PDF(Pubmed)
Abstract：
The American Heart Association recently included sleep health as one of eight factors that define cardiovascular health. Restorative sleep is a pillar of lifestyle medicine influenced by sleep duration, quality, and disorders. Short and long sleep duration are associated with greater risk of cardiovascular disease. Short sleep appears causally related to cardiovascular risk. Long sleep is more strongly predictive of cardiovascular risk, which may be due to comorbidities and other risk factors. Good-quality sleep appears to protect against the increased risk and is independently associated with risk of cardiovascular disease (CVD). Insomnia, particularly difficulty falling asleep and non-restorative sleep, is associated with an increase in cardiac events. Obstructive sleep apnea (OSA) is associated with cardiac risk and outcomes, which is typically observed in the context of contributing comorbidities. However, treating OSA with continuous positive airway pressure (CPAP) may not improve prognosis. Further research is needed to understand the causal mechanisms connecting sleep health with CVD and whether modifying sleep can improve outcomes. Sleep health should be considered as part of a holistic approach to improving cardiovascular health, as reflected in the scoring of LE8 and as one of the interrelated components of lifestyle medicine.
摘要：
美国心脏协会最近将睡眠健康列为定义心血管健康的八个因素之一。恢复性睡眠是受睡眠持续时间影响的生活方式医学的支柱，质量,和障碍。短睡眠时间和长睡眠时间与心血管疾病的更大风险相关。短睡眠似乎与心血管风险有因果关系。长时间睡眠更强烈地预测心血管风险，这可能是由于合并症和其他风险因素。良好的睡眠似乎可以防止风险增加，并且与心血管疾病（CVD）的风险独立相关。失眠,特别是难以入睡和非恢复性睡眠，与心脏事件的增加有关。阻塞性睡眠呼吸暂停（OSA）与心脏风险和预后相关，这通常是在共病的背景下观察到的。然而,持续气道正压通气(CPAP)治疗OSA可能无法改善预后.需要进一步的研究来了解睡眠健康与心血管疾病之间的因果机制，以及改善睡眠是否可以改善预后。睡眠健康应被视为改善心血管健康的整体方法的一部分，这反映在LE8的评分和生活方式医学的相互关联的组成部分之一。
