Effect of sleep duration and quality on hypertension incidence in Chinese middle-aged and elderly people

ZHU Ling-yuan; FANG Yuan; CAO Zhi-xian; WANG Yang; HE Yu-hua; WANG Yu-zheng

doi:10.16462/j.cnki.zhjbkz.2020.02.011

Volume 24 Issue 2

Feb. 2020

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2020 > 24(2): 176-182

ZHU Ling-yuan, FANG Yuan, CAO Zhi-xian, WANG Yang, HE Yu-hua, WANG Yu-zheng. Effect of sleep duration and quality on hypertension incidence in Chinese middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 176-182. doi: 10.16462/j.cnki.zhjbkz.2020.02.011

Citation:

ZHU Ling-yuan, FANG Yuan, CAO Zhi-xian, WANG Yang, HE Yu-hua, WANG Yu-zheng. Effect of sleep duration and quality on hypertension incidence in Chinese middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 176-182. doi: 10.16462/j.cnki.zhjbkz.2020.02.011

Citation:

ZHU Ling-yuan, FANG Yuan, CAO Zhi-xian, WANG Yang, HE Yu-hua, WANG Yu-zheng. Effect of sleep duration and quality on hypertension incidence in Chinese middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 176-182. doi: 10.16462/j.cnki.zhjbkz.2020.02.011

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Effect of sleep duration and quality on hypertension incidence in Chinese middle-aged and elderly people

doi: 10.16462/j.cnki.zhjbkz.2020.02.011

1.
Department of Social Medicine and Health Administration, School of Health Sciences, Wuhan University, Wuhan 430071, China
2.
Department of Nursing, the Second Affiliated Hospital of Bcngbu Medical College, Bengbu 233000, China
3.
Department of Nursing, Fuzhou Medical College, Natuhang University, Nunchang 344100, China
4.
Department of Epidemiology(tnd Health Statistics, School of Health Sciences, Wuhan University, Wuhan 430071, China

More Information

Corresponding author: WANG Yu-zheng, E-mail:178254065@qq.com
Received Date: 2019-07-14
Rev Recd Date: 2019-10-10
Publish Date: 2020-02-10

Abstract

Abstract

Objective To investigate the incidence of hypertension among Chinese middle-aged and elderly people, and to explore the association of sleep duration and sleep quality with the incidence of hypertension. Methods Our data were collected from the 2011 and 2015 China health and retirement longitudinal study(CHARLS), a total of 6 047 middle-aged and elderly individuals aged 45 years and over were included in this study, sleep duration were measured as self-reported average sleep time in the past month. Sleep quality was evaluated using the self-made questionnaire. The association of sleep duration and sleep quality with the incidence of hypertension was analyzed using multivariate logistic regression analysis. Results After four years of follow-up, 1 151 peoples developed hypertension, and the cumulative incidence rate was 19.03%. Logistic regression analysis showed that abnormal sleep time or poor sleep quality had no effect on the incidence of hypertension. The results remained unchanged in the subgroup analysis of sex and age. Further investigation of the association of different combinations of sleep duration and quality in relation to hypertension indicated that the combined effect of sleep time and sleep quality on hypertension was not statistically significant(all P > 0.05). Conclusion There is no sufficient evidence supporting correlation between sleep time and sleep quality with the incidence of hypertension in the middle-aged and the elderly in China, and age and sex had no effect on the correlation.
- Sleep duration,
- Sleep quality,
- Hypertension

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References(20)

