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作者

Wei Hu Tao Zhang Cunxian Jia Fei Xue & …Baopeng Liu

作者单位

Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China ¹Department of Epidemiology, School of Public Health, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China ²Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China ³Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China ⁴State Key Laboratory for Innovation and Transformation of Luobing Theory

刊名

BMC Public Health

年份

2025

卷号

Vol.25 No.1

关键词

Migraine Sleep Frailty Interaction Cohort study

摘要

Background Frailty was associated with neurological disorders, but has not been extrapolated to migraine. It’s unclear whether maintaining healthy sleep mitigates this association. We examined the independent, joint, and interactive relationships between frailty status and sleep quality and migraine risk. Methods 356,326 participants from the UK Biobank without migraine at baseline were included. The five-component Fried phenotype was used to assess frailty status and categorized participants...更多

Background Frailty was associated with neurological disorders, but has not been extrapolated to migraine. It’s unclear whether maintaining healthy sleep mitigates this association. We examined the independent, joint, and interactive relationships between frailty status and sleep quality and migraine risk. Methods 356,326 participants from the UK Biobank without migraine at baseline were included. The five-component Fried phenotype was used to assess frailty status and categorized participants as non-frail, pre-frail, and frail. A five-factor sleep questionnaire was employed to quantify sleep quality and categorize individuals into poor, intermediate, and healthy sleep. Cox proportional hazard models were applied to calculate the hazard ratios and 95% confidence intervals . Their interactions on the multiplicative and additive scales were also assessed. Results During a median follow-up of 13.6 years, 4,641 participants experienced migraine. Compared with non-frail individuals, the HRs for migraine were 1.149 and 1.413 for those with pre-frailty and frailty. Individuals with intermediate and poor sleep showed an increased risk of migraine compared to those with healthy sleep. The joint test suggested that frail individuals with poor sleep faced the highest migraine risk , with evidence of an additive interaction. Also, healthy sleep weakened the frailty-migraine relationship, with evidence of a multiplicative interaction . Conclusion Although both frailty and poor sleep quality are associated with a higher risk of migraine, achieving healthy sleep might mitigate the adverse impact of frailty.收起

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期刊