机构:[1]Dalian Med Univ, Affiliated Hosp 1, Dept Cardiol, Dalian, Peoples R China;[2]Dalian Med Univ, Affiliated Hosp 1, Inst Cardiovasc Dis, Dalian, Peoples R China;[3]Wuhan Hosp Tradit Chinese Med, Human Resource, Wuhan, Hubei, Peoples R China;[4]Capital Med Univ, Beijing Municipal Key Lab Clin Epidemiol, Sch Publ Hlth, Beijing, Peoples R China;[5]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;重点科室诊疗科室神经病学中心神经病学中心首都医科大学附属天坛医院[6]Dalian Med Univ, Affiliated Hosp 1, Zhongshan Rd 222, Dalian 116011, Peoples R China
Background: Insomnia is the most prevalent sleep disorder; however, little research has explored the link between insomnia and atrial fibrillation (AF). Hypothesis: Insomnia is associated with increased risk of AF in a Chinese population. Methods: A total of 8371 Chinese participants (4314 males; mean age, 42.4 +/- 13.1 years) were enrolled in this cross-sectional study to investigate the association between insomnia and AF. AF was assessed in a standard supine resting position with a 10-s 12-lead electrocardiograph (ECG) or by self-reported history. Insomnia was assessed using the Athens Insomnia Scale (AIS), and a score of >= 6 was regarded as having insomnia. The association between insomnia and AF was determined by logistic regression analysis. Results: Among the 8371 subjects, 1074 (12.8%) had different degrees of insomnia, and AF was observed in 50 subjects (0.60%). After adjusting for potential confounders, individuals with insomnia had moderately increased likelihood of suffering from AF compared with those without insomnia (odds ratio [OR]: 1.92, 95% confidence interval [CI]: 1.00-3.70, P = 0.05). After stratifying data by age, a significant positive association was found in those age < 40 years (OR: 6.52, 95% CI: 1.64-25.83, P = 0.01), and a similar trend existed in males after stratifying by sex, although this relationship was not statistically significant (OR: 2.11, 95% CI: 0.92-4.83, P = 0.08). Conclusions: Individuals with insomnia may have a higher risk of AF in the particular Chinese population assessed in this study. Age (< 40 years) is a significant factor in the association between insomnia and AF.
基金:
National 12th Five-Year Major Projects of China [2012BAI37B03]; Recovery Medical Science Foundation; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81570313]; Liaoning Health and Family Planning Commission of China [LNCCC-B04-2014]
第一作者机构:[1]Dalian Med Univ, Affiliated Hosp 1, Dept Cardiol, Dalian, Peoples R China;
通讯作者:
通讯机构:[1]Dalian Med Univ, Affiliated Hosp 1, Dept Cardiol, Dalian, Peoples R China;[6]Dalian Med Univ, Affiliated Hosp 1, Zhongshan Rd 222, Dalian 116011, Peoples R China
推荐引用方式(GB/T 7714):
Han Xu,Yang Yiheng,Chen Yue,et al.Association between insomnia and atrial fibrillation in a Chinese population: A cross-sectional study[J].CLINICAL CARDIOLOGY.2017,40(9):765-769.doi:10.1002/clc.22731.
APA:
Han, Xu,Yang, Yiheng,Chen, Yue,Gao, Lianjun,Yin, Xiaomeng...&Xia, Yunlong.(2017).Association between insomnia and atrial fibrillation in a Chinese population: A cross-sectional study.CLINICAL CARDIOLOGY,40,(9)
MLA:
Han, Xu,et al."Association between insomnia and atrial fibrillation in a Chinese population: A cross-sectional study".CLINICAL CARDIOLOGY 40..9(2017):765-769