Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study.
Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study.
复制标题
DOI：
10.1007/s12160-015-9715-2
复制
发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Soliman EZ
中科院分区：
文献类型：
--
作者：
O'Neal WT;Qureshi W;Judd SE;Glasser SP;Ghazi L;Pulley L;Howard VJ;Howard G;Soliman EZ
感知压力与心房颤动（AF）之间的关系尚不清楚。为了研究感知压力与房颤之间的关系，本分析共纳入了25,530名参与者（平均年龄：65±9.4岁，54%为女性，41%为黑人），这些参与者来自中风地理和种族差异的原因（REGARDS）研究。使用Logistic回归计算短版Cohen感知压力量表与房颤之间的比值比（OR）和95%置信区间（CI）。在调整了人口统计学、心血管危险因素和潜在混杂因素的多变量分析中，发现房颤的患病率随着感知压力水平的升高而增加(无：OR=1.0，参考；低压力：OR=1.12, 95%CI=0.98, 1.27；中等压力：OR=1.27, 95%CI=1.11, 1.47；高应激：OR=1.60, 95%CI=1.39, 1.84)。在REGARDS中，感知压力水平的增加与房颤的流行有关。
The association between perceived stress and atrial fibrillation (AF) remains unclear. To examine the association between perceived stress and AF. A total of 25,530 participants (mean age: 65 ± 9.4 years; 54% women; 41% blacks) from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study were included in this analysis. Logistic regression was used to compute odds ratios (OR) and 95% confidence intervals (CI) for the association between the short version of the Cohen Perceived Stress Scale and AF. In a multivariable analysis adjusted for demographics, cardiovascular risk factors, and potential confounders, the prevalence of AF was found to increase with higher levels of perceived stress (none: OR=1.0, referent; low stress: OR=1.12, 95%CI=0.98, 1.27; moderate stress: OR=1.27, 95%CI=1.11, 1.47; high stress: OR=1.60, 95%CI=1.39, 1.84). Increasing levels of perceived stress are associated with prevalent AF in REGARDS.