Association between sleep and prevalence of hypertension in elderly population
10.3760/cma.j.cn112338-20200512-00713
- VernacularTitle:老年人群睡眠与高血压的关联研究
- Author:
Mengling TANG
1
;
Fang WEI
;
Huafang ZHANG
;
Huifen DAI
;
Xinqiang ZHU
;
Zhebin YU
;
Sangni QIAN
;
Mingjuan JIN
;
Jianbing WANG
;
Kun CHEN
Author Information
1. 浙江大学公共卫生学院流行病与卫生统计学系/浙江大学医学院附属第二医院肿瘤研究所/浙江大学医学院附属儿童医院儿童健康与疾病国家临床医学研究中心，杭州 310058
- Keywords:
Sleep quality;
Sleep duration;
Hypertension;
Elderly
- From:
Chinese Journal of Epidemiology
2021;42(7):1188-1193
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the association between sleep duration, sleep quality and the prevalence of hypertension in the elderly aged 65 years and above.Methods:This study was conducted among the elderly in communities in Yiwu, China from April to July, 2019, and participants were recruited through physical examination in the hospital. Face-to-face interview was performed to obtain basic information. Sleep duration and sleep quality were evaluated by Pittsburgh Sleep Quality Index (PSQI). Associations between sleep duration, sleep quality and hypertension were evaluated by multivariate logistic regression analysis.Results:A total of 3 169 elderly persons, aged ≥65 years old, were included in the study. The overall prevalence of hypertension was 50.8%. The elderly with very poor sleep quality and short sleep duration accounted for 22.4% and 28.5%, respectively. After adjusting for demographic characteristics, socioeconomic status, lifestyle and health status, the OR of hypertension for the elderly with very poor sleep quality was 1.42 (95% CI: 1.12-1.80) compared with those with very good sleep quality. Compared with the elderly with sleep duration of 6-7 h a night, the OR of hypertension for those with sleep duration <6 h was 1.37 (95% CI: 1.15-1.65). As the sleep quality decreased, the risk for hypertension increased. An U-shaped association was found between sleep duration and risk of hypertension. Subgroup analyses showed that this association existed in both men and women, but only significant in the elderly aged <75 years. Conclusion:Poor sleep quality and short sleep duration were associated with risk for hypertension in the elderly.
