Analysis of Self-reported Sleep Quality and Its Correlated Factors Among Chinese H-type Hypertensive Patients
10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2021.0111
- VernacularTitle:中国H型高血压患者自述睡眠质量及其影响因素分析
- Author:
Ping WANG
1
;
Dan ZHAO
1
;
Ze-zhong TIAN
1
;
Hong CHEN
1
;
Li-shun LIU
2
;
Yun SONG
3
;
Bin-yan WANG
2
;
Yan YANG
1
Author Information
1. School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518106, China
2. Shenzhen Evergreen Medical Institute, Shenzhen 518057, China
3. Guangdong Engineering Technology Research Center of Nutrition Translation, Guangzhou 510080, China
- Publication Type:Journal Article
- Keywords:
homocysteine;
hypertension;
sleep quality;
cross-sectional study
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(3):406-417
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveThe aim of this study was to explore the correlated factors of sleep quality among H-type hypertensive patients, and to provide a theoretical basis for improving their sleep quality. MethodsWe conducted a cross-sectional study which recruited 2 609 H-type hypertensive patients from 14 provinces in China. The subjects’ sleep quality and potential correlated factors were investigated by questionnaires. ResultsTotally 2 587 subjects with age between 24 and 97 years old (1 388 men and 1 199 women) met the inclusion criteria. The prevalence of poor sleep quality of H-type hypertensive patients was 19.0%. The prevalence of poor sleep quality in women was significantly higher than that in men [23.9% vs. 14.8%, P< 0.001]. Results of multivariable binary logistic regression revealed that moderate physical activities [The odds ratio (OR) was 0.572; 95% CI was (0.421, 0.776), P<0.001], fruits and vegetables intake ≥ 1 500 g/week [OR was 0.672; 95% CI was (0.485, 0.931), P=0.017], red meat consumption frequency 3-5 times/week [OR was 0.472; 95% CI was (0.306, 0.728), P=0.001] and ≥8 hours sleep/ day [OR was 0.008; 95% CI was (0.004,0.013), P<0.001] were protective factors of sleep quality, while diastolic blood pressure ≥ 90 mmHg [OR was 1.441; 95% CI was (1.112, 1.868), P=0.006], bad living standard [OR was 2.542; 95% CI was (1.401, 4.613), P=0.002], history of chronic kidney disease [OR was 1.970; 95% CI was (1.053, 3.687), P=0.034], stress-out [OR was 2.253; 95% CI was (1.400, 3.626), P=0.001], animal oil as cooking oil [OR was 1.759; 95% CI was (1.056, 2.930), P=0.030] and severe snoring [OR was 1.784; 95% CI was (1.018, 3.126), P=0.043] were risk factors of sleep quality. ConclusionModerate physical activities, fruits and vegetables, vegetable oil as cooking oil, moderate amount of meat, blood pressure management, stress reducing, snoring treatment and enough sleep may be beneficial for sleep, and may further contribute to improving the life quality of H-type hypertensive patients.