Baker Heart and Diabetes Institute, Melbourne, Australia.
Baker Heart and Diabetes Institute, Melbourne, Australia.
Sleep Med. 2019 Jul;59:78-87. doi: 10.1016/j.sleep.2018.10.011. Epub 2018 Oct 28.
Indigenous populations continue to be among the world's most marginalized population groups. Studies in Indigenous populations from high income countries (including the United States, Canada, Australia, and New Zealand) indicate increased risk of sleep disorders compared to non-Indigenous populations. Poor sleep, whether it be short sleep duration or fragmented sleep, is a well-established risk factor for cardio-metabolic diseases. Given the implications, targeted improvement of poor sleep may be beneficial for the health and well-being of Indigenous people. In this narrative review, we will: (1) discuss the effects of sleep on the cardio-metabolic processes; (2) examine sleep in Indigenous populations; (3) review the association between sleep and cardio-metabolic risk in Indigenous populations; and (4) review the potential role of sleep in cardiovascular disease risk detection and interventions to improve sleep and cardio-metabolic health in Indigenous people. In particular, this review highlights that the assessment of sleep quality and quantity may be a beneficial step toward identifying Indigenous people at risk of cardio-metabolic diseases and may represent a key intervention target to improve cardio-metabolic outcomes.
土著居民仍然是世界上最边缘化的人群之一。来自高收入国家（包括美国、加拿大、澳大利亚和新西兰）的土著居民研究表明，与非土著居民相比，他们患睡眠障碍的风险更高。睡眠质量差，无论是睡眠时间短还是睡眠碎片化，都是心血管代谢疾病的一个既定危险因素。鉴于其影响，有针对性地改善睡眠质量可能有益于土著居民的健康和福祉。在这篇叙述性综述中，我们将：（1）讨论睡眠对心血管代谢过程的影响；（2）研究土著居民的睡眠；（3）综述睡眠与土著居民心血管代谢风险之间的关系；（4）综述睡眠在心血管疾病风险检测以及改善土著居民睡眠和心血管代谢健康的干预措施中的潜在作用。特别是，这篇综述强调，评估睡眠质量和数量可能是识别有心血管代谢疾病风险的土著居民的有益步骤，并且可能代表改善心血管代谢结果的关键干预目标。
