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作者

Yuqin Jin Zheng Gong Lei Ming Jianhua Gu Xi Zhao

作者单位

³Department of Radiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Abdominal Medical Imaging, Jinan, China ²Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, China ¹Department of Radiology, Shandong First Medical University Affiliated Tumor Hospital, Jinan, China ⁴Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Department of Endocrinology and Metabolism, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China

刊名

Frontiers in Public Health

年份

2026

卷号

Vol.14

关键词

behavioral risk factor surveillance system cardiovascular disease inverse probability weighting physical activity sleep duration

摘要

BackgroundSleep duration and physical activity are intertwined determinants of cardiovascular health, yet their joint impact remains unclear. This study evaluated their independent, joint, and interactive associations with cardiovascular disease using a rigorous confounding adjustment framework.MethodsWe analyzed pooled data from 1,577,591 US adults in the Behavioral Risk Factor Surveillance System . Inverse probability of treatment weighting and doubly robust logistic regression were used. Addi...更多

BackgroundSleep duration and physical activity are intertwined determinants of cardiovascular health, yet their joint impact remains unclear. This study evaluated their independent, joint, and interactive associations with cardiovascular disease using a rigorous confounding adjustment framework.MethodsWe analyzed pooled data from 1,577,591 US adults in the Behavioral Risk Factor Surveillance System . Inverse probability of treatment weighting and doubly robust logistic regression were used. Additive interaction was assessed via RERI.ResultsBoth short sleep and long sleep were independently associated with prevalent cardiovascular disease, as was physical inactivity . The joint effect of short sleep and inactivity conferred the highest risk . The relative excess risk due to interaction was −0.03 , indicating additive, independent risks without synergy.ConclusionBy applying a rigorous adjustment framework, this study provides actionable, population-level evidence that moves beyond simple risk factor identification. Public health strategies should integrate sleep hygiene and physical activity into holistic “24-h movement” prescriptions.收起

文献类型

期刊