社会隔离、孤独和心血管死亡率:医疗保健系统干预措施的作用》。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Cardiology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-07 DOI:10.1007/s11886-024-02066-x
Syed Mohammed Usama, Yash Lalit Kothari, Aditya Karthikeyan, Syed Anjum Khan, Mohammad Sarraf, Vinayak Nagaraja
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引用次数: 0

摘要

审查目的:随着科学技术以令人难以置信的速度发展,世界正在迅速扩大。然而,这些进步也带来了一个社会隔离(SI)和孤独感上升的时代。社会隔离是一个客观术语,指缺乏社会接触或支持。另一方面,孤独是主观的,是指感到孤独或与世隔绝。这些概念之所以迅速受到重视,主要是因为它们对人们的生理和心理健康造成了负面影响,主要是通过行为改变造成的,包括药物滥用、运动量减少、不健康的饮食习惯和不良的睡眠卫生。这篇综述总结了病理生理学,评估了睡眠障碍对心血管死亡率影响的证据,以及克服睡眠障碍的干预措施:最近的研究结果:通过交感神经系统和下丘脑-垂体-肾上腺轴激活等拟议机制,有确凿证据表明,孤独症和寂寞都与心血管疾病的发病率和死亡率有关。一项对包括 2 205 199 人在内的 90 项前瞻性队列研究进行的系统回顾和荟萃分析表明,SI 是心血管死亡率的独立预测因子,其点估计值为 1.34(95% 置信区间:1.25-1.44)。迄今为止的证据令人信服,因此有必要采取紧急行动,实施严格的政策来解决这一问题。作为医疗保健专业人员,保持警惕、认识到这一阴险的流行病并采取适当行动变得更加重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Isolation, Loneliness, and Cardiovascular Mortality: The Role of Health Care System Interventions.

Purpose of review: The world is proliferating rapidly, with science and technology advancing at an incredible rate. These advances have, however, ushered in an age with a rise in social isolation (SI) and loneliness. SI is an objective term that refers to lacking social contact or support. On the other hand, loneliness is subjective and refers to feeling alone or isolated. These concepts are rapidly gaining prominence mainly due to their negative impact on the physical and psychological health of the population, mainly through behavioural modifications that encompass substance abuse, decreased physical activity and unhealthy food habits, and poor sleep hygiene. This review summarizes the pathophysiology, evaluates the evidence behind impact of SI on cardiovascular mortality, and interventions to overcome SI.

Recent findings: Through proposed mechanisms, such as activation of the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis, both SI and loneliness have strong evidence linking them to cardiovascular morbidity and mortality. A systematic review and meta-analysis of 90 prospective cohort studies including 2,205,199 individuals reported that SI was independent predictor of cardiovascular mortality with a point estimate of 1.34 (95% confidence interval:1.25-1.44). The evidence so far is compelling and necessitates urgent action with the implementation of strict policies to tackle this issue. As healthcare professionals, it becomes even more critical to remain vigilant, recognize this insidious pandemic, and take appropriate action.

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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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