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睡眠問(wèn)題可能增加心臟病風(fēng)險(xiǎn),8條建議幫助保護(hù)你的健康

LIZ SEEGERT
2023-10-10

心臟病是美國(guó)女性的頭號(hào)殺手,,而且女性進(jìn)入更年期后,,患心臟病的風(fēng)險(xiǎn)會(huì)升高。

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9月在費(fèi)城召開(kāi)的更年期協(xié)會(huì)大會(huì)(The Menopause Society Conference)上發(fā)布的最新研究顯示,,每晚失眠或睡眠不足的中年女性,,患心臟病的風(fēng)險(xiǎn)可能更高。

心臟病是美國(guó)女性的頭號(hào)殺手,,而且女性進(jìn)入更年期后,,患心臟病的風(fēng)險(xiǎn)會(huì)升高。研究人員希望分析睡眠問(wèn)題是否是導(dǎo)致心血管疾病風(fēng)險(xiǎn)升高的原因,。睡眠問(wèn)題是更年期女性面臨的主要問(wèn)題,。

研究方式

匹茲堡大學(xué)公共衛(wèi)生學(xué)院(University of Pittsburgh School of Public Health)的研究團(tuán)隊(duì)評(píng)估了一項(xiàng)長(zhǎng)期研究SWAN的數(shù)據(jù)。SWAN研究了美國(guó)來(lái)自五個(gè)不同民族和人種的3,300名中年女性,。

研究團(tuán)隊(duì)詢(xún)問(wèn)參與者她們?cè)谇耙粋€(gè)月是否存在入睡困難,、半夜醒來(lái)或比計(jì)劃時(shí)間更早醒來(lái)等問(wèn)題,。這些都是失眠的典型癥狀。如果女性報(bào)告每周三四次出現(xiàn)任何這些問(wèn)題,,則可以認(rèn)定為患有失眠。參與者還被按照短睡眠時(shí)間(5小時(shí)),、中等睡眠時(shí)間(6小時(shí))或長(zhǎng)睡眠時(shí)間(7小時(shí))進(jìn)行分類(lèi),。

研究人員進(jìn)一步評(píng)估了心血管疾病事件,包括心臟病發(fā)作,、中風(fēng),、心臟搭橋手術(shù)、心力衰竭和心臟病相關(guān)死亡等,。

睡眠與心臟病風(fēng)險(xiǎn)

匹茲堡大學(xué)公共衛(wèi)生學(xué)院精神病學(xué)教授,、女性生理健康實(shí)驗(yàn)室(Women’s Biobehavioral Health Laboratory)主任瑞貝卡·瑟斯頓表示:“長(zhǎng)期失眠的中年女性,比沒(méi)有失眠癥狀的中年女性,,心血管疾病風(fēng)險(xiǎn)大幅提高,。”

瑟斯頓表示,,這兩個(gè)群體之間的風(fēng)險(xiǎn)幾乎相差了一倍,,而即使考慮到年齡、種族,、人種,、教育和其他心血管疾病風(fēng)險(xiǎn)因素,長(zhǎng)期失眠女性的風(fēng)險(xiǎn)依舊增加了1.7倍,。

在只分析睡眠時(shí)間數(shù)據(jù)時(shí),,長(zhǎng)期短睡眠的女性相比中等睡眠時(shí)間或長(zhǎng)時(shí)間睡眠女性,心血管疾病風(fēng)險(xiǎn)小幅提高,,但整體數(shù)據(jù)顯示,,同時(shí)存在持續(xù)失眠和短睡眠問(wèn)題的女性患心臟病的風(fēng)險(xiǎn)最高。

瑟斯頓表示:“在根據(jù)人口統(tǒng)計(jì)因素和心血管疾病風(fēng)險(xiǎn)因素進(jìn)行調(diào)整后,,在二十年的跟進(jìn)期內(nèi),,有持續(xù)失眠癥狀的中年女性或同時(shí)睡眠時(shí)間較短的中年女性,發(fā)生心血管疾病事件的風(fēng)險(xiǎn)高70%至75%,。這些研究結(jié)果凸顯出評(píng)估女性心血管疾病風(fēng)險(xiǎn)時(shí)考慮睡眠狀況的重要性,。”

睡眠對(duì)中年女性至關(guān)重要

人到中年,,女性開(kāi)始發(fā)生慢性心血管疾病事件,。瑟斯頓表示:“這是心血管疾病預(yù)防的關(guān)鍵時(shí)期?!彼膭?lì)中年女性和她們的醫(yī)生討論睡眠模式,,并進(jìn)行必要的行為改變,,以幫助降低心臟病風(fēng)險(xiǎn)。

