Department of Biobehavioral Nursing Science, University of Illinois Chicago, College of Nursing, Chicago, IL, USA.
Department of Biobehavioral Nursing Science, University of Illinois Chicago, College of Nursing, Chicago, IL, USA.
Sleep Med. 2022 Dec;100:139-149. doi: 10.1016/j.sleep.2022.08.008. Epub 2022 Aug 23.
South Asians comprise 20% of the world population. There is a high prevalence of cardiovascular diseases among South Asians, and sleep disorders may be a key risk factor.
The review examined literature about cardiovascular and sleep disorders in South Asian countries and in the United States, United Kingdom, Canada, and the Netherlands.
Methods from Arksey and O'Malley's framework and Peter et al. were used to synthesize findings from 23 research studies.
The studies addressed sleep disorders with hypertension, heart failure, diabetes, and obesity. Obstructive sleep apnea and short sleep duration were common and associated with cardiovascular morbidity and mortality at early ages in South Asians. Researchers analyzed polysomnography-derived sleep measures, vascular functions, polymorphisms, C-reactive protein levels, public knowledge about cardiovascular health, and sleep-related questionnaire scores. Most studies were conducted in major metropolitan areas; no data were available about people living in locations with limited health care resources. Among migrant South Asians, researchers did not explore the role of acculturation on sleep patterns and cardiovascular outcomes.
The review highlights important considerations for researchers who plan to investigate cardiovascular conditions in South Asian communities. There is a need for more knowledge about sleep-related risk factors, and researchers should also examine cultural, political, and socioeconomic factors that affect health care access. This knowledge will be imperative for designing effective and tailored disease prevention strategies for South Asian populations.
南亚人占世界人口的 20%。南亚人心血管疾病的发病率很高，而睡眠障碍可能是一个关键的风险因素。
本综述考察了南亚国家以及美国、英国、加拿大和荷兰的心血管疾病和睡眠障碍的文献。
采用 Arksey 和 O'Malley 的框架以及 Peter 等人的方法，对 23 项研究的结果进行综合分析。
这些研究探讨了睡眠障碍与高血压、心力衰竭、糖尿病和肥胖症的关系。阻塞性睡眠呼吸暂停和睡眠时间短在南亚人中很常见，而且与心血管发病率和死亡率有关，而且在年轻时就出现这种情况。研究人员分析了多导睡眠图得出的睡眠指标、血管功能、多态性、C 反应蛋白水平、公众对心血管健康的认识以及与睡眠相关的问卷评分。大多数研究都是在主要大都市地区进行的；没有关于生活在医疗资源有限地区的人的数据。在移民南亚人中，研究人员没有探讨文化适应对睡眠模式和心血管结果的影响。
本综述强调了计划在南亚社区研究心血管疾病的研究人员需要考虑的重要因素。需要更多关于与睡眠相关的风险因素的知识，研究人员还应该检查影响医疗保健获取的文化、政治和社会经济因素。这些知识对于为南亚人群设计有效的、有针对性的疾病预防策略至关重要。
