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ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1374797

Smartphone addiction habit is positively associated with coronary artery disease and its severity in Chinese adults: a case-control study

Provisionally accepted
Jun Zhu Jun Zhu 1Sibo Wang Sibo Wang 2Yujie Wu Yujie Wu 2Lingfeng Gu Lingfeng Gu 2Yao Ma Yao Ma 2YaXin Wang YaXin Wang 2Liansheng Wang Liansheng Wang 2,3*
  • 1 Jiangsu Province Geriatric Hospital, Nanjing, Jiangsu Province, China
  • 2 First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China
  • 3 Department of Cardiology, First Affiliated Hospital, Nanjing Medical University, Nanjing, China

The final, formatted version of the article will be published soon.

    Background: Coronary artery disease (CAD) has a high incidence and poor prognosis worldwide. It has been confirmed that smartphone addiction (SA) habit can increase the incidence of hypertension and obesity in adolescents. However, the association of SA with CAD and its severity in Chinese adults remains largely unknown.Methods: A total of 700 Chinese adults (aged 18-70 years) including 350 CAD patients and 350 control subjects were enrolled. The Smartphone Addiction Scale Short Version (SAS-SV) was used to measure SA habit, and the Pittsburgh sleep quality index (PSQI) was used to assess sleep quality.Multiple logistic regression was employed to analyze the relationship between SA habit and CAD.Results: After adjusting for age, smoking, hypertension, T2DM, and other risk factors, there was a significant association between SA habit and CAD in adults (p < 0.001). Subgroup analysis showed that there were statistical differences in the correlation between SA habit and CAD in the hypertension, ≤55 years age old, and female subgroups. Moreover, we performed a subgroup analysis based on the number of coronary artery lesions. The result showed that the rate of SA habit in the three-vessel disease group was the highest (p < 0.001). We applied Gensini score to evaluate the severity of coronary artery lesions (median Gensini score, 34) and divided all CAD patients into high Gensini score group (>34) and low Gensini score group (≤34), respectively. Compared with low Gensini score group, patients in high Gensini score group were more likely to have SA habit (p = 0.049).Conclusions: There is a positive association of SA habit with CAD and its severity in Chinese adults.

    Keywords: smartphone addiction, coronary artery disease, hypertension, type 2 diabetes mellitus, sleep quality Smartphone addiction, Coronary Artery Disease, Hypertension, type 2 diabetes mellitus, sleep quality

    Received: 22 Jan 2024; Accepted: 09 Aug 2024.

    Copyright: © 2024 Zhu, Wang, Wu, Gu, Ma, Wang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Liansheng Wang, First Affiliated Hospital, Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.