打盹还是不打盹?关于习惯性日间小睡与健康结果的队列研究荟萃分析提供的证据

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Sleep Medicine Reviews Pub Date : 2024-08-08 DOI:10.1016/j.smrv.2024.101989
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引用次数: 0

摘要

在一些国家,习惯性白天小睡是一种常见的行为和生活方式,通常被认为是正常日常生活的一部分。然而,最近的证据表明,习惯性白天小睡对健康的影响还存在争议。我们系统地检索了 PubMed、Web of Science、Embase 和 Cochrane Library 数据库(从开始到 2024 年 3 月 9 日),对有关午睡和健康结果风险的队列研究进行了综合分析。共纳入了 44 项队列研究,研究对象有 1864274 人,年龄在 20-86 岁之间(平均年龄为 56.4 岁)。总体而言,习惯性午睡会增加多种不良健康后果的风险,包括全因死亡率、心血管疾病、代谢性疾病和癌症,并降低认知障碍和肌肉疏松症的风险。小睡时间为 30 分钟或更长的人罹患全因死亡率、心血管疾病和代谢疾病的风险较高,而小睡时间少于 30 分钟的人则无明显风险。在午睡频率、午睡者比例、样本大小、性别、年龄、体重指数、随访年数或合并症状况方面,均未观察到午睡与健康风险之间存在明显差异。这些研究结果表明,午睡时间较长的人应考虑将每天的午睡时间缩短至30分钟或更短。
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To nap or not? Evidence from a meta-analysis of cohort studies of habitual daytime napping and health outcomes

Habitual daytime napping is a common behavioral and lifestyle practice in particular countries and is often considered part of a normal daily routine. However, recent evidence suggests that the health effects of habitual daytime napping are controversial. We systematically searched PubMed, Web of Science, Embase, and Cochrane Library databases from inception to March 9, 2024, to synthesize cohort studies of napping and health outcome risk. A total of 44 cohort studies with 1,864,274 subjects aged 20-86 years (mean age 56.4 years) were included. Overall, habitual napping increased the risk of several adverse health outcomes, including all-cause mortality, cardiovascular disease, metabolic disease, and cancer, and decreased the risk of cognitive impairment and sarcopenia. Individuals with a napping duration of 30 min or longer exhibited a higher risk of all-cause mortality, cardiovascular disease, and metabolic disease, whereas those with napping durations less than 30 min had no significant risks. No significant differences in napping and health risks were observed for napping frequency, percentage of nappers, sample size, sex, age, body mass index, follow-up years, or comorbidity status. These findings indicate that individuals with a long napping duration should consider shortening their daily nap duration to 30 min or less.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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