美國(guó)心臟協(xié)會(huì)(American Heart Association)此前曾提到更年期過(guò)渡與心臟病之間存在關(guān)聯(lián),。他們的“生命八要素”(Life’s Essential 8)項(xiàng)目可幫助你最大程度降低風(fēng)險(xiǎn):

? 選擇有營(yíng)養(yǎng)的食物:選擇全食物,、大量水果和蔬菜、精益蛋白質(zhì),、堅(jiān)果,、籽類(lèi),并使用非熱帶植物油,,如橄欖油和菜籽油等,。

? 保持運(yùn)動(dòng):成年人每周進(jìn)行2個(gè)半小時(shí)中等強(qiáng)度或75分鐘高強(qiáng)度體育運(yùn)動(dòng)。

? 戒煙:吸煙,、電子煙和水煙是美國(guó)可預(yù)防死亡的主要原因,,包括約三分之二心臟病死亡。

? 保持優(yōu)質(zhì)睡眠:大多數(shù)成年人每晚需要7至9個(gè)小時(shí)睡眠,。充足睡眠能提高治愈能力,,改善大腦功能,降低慢性病風(fēng)險(xiǎn),。

? 控制體重:實(shí)現(xiàn)和維持健康體重有許多好處,。美國(guó)心臟協(xié)會(huì)建議將體重指數(shù)(BMI)作為指導(dǎo),但美國(guó)醫(yī)學(xué)會(huì)(American Medical Association)最近的新政策,,認(rèn)為用BMI測(cè)量多個(gè)群體的體脂是一種“不完美的方式”,,因?yàn)锽MI并未考慮到種族/人種、性取向,、性別和年齡等因素,。

? 控制膽固醇:非高密度脂蛋白膽固醇或“壞”膽固醇水平過(guò)高,會(huì)導(dǎo)致心臟病,。美國(guó)心臟協(xié)會(huì)建議,,將非高密度脂蛋白膽固醇作為首選監(jiān)控?cái)?shù)據(jù),而不是總膽固醇,,因?yàn)闇y(cè)量非高密度脂蛋白膽固醇無(wú)需空腹,,而且可在所有群體中可靠地測(cè)算。

? 控制血糖:血糖水平過(guò)高會(huì)造成心臟,、腎臟,、眼睛和神經(jīng)系統(tǒng)損傷。

? 控制血壓:將血壓控制在可接受的范圍內(nèi),,能夠讓你更健康,、更長(zhǎng)壽。血壓低于120/80毫米汞柱最佳。130 - 139毫米汞柱則屬于高血壓,。(財(cái)富中文網(wǎng))

翻譯:劉進(jìn)龍

審校:汪皓

9月在費(fèi)城召開(kāi)的更年期協(xié)會(huì)大會(huì)(The Menopause Society Conference)上發(fā)布的最新研究顯示,,每晚失眠或睡眠不足的中年女性,患心臟病的風(fēng)險(xiǎn)可能更高,。

心臟病是美國(guó)女性的頭號(hào)殺手,,而且女性進(jìn)入更年期后,患心臟病的風(fēng)險(xiǎn)會(huì)升高,。研究人員希望分析睡眠問(wèn)題是否是導(dǎo)致心血管疾病風(fēng)險(xiǎn)升高的原因,。睡眠問(wèn)題是更年期女性面臨的主要問(wèn)題。

研究方式

匹茲堡大學(xué)公共衛(wèi)生學(xué)院(University of Pittsburgh School of Public Health)的研究團(tuán)隊(duì)評(píng)估了一項(xiàng)長(zhǎng)期研究SWAN的數(shù)據(jù),。SWAN研究了美國(guó)來(lái)自五個(gè)不同民族和人種的3,300名中年女性,。

研究團(tuán)隊(duì)詢(xún)問(wèn)參與者她們?cè)谇耙粋€(gè)月是否存在入睡困難,、半夜醒來(lái)或比計(jì)劃時(shí)間更早醒來(lái)等問(wèn)題,。這些都是失眠的典型癥狀。如果女性報(bào)告每周三四次出現(xiàn)任何這些問(wèn)題,,則可以認(rèn)定為患有失眠,。參與者還被按照短睡眠時(shí)間(5小時(shí))、中等睡眠時(shí)間(6小時(shí))或長(zhǎng)睡眠時(shí)間(7小時(shí))進(jìn)行分類(lèi),。

