背景日常活动量减少和运动功能受限是心力衰竭患者的特征性表现之一,体位/体动信息与心衰患者疾病严重程度和预后密切相关。通过可穿戴生理监测系统量化体位/体动信息或可作为一种潜在的心衰病情严重程度定量评价手段,其与纽约心脏病协...背景日常活动量减少和运动功能受限是心力衰竭患者的特征性表现之一,体位/体动信息与心衰患者疾病严重程度和预后密切相关。通过可穿戴生理监测系统量化体位/体动信息或可作为一种潜在的心衰病情严重程度定量评价手段,其与纽约心脏病协会(New York Heart Association,NYHA)心功能分级的关系需进一步研究。目的探讨心衰患者体位/体动信息定量分析结果与NYHA分级的相关性。方法纳入2021年5月—2022年11月在四川大学华西医院心内科住院的心衰患者,通过可穿戴生理监测系统采集患者入院当天和出院前1 d各24 h的连续生理监测数据,同步收集临床数据。通过对可穿戴生理监测系统内的三轴加速传感器信息进行处理分析,计算卧床时间、活动时间、步数、睡眠翻身次数4个体位/体动指标。基于患者入院时NYHA分级、入院和出院情况、出院时NYHA分级改善与否进行分组,分析体位/体动指标与NYHA分级的关联性。结果纳入心衰患者69例,平均年龄(60.90±14.24)岁,其中男性40例,NYHAⅡ、Ⅲ、Ⅳ级的患者分别有9例、24例、36例。随着NYHA分级的升高,心衰患者全天的卧床时间占比逐渐增多,而全天的活动时间占比、平均每小时步数逐渐降低,以上3个指标在NYHAⅡ、Ⅲ、Ⅳ级间均有统计学差异(P均<0.05);其中卧床时间占比(r_(s)=0.319,P=0.008)与NYHA分级呈正相关,活动时间占比(r_(s)=-0.312,P=0.009)、平均每小时步数(r_(s)=-0.309,P=0.010)与NYHA分级存在负相关。出院时的卧床时间占比显著低于入院时(96.25%vs 97.63%,P=0.026);出院时的活动时间占比显著高于入院时(3.32%vs 1.78%,P<0.001);出院时的平均每小时步数显著高于入院时(97.17步/h vs 35.58步/h,P<0.001);其中出院时NYHA改善组患者的体位/体动指标变化趋势同上,未改善组仅出院时的平均每小时步数显著高于入院时,NYHA改善组的出入院平均每小时步数变化值�展开更多
In an attempt to study the relationship between sleep postures and sleep parameters assessed by actigraphy, we applied the newly developed Activity Monitoring and Evaluation System (A-MES) and actigraphy at the same t...In an attempt to study the relationship between sleep postures and sleep parameters assessed by actigraphy, we applied the newly developed Activity Monitoring and Evaluation System (A-MES) and actigraphy at the same time to younger and senior Japanese volunteer groups. It was found that sleep postures and diurnal activity determines, to some extent, sleep parameters including activity mean score (AMS), activity index (ACTX), waking episodes (WEP) and sleep fragmentation index (SFX). It was also found that sleep properties are different in younger and senior Japanese. For example, increase in the proportion of time in the supine position resulted in enhancement and deterioration of the sleep in the younger and senior groups, respectively. Furthermore, there were correlations between supine posture and AMS, ACTX, SFX, total minutes scored as awake (TMSA) and WEP obtained by actigraphy in the younger group, but only AMS and ACTX in senior group. In addition, we also assessed sleep parameters by use of questionnaires, and found that objective sleep quality was rather poor but subjective sleep quality was better in the senior group. In the younger group, in contrast, objective sleep quality was better but subjective sleep quality was poor. On the other hand, there was no correlation between sleep parameters assessed by actigraphy and self-report at all. The present study with A-MES and actigraphy provides the first evidence that sleep posture affects sleep quality and is a convenient, inexpensive and home-based method for studying sleep.展开更多
文摘背景日常活动量减少和运动功能受限是心力衰竭患者的特征性表现之一,体位/体动信息与心衰患者疾病严重程度和预后密切相关。通过可穿戴生理监测系统量化体位/体动信息或可作为一种潜在的心衰病情严重程度定量评价手段,其与纽约心脏病协会(New York Heart Association,NYHA)心功能分级的关系需进一步研究。目的探讨心衰患者体位/体动信息定量分析结果与NYHA分级的相关性。方法纳入2021年5月—2022年11月在四川大学华西医院心内科住院的心衰患者,通过可穿戴生理监测系统采集患者入院当天和出院前1 d各24 h的连续生理监测数据,同步收集临床数据。通过对可穿戴生理监测系统内的三轴加速传感器信息进行处理分析,计算卧床时间、活动时间、步数、睡眠翻身次数4个体位/体动指标。基于患者入院时NYHA分级、入院和出院情况、出院时NYHA分级改善与否进行分组,分析体位/体动指标与NYHA分级的关联性。结果纳入心衰患者69例,平均年龄(60.90±14.24)岁,其中男性40例,NYHAⅡ、Ⅲ、Ⅳ级的患者分别有9例、24例、36例。随着NYHA分级的升高,心衰患者全天的卧床时间占比逐渐增多,而全天的活动时间占比、平均每小时步数逐渐降低,以上3个指标在NYHAⅡ、Ⅲ、Ⅳ级间均有统计学差异(P均<0.05);其中卧床时间占比(r_(s)=0.319,P=0.008)与NYHA分级呈正相关,活动时间占比(r_(s)=-0.312,P=0.009)、平均每小时步数(r_(s)=-0.309,P=0.010)与NYHA分级存在负相关。出院时的卧床时间占比显著低于入院时(96.25%vs 97.63%,P=0.026);出院时的活动时间占比显著高于入院时(3.32%vs 1.78%,P<0.001);出院时的平均每小时步数显著高于入院时(97.17步/h vs 35.58步/h,P<0.001);其中出院时NYHA改善组患者的体位/体动指标变化趋势同上,未改善组仅出院时的平均每小时步数显著高于入院时,NYHA改善组的出入院平均每小时步数变化值�
文摘In an attempt to study the relationship between sleep postures and sleep parameters assessed by actigraphy, we applied the newly developed Activity Monitoring and Evaluation System (A-MES) and actigraphy at the same time to younger and senior Japanese volunteer groups. It was found that sleep postures and diurnal activity determines, to some extent, sleep parameters including activity mean score (AMS), activity index (ACTX), waking episodes (WEP) and sleep fragmentation index (SFX). It was also found that sleep properties are different in younger and senior Japanese. For example, increase in the proportion of time in the supine position resulted in enhancement and deterioration of the sleep in the younger and senior groups, respectively. Furthermore, there were correlations between supine posture and AMS, ACTX, SFX, total minutes scored as awake (TMSA) and WEP obtained by actigraphy in the younger group, but only AMS and ACTX in senior group. In addition, we also assessed sleep parameters by use of questionnaires, and found that objective sleep quality was rather poor but subjective sleep quality was better in the senior group. In the younger group, in contrast, objective sleep quality was better but subjective sleep quality was poor. On the other hand, there was no correlation between sleep parameters assessed by actigraphy and self-report at all. The present study with A-MES and actigraphy provides the first evidence that sleep posture affects sleep quality and is a convenient, inexpensive and home-based method for studying sleep.
