywords: sleep duration AND (cardiovascular disease OR cardiovascular event) AND (cohort OR prospective OR retrospective). We identified 653 studies, and after excluding studies that were published before 2015, we obtained 306 studies. After filtering the 306 studies through title and abstract screening and applying the inclusion and exclusion criteria, we further reviewed fourteen studies with full-text reading. We excluded three studies because of insufficient data required and included eleven studies in this systematic review. Results. A total of 361,041 participants from ten studies were included in this systematic review. The incidence of hypertension, myocardial infarction, coronary artery disease, heart failure, cardiovascular events, and cardiovascular diseases in the short sleep duration group is 46.12%, 0.59%, 5.43%, 0.09%, 7.18%, 1.48%, and 6.8%, consecutively, while the incidence of hypertension, myocardial infarction, coronary artery disease,and heart failure in the long sleep duration group is 30.71%, 0.61%, 6.55%, 1.11%, and 6.04%, consecutively. Nine studies reported an association between sleep duration and cardiovascular diseases while one study reported no association. Seven studies reported that short sleep duration was significantly associated with CVD. Short sleep duration in this study was associated with hypertension and heart failure. Atrial fibrillation and coronary artery disease were associated with both short and long sleep duration. Conclusion. Abnormal sleep duration (short and long sleep duration) may act as the predictor of cardiovascular diseases. The importance of having normal sleep duration should be stressed with other lifestyle modification to avoid the risk of getting cardiovascular diseases. However, further studies are needed to overcome the limitation of this systematic review. Introduction Cardiovascular diseases, a group of disorders of the heart and blood vessels, were responsible for the highest death rate in the world. It was estimated to be the cause of death of 17.9 million people in 2017 [1]. The advancement of cardiovascular diseases’ management that can be seen in the recent guidelines published by the European Society of Cardiology (ESC), American College of Cardiology (ACC), and International Society of Hypertension (ISH) brings hope to reduce the morbidity and mortality of the patients with cardiovascular diseases. The importance of lifestyle modifications (including balanced diet, physical activity, and obstructive sleep apnea management) has been stressed on the pub- lished guidelines [2–10]. However, the significance of having enough sleep was not yet included in the guidelines, even though it might further help the patients, especially in preventing further cardiovascular diseases. Conclusions Both short and long sleep duration was associated with car- diovascular diseases compared to normal sleep duration. Short sleep duration was associated with hypertension, coronary artery calcification, and heart failure. Coronary heart disease and atrial fibrillation can be associated with both short and long sleep duration.The importance of having normal sleep duration should be stressed during educating the patients, besides other lifestyle modifications. Further studies are needed to overcome the limitation of this systematic review. 

Introduction

     Cardiovascular diseases, a group of disorders of the heart and blood vessels, were responsible for the highest death rate in the world. It was estimated to be the cause of death of 17.9 million people in 2017 [1]. The advancement of cardiovascular diseases’ management that can be seen in the recent guidelines published by the European Society of Cardiology (ESC), American College of Cardiology (ACC), and International Society of Hypertension (ISH) brings hope to reduce the morbidity and mortality of the patients with cardiovascular diseases. The importance of lifestyle modifications (including balanced diet, physical activity, and obstructive sleep apnea management) has been stressed on the published guidelines [2–10]. However, the significance of having enough sleep was not yet included in the guidelines, even though it might further help the patients, especially in preventing further cardiovascular diseases.

Conclusions

     Both short and long sleep duration was associated with car- diovascular diseases compared to normal sleep duration. Short sleep duration was associated with hypertension, coronary artery calcification, and heart failure. Coronary heart disease and atrial fibrillation can be associated with both short and long sleep duration. The importance of having normal sleep duration should be stressed during educating the patients, besides other lifestyle modifications. Further studies are needed to overcome the limitation of this systematic review.

Age, sex, family per member monthly income, education level, marital status, smoking status, drinking status, physical activity, history of hypertension, diabetes mellitus, and hyperlipidemia

Age, sex, education, smoking, alcohol, income, regular exercise, obesity, high-density lipoprotein cholesterol, triglyceride, glucose, and mean arterial pressure

Age, resting heart rate, body mass index, smoking status, drinking status, physical activity, salt intake, history of diabetes and hyperlipidemia, antidiabetic and cholesterol-lowering medication, systolic blood pressure, diastolic blood pressure, and family history of hypertension

Sex, baseline blood pressure, personality, BMI, diabetes mellitus, physical exercise, smoking, drinking, total cholesterol, triglyceride, HDL-c, LDL-c, hs-CRP, uric acid