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首页> 外文期刊>Annals of epidemiology >Frequency of private spiritual activity and cardiovascular risk in postmenopausal women: The Women's Health Initiative
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Frequency of private spiritual activity and cardiovascular risk in postmenopausal women: The Women's Health Initiative

机译：绝经后妇女私人精神活动的频率和心血管风险：妇女健康倡议

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Purpose: Spirituality has been associated with better cardiac autonomic balance, but its association with cardiovascular risk is not well studied. We examined whether more frequent private spiritual activity was associated with reduced cardiovascular risk in postmenopausal women enrolled in the Women's Health Initiative Observational Study. Methods: Frequency of private spiritual activity (prayer, Bible reading, and meditation) was self-reported at year 5 of follow-up. Cardiovascular outcomes were centrally adjudicated, and cardiovascular risk was estimated from proportional hazards models. Results: Final models included 43,708 women (mean age, 68.9 ± 7.3 years; median follow-up, 7.0 years) free of cardiac disease through year 5 of follow-up. In age-adjusted models, private spiritual activity was associated with increased cardiovascular risk (hazard ratio [HR], 1.16; 95% confidence interval [CI], 1.02-1.31 for weekly vs. never; HR, 1.25; 95% CI, 1.11-1.40 for daily vs. never). In multivariate models adjusted for demographics, lifestyle, risk factors, and psychosocial factors, such association remained significant only in the group with daily activity (HR, 1.16; 95% CI, 1.03-1.30). Subgroup analyses indicate this association may be driven by the presence of severe chronic diseases. Conclusions: Among aging women, higher frequency of private spiritual activity was associated with increased cardiovascular risk, likely reflecting a mobilization of spiritual resources to cope with aging and illness.
机译：目的：灵性与更好的心脏自主神经平衡有关，但与心血管风险的关系尚未得到很好的研究。我们检查了参加“妇女健康倡议观察研究”的绝经后妇女是否更频繁地进行私人精神活动与降低心血管风险有关。方法：在随访的第5年自我报告私人精神活动（祷告，阅读圣经和冥想）的频率。中央评估了心血管结局，并根据比例风险模型评估了心血管风险。结果：最终模型包括在随访的第5年内无心脏病的43,708名女性（平均年龄，68.9±7.3岁;中位随访时间，7.0年）。在经过年龄调整的模型中，私人精神活动与心血管疾病风险增加相关（风险比[HR]为1.16; 95％置信区间[CI]为每周vs.从未有过的风险; CI为1.02-1.31; HR为1.25; 95％CI为1.11）每天-1.40，而不是从不）。在针对人口统计学，生活方式，危险因素和社会心理因素进行调整的多元模型中，这种关联仅在日常活动的组中仍然很显着（HR，1.16; 95％CI，1.03-1.30）。亚组分析表明，这种关联可能是由严重的慢性疾病引起的。结论：在衰老的妇女中，私人精神活动的频繁发生与心血管风险增加有关，这可能反映了精神资源的调动以应对衰老和疾病。

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