研究人員進(jìn)一步評(píng)估了心血管疾病事件,,包括心臟病發(fā)作、中風(fēng),、心臟搭橋手術(shù),、心力衰竭和心臟病相關(guān)死亡等。

睡眠與心臟病風(fēng)險(xiǎn)

匹茲堡大學(xué)公共衛(wèi)生學(xué)院精神病學(xué)教授,、女性生理健康實(shí)驗(yàn)室(Women’s Biobehavioral Health Laboratory)主任瑞貝卡·瑟斯頓表示:“長(zhǎng)期失眠的中年女性,,比沒(méi)有失眠癥狀的中年女性,心血管疾病風(fēng)險(xiǎn)大幅提高,?!?/p>

瑟斯頓表示,這兩個(gè)群體之間的風(fēng)險(xiǎn)幾乎相差了一倍,,而即使考慮到年齡,、種族、人種,、教育和其他心血管疾病風(fēng)險(xiǎn)因素,,長(zhǎng)期失眠女性的風(fēng)險(xiǎn)依舊增加了1.7倍。

在只分析睡眠時(shí)間數(shù)據(jù)時(shí),,長(zhǎng)期短睡眠的女性相比中等睡眠時(shí)間或長(zhǎng)時(shí)間睡眠女性,,心血管疾病風(fēng)險(xiǎn)小幅提高,但整體數(shù)據(jù)顯示,同時(shí)存在持續(xù)失眠和短睡眠問(wèn)題的女性患心臟病的風(fēng)險(xiǎn)最高,。

瑟斯頓表示:“在根據(jù)人口統(tǒng)計(jì)因素和心血管疾病風(fēng)險(xiǎn)因素進(jìn)行調(diào)整后,,在二十年的跟進(jìn)期內(nèi),有持續(xù)失眠癥狀的中年女性或同時(shí)睡眠時(shí)間較短的中年女性,,發(fā)生心血管疾病事件的風(fēng)險(xiǎn)高70%至75%,。這些研究結(jié)果凸顯出評(píng)估女性心血管疾病風(fēng)險(xiǎn)時(shí)考慮睡眠狀況的重要性?!?/p>

睡眠對(duì)中年女性至關(guān)重要

人到中年,,女性開(kāi)始發(fā)生慢性心血管疾病事件。瑟斯頓表示:“這是心血管疾病預(yù)防的關(guān)鍵時(shí)期,?!彼膭?lì)中年女性和她們的醫(yī)生討論睡眠模式,并進(jìn)行必要的行為改變,,以幫助降低心臟病風(fēng)險(xiǎn),。

美國(guó)心臟協(xié)會(huì)(American Heart Association)此前曾提到更年期過(guò)渡與心臟病之間存在關(guān)聯(lián)。他們的“生命八要素”(Life’s Essential 8)項(xiàng)目可幫助你最大程度降低風(fēng)險(xiǎn):

? 選擇有營(yíng)養(yǎng)的食物:選擇全食物,、大量水果和蔬菜,、精益蛋白質(zhì)、堅(jiān)果,、籽類(lèi),,并使用非熱帶植物油,如橄欖油和菜籽油等,。

? 保持運(yùn)動(dòng):成年人每周進(jìn)行2個(gè)半小時(shí)中等強(qiáng)度或75分鐘高強(qiáng)度體育運(yùn)動(dòng),。

? 戒煙:吸煙、電子煙和水煙是美國(guó)可預(yù)防死亡的主要原因,,包括約三分之二心臟病死亡,。

? 保持優(yōu)質(zhì)睡眠:大多數(shù)成年人每晚需要7至9個(gè)小時(shí)睡眠。充足睡眠能提高治愈能力,,改善大腦功能,,降低慢性病風(fēng)險(xiǎn)。

? 控制體重:實(shí)現(xiàn)和維持健康體重有許多好處,。美國(guó)心臟協(xié)會(huì)建議將體重指數(shù)(BMI)作為指導(dǎo),,但美國(guó)醫(yī)學(xué)會(huì)(American Medical Association)最近的新政策,認(rèn)為用BMI測(cè)量多個(gè)群體的體脂是一種“不完美的方式”,,因?yàn)锽MI并未考慮到種族/人種,、性取向、性別和年齡等因素,。

? 控制膽固醇:非高密度脂蛋白膽固醇或“壞”膽固醇水平過(guò)高,,會(huì)導(dǎo)致心臟病。美國(guó)心臟協(xié)會(huì)建議,將非高密度脂蛋白膽固醇作為首選監(jiān)控?cái)?shù)據(jù),,而不是總膽固醇,,因?yàn)闇y(cè)量非高密度脂蛋白膽固醇無(wú)需空腹,而且可在所有群體中可靠地測(cè)算,。

