慢性阻塞性肺疾病患者体力活动、久坐行为和睡眠障碍之间的关系:一项横断面研究

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Xianghui Ma, Qing Zhang, Xigang Gao, Mingxiang Sun
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引用次数: 0

摘要

目的:睡眠障碍是慢性阻塞性肺疾病(COPD)的常见合并症。我们的目的是探讨COPD患者每日坐着时间(DST)、休闲时间体力活动(LTPA)和睡眠障碍之间的潜在关联。方法:基于全球身体活动问卷,从国家健康与营养调查(NHANES)门户网站(2007-2012)中提取COPD参与者的睡眠、LTPA和DST数据。采用t检验、Mann-Whitney检验或卡方检验分析两组间差异。采用加权二项logistic回归模型估计DST和LTPA对睡眠障碍的比值比(OR)和95%置信区间(CI)。分析时间为2023年4月1日至7月1日。结果:本研究共纳入2063例COPD样本,其中58%的样本LTPA < 150 min/wk, 48%的样本DST < 60 h。睡眠障碍患者久坐时间较长(DST bbbb6 h: 151, DST bbbb8 h: 105),体力活动较少(LTPA < 150min/周:185)。久坐时间越长,患睡眠障碍的风险越高,而LTPA与睡眠障碍没有显著相关性。联合分析发现,LTPA≥150 min/w、DST < 4h患者发生睡眠障碍的风险是LTPA≥150 min/w患者的5.88倍(95% CI: 1.80 ~ 19.2)。结论:慢性阻塞性肺病患者经常缺乏身体活动,表现出久坐不动的行为。长期久坐行为与COPD患者睡眠障碍风险升高相关。更多的轻强度体育活动和有监督的锻炼计划可能是预防慢性阻塞性肺病患者睡眠障碍的好选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Physical Activity, Sedentary Behavior and Sleep Disorders in Chronic Obstructive Pulmonary Disease Patients: A Cross-Sectional Study.

Objective: Sleep disorder is a common comorbidity in chronic obstructive pulmonary disease (COPD). We aim to explore the potential association between daily sitting time (DST), leisure-time physical activity (LTPA) and sleep disorders in COPD patients.

Methods: The sleep, LTPA, and DST data of participants with COPD were extracted from the National Health and Nutrition Examination Survey (NHANES) portal (2007-2012), basing on Global Physical Activity Questionnaire. The t-test, Mann-Whitney test, or chi-square test were employed to analyze the differences between two groups. The weighted binomial logistic regression model was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of DST and LTPA on sleep disorders. The analyses were conducted from April 1 to July 1, 2023.

Results: A total of 2063 COPD samples were included in this work, of which 58% had LTPA < 150 min/wk and 48% had DST > 6h. Patients with sleep disorders had longer sedentary time (DST > 6h: 151, DST > 8h: 105) and less physical activity (LTPA < 150min/wk: 185). Longer sedentary time was correlated with a higher risk of sleep disorders, while LTPA showed no significant correlation with sleep disorders. The conjoint analysis revealed that the risk of sleep disorders in patients with LTPA <150 min/wk and DST > 8h was 5.88 times (95% CI: 1.80-19.2) great than that of patients with LTPA≥150 min/wk and DST < 4h.

Conclusion: COPD patients often lacked physical activity and exhibited sedentary behaviors. Long-term sedentary behavior was associated with elevated risk of sleep disorders in COPD patients. More light intensity physical activity and supervised exercise programs are probably good choices to prevent sleep disorders in COPD population.

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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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