CHARACTERISTICS OF CARDIOLOGY PATIENTS DEPENDING ON CHRONOTYPE
DOI:
https://doi.org/10.11603/2411-1597.2024.1.14662Keywords:
chronotype, arterial hypertension, coronary heart disease, body mass index, glucose, age, genderAbstract
Introduction. New epidemiologic data have also linked evening chronotypes to cardiovascular disease and cardiometabolic risk factors, including higher risk of overweight, obesity, and type 2 diabetes. In addition, individuals with an evening chronotype are more prone to poor health behaviors, in particular, they are characterized by higher rates of smoking, unhealthy eating and late night sleep.
The aim of the study – to analyze the prevalence of chronotypes in patients with cardiovascular pathology and establish their association with clinical data.
The main part. 124 patients with cardiovascular diseases were included in the study. In order to determine the chronotype, a validated composite ranking scale questionnaire “Composite Scale of Morningnes” translated into Ukrainian and validated were used. Among patients with cardiovascular pathology, 37.9 % have an evening chronotype, 8.9 % have a morning chronotype, and 53.2 % have an intermediate chronotype. According to the questions in the questionnaire, it was found that the vast majority of patients would wake up between 7.45–9.45 and go to bed between 10.15–00.30 if they could plan their day absolutely freely; quite tired in the morning; would be in pretty good shape for morning physical training; the best time for mental work is considered to be between 8:00 and 10:00 a.m.; it would be difficult and uncomfortable to wake up at 6.00 in the morning. In cardiology patients their age of patients did not depend on the type of chronotype. BMI was the highest in patients with cardiovascular pathology and evening chronotype, which was probably 43.09 % higher than the value of BMI in patients with morning chronotype. The fasting glucose concentration was the highest in patients with cardiovascular pathology and the evening chronotype, which was probably 17.97 % higher than the glucose level in patients with the morning chronotype.
Conclusions. In patients with cardiovascular pathology and an evening chronotype, the body mass index and fasting glucose concentration are probably higher in relation to the studied indicators in patients with a morning chronotype.
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