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Allostatic Load and Mortality: A Systematic Review and Meta-Analysis

Haley W. Parker · Alyssa M. Abreu · Mary C. Sullivan · Maya K. Vadiveloo
American Journal of Preventive Medicine · 2022

查看原始来源 DOI: 10.1016/j.amepre.2022.02.003 ↗PubMed: 35393143 ↗

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这篇研究说了什么

汇总的观察性证据显示，较高适应负荷与较高全因死亡及心血管死亡风险相关，但研究之间的关联大小存在明显差异。

读到这里，需要注意

多数合并估计的异质性很高，I² 超过 90%。这些关联不能用于计算个人寿命，也不能估计某项降低 AL 分数的干预会带来多少收益。

研究概览

研究人群与样本
系统综述纳入 17 项研究；主要合并估计中，全因死亡使用 10 项研究，心血管死亡使用 6 项研究。
暴露、干预或研究对象
各研究分别定义的较高与较低适应负荷。
观察结局
全因死亡和心血管死亡，分别进行证据合并。
时间范围
2021 年 5 月检索数据库；纳入研究发表于 2001–2020 年。

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基础概念

适应负荷

科学专题

适应负荷：适应的隐性成本

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探索频道关于人体适应的科学问题探索频道测量与解释阅读指南 · 精选 5 篇适应负荷阅读指南 · 精选 5 篇恢复科学阅读指南 · 精选 5 篇储备与复原力阅读指南 · 精选 5 篇测量与解释基础概念负荷Load基础概念动态适应Allostasis基础概念恢复Recovery基础概念适应负荷Allostatic Load基础概念生理储备Physiological Reserve基础概念复原力Resilience科学专题适应负荷：适应的隐性成本科学专题恢复，不只是休息科学专题适应模型：不同框架分别解释什么？科学专题TAP 人体动态适应框架科学专题HRV 能告诉我们多少关于恢复的信息？科学专题恢复一定意味着回到原来的基线吗？科学专题恢复与复原力是一回事吗？科学专题感觉好一些，为什么不一定代表已经恢复？科学专题生理储备与复原力是什么关系？方法与项目证据分级与评价方法方法与项目编辑与科学标准方法与项目关于项目研究文献 · 1993Stress and the individual. 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Mechanisms leading to diseaseTAP Record · TAP-RDN-0002TAP 导读: Protective and damaging effects of stress mediatorsTAP Record · TAP-RDN-0003TAP 导读: The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivationTAP Record · TAP-RDN-0016TAP 导读: The perseverative cognition hypothesis: a review of worry, prolonged stress-related physiological activation, and healthTAP Record · TAP-RDN-0020TAP 导读: The Recovery Experience Questionnaire: development and validation of a measure for assessing recuperation and unwinding from workTAP Record · TAP-RDN-0032TAP 导读: The Reactive Scope Model — A new model integrating homeostasis, allostasis, and stressTAP Record · TAP-RDN-0024TAP 导读: Neurobehavioral dynamics following chronic sleep restriction: dose-response effects of one night for recoveryTAP Record · TAP-RDN-0004TAP 导读: Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: a meta-analysis of prospective evidenceTAP Record · TAP-RDN-0013TAP 导读: Allostatic load biomarkers of chronic stress and impact on health and cognitionTAP Record · TAP-RDN-0005TAP 导读: Stress- and Allostasis-Induced Brain PlasticityTAP Record · TAP-RDN-0006TAP 导读: Allostasis: a model of predictive regulationTAP Record · TAP-RDN-0018TAP 导读: The LF/HF ratio does not accurately measure cardiac sympatho-vagal balanceTAP Record · TAP-RDN-0026TAP 导读: Effects of recovery sleep after one work week of mild sleep restriction on interleukin-6 and cortisol secretion and daytime sleepiness and performanceTAP Record · TAP-RDN-0012TAP 导读: Clarifying the roles of homeostasis and allostasis in physiological regulationTAP Record · TAP-RDN-0029TAP 导读: Resilience definitions, theory, and challenges: interdisciplinary perspectivesTAP Record · TAP-RDN-0007TAP 导读: Recovery from job stress: The stressor-detachment model as an integrative frameworkTAP Record · TAP-RDN-0017TAP 导读: Physiological concomitants of perseverative cognition: A systematic review and meta-analysisTAP Record · TAP-RDN-0008TAP 导读: Physical Resilience in Older Adults: Systematic Review and Development of an Emerging ConstructTAP Record · TAP-RDN-0019TAP 导读: Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research - Recommendations for Experiment Planning, Data Analysis, and Data ReportingTAP Record · TAP-RDN-0009TAP 导读: A Meta-Analysis on Antecedents and Outcomes of Detachment from WorkTAP Record · TAP-RDN-0010TAP 导读: Recovery and Performance in Sport: Consensus StatementTAP Record · TAP-RDN-0025TAP 导读: Ad libitum Weekend Recovery Sleep Fails to Prevent Metabolic Dysregulation during a Repeating Pattern of Insufficient Sleep and Weekend Recovery SleepTAP Record · TAP-RDN-0027TAP 导读: Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older AdultsTAP Record · TAP-RDN-0028TAP 导读: Whitepaper: Defining and investigating cognitive reserve, brain reserve, and brain maintenanceTAP Record · TAP-RDN-0022TAP 导读: Leaving Work at Work: A Meta-Analysis on Employee Recovery From WorkTAP Record · TAP-RDN-0023TAP 导读: "Give me a break!" A systematic review and meta-analysis on the efficacy of micro-breaks for increasing well-being and performanceTAP Record · TAP-RDN-0011TAP 导读: Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood ResearchTAP Record · TAP-RDN-0015TAP 导读: Allostatic Load and Mortality: A Systematic Review and Meta-AnalysisTAP Record · TAP-RDN-0021TAP 导读: Recovery from Work: Advancing the Field Toward the FutureTAP Record · TAP-RDN-0033TAP 导读: Conceptualizing a resilience research framework at The National Institutes of HealthTAP Record · TAP-RDN-0014TAP 导读: Towards a consensus definition of allostatic load: a multi-cohort, multi-system, multi-biomarker individual participant data (IPD) meta-analysisTAP Record · TAP-RDN-0031TAP 导读: Impact of baseline and longitudinal allostatic load changes on incident cardiovascular disease and all-cause mortality: A 7-year population-based cohort study in ChinaTAP Record · TAP-RDN-0034TAP 导读: Resilience phenotypes derived from an active inference account of allostasisTAP Record · TAP-RDN-0030TAP 导读: Building an ontology of resilience: Insights from the physical resilience literatureTAP Record · TAP-FIG-0001人体适应图谱TAP Record · TAP-FIG-0002恢复轨迹TAP Record · TAP-STD-0001引用与转载