Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure
Background A healthy lifestyle is an important factor for preventing heart failure. However, the association between outdoor light exposure time and heart failure is still unknown. The aim of this study was to examine the association between outdoor light exposure time and the incidence of heart fai...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.031830 |
| _version_ | 1797302229153087488 |
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| author | Ziteng Zhang Bowei Yu Ying Sun Kun Zhang Xiao Tan Yingli Lu Ningjian Wang Fangzhen Xia |
| author_facet | Ziteng Zhang Bowei Yu Ying Sun Kun Zhang Xiao Tan Yingli Lu Ningjian Wang Fangzhen Xia |
| author_sort | Ziteng Zhang |
| collection | DOAJ |
| description | Background A healthy lifestyle is an important factor for preventing heart failure. However, the association between outdoor light exposure time and heart failure is still unknown. The aim of this study was to examine the association between outdoor light exposure time and the incidence of heart failure. Methods and Results This cohort study included participants from the UK Biobank recruited from 2006 to 2010 who were 40 to 70 years of age and free of heart failure at baseline. The mean follow‐up time was 12.61 years. The outdoor light exposure time was self‐reported at baseline. A restricted cubic spline was performed to examine the potential nonlinear relationship between outdoor light exposure and the incidence of heart failure. Cox proportional hazard models were used to estimate the hazard ratios (HRs) and 95% CIs. During a mean follow‐up of 12.61 years, 13 789 participants were first diagnosed with heart failure. There was a nonlinear (J‐shaped) trend between outdoor light time and heart failure risk. Cox proportional hazard regression models showed that, compared with participants who received an average of 1.0 to 2.5 hours of outdoor light per day, those with <1.0 hours or >2.5 hours had a higher risk of heart failure after the model was adjusted for age and sex (<1.0 hours: HR, 1.27 [95% CI, 1.18–1.36]; >2.5 hours: HR, 1.11 [95% CI, 1.07–1.15]). These associations were still significant in the fully adjusted models (<1.0 hours: HR, 1.10 [95% CI, 1.03–1.18]; >2.5 hours: HR, 1.07 [95% CI, 1.03–1.11]). Conclusions We found a J‐shaped association between outdoor light exposure time and the risk of incident heart failure, suggesting that moderate exposure to outdoor light may be a prevention strategy for heart failure. |
| first_indexed | 2024-03-07T23:33:46Z |
| format | Article |
| id | doaj.art-ada686487d0443ada13dea5c4b2cff5e |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-07T23:33:46Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-ada686487d0443ada13dea5c4b2cff5e2024-02-20T11:24:52ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-02-0113410.1161/JAHA.123.031830Self‐Reported Outdoor Light Exposure Time and Incident Heart FailureZiteng Zhang0Bowei Yu1Ying Sun2Kun Zhang3Xiao Tan4Yingli Lu5Ningjian Wang6Fangzhen Xia7Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaSchool of Public Health Zhejiang University Hangzhou ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital Shanghai JiaoTong University School of Medicine Shanghai ChinaBackground A healthy lifestyle is an important factor for preventing heart failure. However, the association between outdoor light exposure time and heart failure is still unknown. The aim of this study was to examine the association between outdoor light exposure time and the incidence of heart failure. Methods and Results This cohort study included participants from the UK Biobank recruited from 2006 to 2010 who were 40 to 70 years of age and free of heart failure at baseline. The mean follow‐up time was 12.61 years. The outdoor light exposure time was self‐reported at baseline. A restricted cubic spline was performed to examine the potential nonlinear relationship between outdoor light exposure and the incidence of heart failure. Cox proportional hazard models were used to estimate the hazard ratios (HRs) and 95% CIs. During a mean follow‐up of 12.61 years, 13 789 participants were first diagnosed with heart failure. There was a nonlinear (J‐shaped) trend between outdoor light time and heart failure risk. Cox proportional hazard regression models showed that, compared with participants who received an average of 1.0 to 2.5 hours of outdoor light per day, those with <1.0 hours or >2.5 hours had a higher risk of heart failure after the model was adjusted for age and sex (<1.0 hours: HR, 1.27 [95% CI, 1.18–1.36]; >2.5 hours: HR, 1.11 [95% CI, 1.07–1.15]). These associations were still significant in the fully adjusted models (<1.0 hours: HR, 1.10 [95% CI, 1.03–1.18]; >2.5 hours: HR, 1.07 [95% CI, 1.03–1.11]). Conclusions We found a J‐shaped association between outdoor light exposure time and the risk of incident heart failure, suggesting that moderate exposure to outdoor light may be a prevention strategy for heart failure.https://www.ahajournals.org/doi/10.1161/JAHA.123.031830cohort studiesfollow‐up studieshealthy lifestyleheart failureoutdoor light |
| spellingShingle | Ziteng Zhang Bowei Yu Ying Sun Kun Zhang Xiao Tan Yingli Lu Ningjian Wang Fangzhen Xia Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cohort studies follow‐up studies healthy lifestyle heart failure outdoor light |
| title | Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure |
| title_full | Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure |
| title_fullStr | Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure |
| title_full_unstemmed | Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure |
| title_short | Self‐Reported Outdoor Light Exposure Time and Incident Heart Failure |
| title_sort | self reported outdoor light exposure time and incident heart failure |
| topic | cohort studies follow‐up studies healthy lifestyle heart failure outdoor light |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.031830 |
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