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美国成年人周末补觉与胆结石疾病之间的关联:一项基于2017 - 2020年美国国家健康与营养检查调查(NHANES)的横断面研究

Association between weekend catch-up sleep and gallstone disease in US adults: a cross-sectional study from NHANES 2017-2020.

作者信息

Cao Jianwei, Zhang Weishuai, Yi Jixuan, Zhang Yang, Tong Xiaoyan, Zhu Xiangnan

机构信息

Department of General Surgery, Fourth Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

Front Public Health. 2025 May 19;13:1573858. doi: 10.3389/fpubh.2025.1573858. eCollection 2025.

Abstract

BACKGROUND

Gallstones are the most prevalent cause of hospitalization among digestive disorders. For humans, sleep is an essential physiological function. The relationship between gallstones and sleep is well established, but the consequences of weekend catch-up sleep (WCS) on gallstones remain unclear. This research examined the connection between gallstone disease and WCS.

METHODS

We included 6,957 participants from the 2017-2020 National Health and Nutrition Examination Survey (NHANES) who met the eligibility criteria and had complete data. Logistic regression, restricted cubic spline, and subgroup analyses were employed to assess the relationship between the presence of gallstones and WCS.

RESULTS

Our study indicated that trouble sleeping and late sleep were risk factors for gallstones in a model adjusted for all covariates. The restricted cubic spline results revealed that WCS was negatively correlated linearly with gallstone disease. Additionally, subgroup analysis showed a statistically significant relationship between WCS > 2 hours and a lower risk of gallstones, particularly among non-smokers and males.

CONCLUSION

Our study results demonstrate that trouble sleeping and late sleep increase the incidence of gallstones. In addition, the protective effect of WCS > 2 hours on reducing the incidence of gallstones is particularly significant in individuals who are non-smokers and males, whereas in the smoking population, WCS < 0 hours serves as a protective factor against gallstones.

摘要

背景

胆结石是消化系统疾病中最常见的住院原因。对人类而言,睡眠是一项基本的生理功能。胆结石与睡眠之间的关系已得到充分证实,但周末补觉(WCS)对胆结石的影响仍不清楚。本研究探讨了胆结石疾病与周末补觉之间的联系。

方法

我们纳入了2017 - 2020年国家健康与营养检查调查(NHANES)中符合入选标准且拥有完整数据的6957名参与者。采用逻辑回归、受限立方样条和亚组分析来评估胆结石的存在与周末补觉之间的关系。

结果

我们的研究表明,在对所有协变量进行调整的模型中,睡眠困难和晚睡是胆结石的危险因素。受限立方样条结果显示,周末补觉与胆结石疾病呈线性负相关。此外,亚组分析表明,周末补觉>2小时与较低的胆结石风险之间存在统计学显著关系,尤其是在非吸烟者和男性中。

结论

我们的研究结果表明,睡眠困难和晚睡会增加胆结石的发病率。此外,周末补觉>2小时对降低胆结石发病率的保护作用在非吸烟者和男性个体中尤为显著,而在吸烟人群中,周末补觉<0小时是预防胆结石的保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9217/12127377/5fe608f8450d/fpubh-13-1573858-g001.jpg

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