Poor Sleep Pattern Might Increase the Prevalence of Abdominal Aortic Calcification in US Adults: Data from the NHANES (2013-2014).

IF 2.8 Q2 PERIPHERAL VASCULAR DISEASE

Vascular Health and Risk Management Pub Date : 2025-07-31 eCollection Date: 2025-01-01 DOI:10.2147/VHRM.S532476

Yunqing Chen, Shiyong Xu, Mingxia Duan, Liang Shen

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Abstract

Background: Abdominal aortic calcification (AAC) is a reliable predictor of cardiovascular events. Sleep is an essential component of cardiovascular health. This study aimed to assess the association between sleep patterns (including sleep duration, trouble sleeping, and sleep disorders) and the risk of AAC.

Methods: A total of 2801 participants from the 2013 to 2014 National Health and Nutrition Examination Survey (NHANES) 2013-2014 cycle were included in the study. AAC score was assessed using the Kauppila scoring system. Sleep patterns were defined according to the overall sleep score, which was calculated based on the sleep duration, self-reported trouble sleeping, and sleep disorders. Weighted multivariable linear regression models were used to analyze the association between sleep patterns and AAC.

Results: AAC prevalence was higher in older age groups, smokers, those with hypertension or diabetes, and those with less physical activity, lower eGFR, or higher levels of total 25-hydroxyvitamin D, serum uric acid, and serum calcium. Compared with the healthy sleep pattern group, participants in the poor sleep pattern group had a higher prevalence of AAC (odds ratio [OR] = 1.664, 95% CI: 1.286-2.152) and a higher prevalence of severe AAC (OR = 2.179, 95% CI: 1.539-3.087). After adjusting for potential confounders, the poor sleep pattern group remained significantly associated with a higher risk of AAC (OR = 1.657, 95% CI: 1.235-2.222) and severe AAC (OR = 2.374, 95% CI: 1.616-3.488).

Conclusion: Sleep patterns were related to the risk of AAC in middle-aged and elderly populations. Poor sleep patterns may increase AAC prevalence.

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不良睡眠模式可能会增加美国成年人腹主动脉钙化的患病率：来自NHANES（2013-2014）的数据。

背景：腹主动脉钙化（AAC）是心血管事件的可靠预测指标。睡眠是心血管健康的重要组成部分。这项研究旨在评估睡眠模式（包括睡眠时间、睡眠问题和睡眠障碍）与AAC风险之间的关系。方法：选取2013-2014年全国健康与营养检查调查（NHANES） 2013-2014周期2801名参与者。AAC评分采用Kauppila评分系统。睡眠模式是根据总体睡眠评分来定义的，该评分是根据睡眠持续时间、自我报告的睡眠问题和睡眠障碍来计算的。采用加权多变量线性回归模型分析睡眠模式与AAC之间的关系。结果：AAC患病率在老年人群、吸烟者、高血压或糖尿病患者、体力活动较少、eGFR较低或总25-羟基维生素D、血清尿酸和血清钙水平较高的人群中较高。与健康睡眠模式组相比，不良睡眠模式组的AAC患病率更高（比值比[OR] = 1.664, 95% CI: 1.286-2.152），严重AAC患病率更高（OR = 2.179, 95% CI: 1.539-3.087）。在调整了潜在的混杂因素后，睡眠模式差组仍与AAC （OR = 1.657, 95% CI: 1.235-2.222）和严重AAC （OR = 2.374, 95% CI: 1.616-3.488）的高风险显著相关。结论：睡眠方式与中老年AAC发病风险相关。不良的睡眠模式可能会增加AAC的发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.