Relationship between carotid intima-media thickness, physical activity, sleep quality, metabolic/inflamatory profile, body fatness, smoking and alcohol consumption in young adults

Santiago Maillane-Vanegas, B. Turi-Lynch, F. Lira, J. Codogno, R. Fernandes, M. C. S. Lima, A. Machado-Rodrigues, H. Kemper
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Abstract

Aim: The aim of this longitudinal study was to analyze the relationship between sleep disorder and intimamedia thickness. Method: Baseline measurements included carotid intima-media thickness, assessed by an ultrasound device; questionnaires about sleep and other behavioral variables; physical activity was measured by pedometer; body fatness was estimated by Dual-Energy X-ray Absorptiometry; fasting glucose, lipid profile and C-reactive protein were collected. Results: The occurrence rate of sleep-related disorders was 47% (95%CI= 37.2%-56.7%). Carotid intimamedia thickness was related to symptoms of insomnia (r= 0.328 [0.141 to 0.493]) and, after adjustments for potential confounders, the relationship between carotid intima-media thickness and insomnia remained statistically significant (β= 0.121 [95%CI= 0.017; 0.225]). Conclusions: In young adults, sleep disorder was significantly related to premature increase in carotid intima-media thickness.
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年轻人颈动脉内膜-中膜厚度、身体活动、睡眠质量、代谢/炎症特征、体脂、吸烟和饮酒的关系
目的:本纵向研究的目的是分析睡眠障碍与内膜厚度之间的关系。方法:基线测量包括颈动脉内膜-中膜厚度,通过超声设备评估;关于睡眠和其他行为变量的问卷;用计步器测量身体活动;用双能x线吸收仪测定体脂;采集空腹血糖、血脂及c反应蛋白。结果:睡眠相关障碍发生率为47% (95%CI= 37.2% ~ 56.7%)。颈动脉内膜中膜厚度与失眠症状相关(r= 0.328[0.141 ~ 0.493]),在校正潜在混杂因素后,颈动脉内膜中膜厚度与失眠之间的关系仍具有统计学意义(β= 0.121 [95%CI= 0.017;0.225])。结论:在年轻人中,睡眠障碍与颈动脉内膜-中膜厚度过早增加显著相关。
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