? 控制血糖:血糖水平過(guò)高會(huì)造成心臟,、腎臟、眼睛和神經(jīng)系統(tǒng)損傷,。

? 控制血壓:將血壓控制在可接受的范圍內(nèi),,能夠讓你更健康、更長(zhǎng)壽,。血壓低于120/80毫米汞柱最佳,。130 - 139毫米汞柱則屬于高血壓。(財(cái)富中文網(wǎng))

翻譯:劉進(jìn)龍

審校:汪皓

Middle aged women who have ongoing insomnia or get little sleep each night may be at greater risk for heart disease, according to new research presented at The Menopause Society Conference in Philadelphia in Sept.

Heart disease is the leading killer of women in the United States, and once women hit menopause, their risk of developing it increases. Researchers wanted to examine whether issues with sleep—a chief complaint among menopausal women—could be behind the uptick in cardiovascular risk.

How the study was done

A research team at the University of Pittsburgh School of Public Health assessed data from SWAN, a long-term study of 3,300 mid-life women from five different racial and ethnic groups across the U.S.

The team asked participants whether they’d had trouble falling asleep, woke up during the night, or woke up earlier than planned in the prior month—classic insomnia symptoms. Women were considered to have insomnia if they reported any of these issues three or four times per week. Participants were also classified into short sleep duration (5 hours), moderate duration (6 hours) or long duration (7 hours) sleepers.

Researchers further assessed cardiovascular disease events, including heart attack, stroke, bypass surgery, heart failure and heart disease-related death.

Sleep and heart disease risk

“Women with persistent insomnia had a significantly elevated risk of cardiovascular disease compared with women who had few insomnia symptoms over midlife,” said Rebecca Thurston, professor of psychiatry and director of the Women’s Biobehavioral Health Laboratory, University of Pittsburgh School of Public Health.

There was an almost doubling of risk between the two groups, Thurston said, and even when age, race, ethnicity, education, and other cardiovascular disease risk factors were accounted for, the increased risk was still significant, at 1.7 times.

When just sleep duration data was analyzed, women with persistent short sleep had marginally increased cardiovascular disease risk vs. moderate, or longer sleepers, however, overall data showed that women with both persistent insomnia and short sleep were at highest risk of heart disease.

“Midlife women with persistent insomnia symptoms either alone or in combination with short sleep duration had a 70% to 75% increased risk of cardiovascular disease events over the two decades of follow up, after adjusting for demographic factors and cardiovascular disease risk factors,” Thurston said. “These findings underscore the importance of considering sleep when we’re assessing women’s cardiovascular disease risks.”

Sleep is critical for middle aged women

Midlife is a time directly before the onset of clinical cardiovascular disease events in women. “It’s a critical time for cardiovascular disease prevention,” Thurston said. She encouraged mid-life women and their physicians to discuss sleep patterns and start making any necessary behavioral changes that could help reduce heart disease risk.

The American Heart Association has previously noted a link between the menopausal transition and heart disease. Their Life’s Essential 8 program can help you minimize your risks:

? Eat nutritious foods: Choose whole foods, plenty of fruits and vegetables, lean protein, nuts, seeds, and use non-tropical oils such as olive and canola.

? Stay active: Adults should get 2 ? hours of moderate or 75 minutes of vigorous physical activity per week.

? Quit tobacco: Use of cigarettes, e-cigarettes and vaping, is the leading cause of preventable death in the U.S., including about a third of all deaths from heart disease.

? Get quality sleep: Most adults need 7 to 9 hours per night. Adequate sleep promotes healing, improves brain function and reduces the risk for chronic diseases.

? Manage weight: Achieving and maintaining a healthy weight has many benefits. AHA recommends using body mass index as a guide but the American Medical Association recently adopted a new policy regarding BMI as “an imperfect way” to measure body fat in multiple groups since it doesn’t account for race/ethnicity, sex, gender, and age-span.

? Control cholesterol: High levels of non-HDL, or “bad,” cholesterol can lead to heart disease. AHA suggests discussing monitoring of non-HDL cholesterol as the preferred number to monitor, rather than total cholesterol, because it can be measured without fasting beforehand and is reliably calculated among all people.

? Manage blood sugar: High levels of blood sugar can damage your heart, kidneys, eyes and nerves.

? Manage blood pressure: Keeping your blood pressure within acceptable ranges can keep you healthier longer. Levels less than 120/80 mm Hg are optimal. High blood pressure is defined as 130-139 mm Hg.

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