Relationship of quality and duration of sleep with hypertension among adults in Guangzhou
10.3760/cma.j.cn112150-20210204-00125
- VernacularTitle:广州市30~79岁成年居民睡眠质量和睡眠时间与高血压患病的关联研究
- Author:
Shiyun LUO
1
;
Yongxin YE
;
Minying SUN
;
Jichuan SHEN
;
Nixuan CHEN
;
Sheng JIA
;
Xueyan LI
;
Yuanhua LIU
;
Wei ZHU
;
Min XIA
Author Information
1. 中山大学公共卫生学院营养与食品卫生学系,广州 510080
- Keywords:
Sleep;
Hypertension;
Cross-sectional studies;
Prevalence
- From:
Chinese Journal of Preventive Medicine
2021;55(7):853-859
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship of sleep quality and sleep duration with hypertension among adults aged 30-79 years old in Guangzhou.Methods:According to multi-stage stratified cluster sampling, 12 747 residents aged 30-79 years old were sampled and surveyed in Guangzhou from January 2018 to March 2019. Data on general demographic characteristics, sleep quality, sleep duration and hypertension were collected through questionnaire survey, the Pittsburgh sleep quality index (PSQI) and physical examination. Multivariate logistic regression models were used to analyze the putative association between sleep quality, sleep duration and hypertension. Restrictive cubic spline curve was used to draw the dose-response relationship curve between sleep quality, sleep time and hypertension.Results:The mean age of the subjects was (52.68±12.17) years, the prevalence of hypertension was 36.6% (4 664/12 747), the average score of PSQI was (4.70±2.88), and the average sleep time was (7.00±1.32) hours. The prevalence of hypertension was positively associated with the PSQI score. Compared to the subjects with a score less than 3, OR (95% CI) of hypertension with a PSQI score of 3-5, 5-8, ≥9 were 1.14 (1.02-1.27), 1.17 (1.03-1.34), 1.41 (1.21-1.64), respectively. The relationship between sleep duration and hypertension appeared U-shaped. Compared with 6 to 8 hours sleep duration, both sleep duration<6 hours with OR(95% CI) of 1.27(1.12-1.43) or >8 hours with OR(95% CI) of 1.20(1.05-1.38) was associated with hypertension. Conclusion:Both poor sleep quality, longer or shorter sleep duration were responsible for increased risk of cognitive impairment in older Chinese.