References

[1]	国家卫生和计划生育委员会.中国居民营养与慢性病状况报告(2015年)[M].北京: 人民卫生出版社, 2015. National Health and Family Planning Commission. Report on Nutrition and chronic Diseases of Chinese residents(2015)[M]. Beijing: Pepole's Medical Publishing House, 2015.
[2]	Poulter NR, Prabhakaran D, Caulfield M. Hypertension[J]. Lancet, 2015, 386(9995): 801-812. DOI: 10.1016/S0140-6736(14)61468-9.
[3]	谢红燕, 陈芸, 苏美芳, 等.玉环县农村社区≥35岁居民超重和肥胖及其与高血压的关系[J].中华疾病控制杂志, 2019, 23(2): 150-155. DOI: 10.16462/j.cnki.zhjbkz.2019.02.006. Xie HY, Chen Y, Su MF, et al. The association of overweight and obesity with hypertension among residents aged 35 years or older in Yuhuan county[J]. Chin J of Dis Control Prev, 2019, 23(2): 150-155. DOI: 10.16462/j.cnki.zhjbkz.2019.02.006.
[4]	Martikainen S, Pesonen AK, Feldt K, et al. Poor sleep and cardiovascular function in children[J]. Hypertension, 2011, 58(1): 16-21. DOI: 10.1161/HYPERTENSIONAHA.111.172395.
[5]	Gangwisch JE, Feskanich D, Malaspina D, et al. Sleep duration and risk for hypertension in women: results from the nurses' health study[J]. Am J Hypertens, 2013, 26(7): 903-911. DOI: 10.1093/ajh/hpt044.
[6]	Assari S, Moghani Lankarani M, Kazemi Saleh D, et al. Gender modifies the effects of education and income on sleep quality of the patients with coronary artery disease[J]. Int Cardiovasc Res J, 2013, 7(4): 141-146. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Doaj000004054757
[7]	Fernandez-Mendoza J, Vgontzas AN, Liao D, et al. Insomnia with objective short sleep duration and incident hypertension: the Penn state cohort[J]. Hypertension, 2012, 60(4): 929-935. DOI: 10.1161/HYPERTENSIONAHA.112.193268.
[8]	Okubo N, Matsuzaka M, Takahashi I, et al. Relationship between self-reported sleep quality and metabolic syndrome in general population[J]. BMC Public Health, 2014, 14(1): 562-566. DOI: 10.1186/1471-2458-14-562.
[9]	Logue EE, Scott ED, Palmieri PA, et al. Sleep duration, quality, or stability and obesity in an urban family medicine center[J]. J Clin Sleep Med, 2014, 10(2): 177-182. DOI: 10.5664/jcsm.3448.
[10]	Sun W, Yu Y, Yuan J, et al. Sleep duration and quality among different occupations--China national study[J]. PLoS One, 2015, 10(3): e0117700. DOI: 10.1371/journal.pone.0117700.
[11]	Zhao Y, Hu Y, Smith JP, et al. Cohort profile: the China health and retirement longitudinal study(CHARLS)[J]. Int J of Epidemiol, 2014, 43(1): 61-68. DOI: 10.1093/ije/dys203.
[12]	Patel SR, Ayas NT, Malhotra MR, et al. A prospective study of sleep duration and mortality risk in women[J]. Sleep 2004, 27(3): 440-444. DOI: 10.1093/sleep/27.3.440.
[13]	Wang D, Zhou Y, Guo Y, et al. The effect of sleep duration and sleep quality on hypertension in middle-aged and older Chinese: the Dongfeng-Tongji Cohort Study[J]. Sleep Med, 2017, 12(40): 78-83. DOI: 10.1016/j.sleep.2017.09.024.
[14]	中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志(电子版), 2011, 3(5): 701-708. DOI: 10.3969/j.issn.1674-7372.2011.05.011. Writing group of 2010 Chinese guidelines for the management of hypertension. 2010 Chinese guidelines for the management of hypertension[J]. Chinese Journal of the Frontiers of Medical Science(Electronic Version), 2011, 3(5): 701-708. DOI: 10.3969/j.issn.1674-7372.2011.05.011.
[15]	吴宪明, 孙跃民, 姚薇, 等.睡眠时间与高血压发生的相关性队列研究[J].中国慢性病预防与控制, 2016, 24(4): 255-258. DOI: 10.16386/j.cjpccd.issn.1004-6194.2016.04.005. Wu XM, Sun YM, Yao W, et al. A cohort study of correlation between sleeping duration and hypertension[J]. Chin J Prev Contr Chron Dis, 2016, 24(4): 255-258. DOI: 10.16386/j.cjpccd.issn.1004-6194.2016.04.005.
[16]	Kim J, Jo I. Age-dependent association between sleep duration and hypertension in the adult Korean population[J]. Am J Hypertens, 2010, 23(12): 1286-1291. DOI: 10.1038/ajh.2010.166.
[17]	Hirshkowitz M, Whiton K, Albert SM, et al. National sleep foundation's sleep time duration recommendations: methodology and results summary[J]. Sleep Health, 2015, 1(1): 40-43. DOI: 10.1016/j.sleh.2014.12.010.
[18]	Bansil P, Kuklina EV, Merritt RK, et al. Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: results from the National Health and Nutrition Examination Survey, 2005 to 2008[J]. J Clin Hypertens(Greenwich), 2011, 13(10): 739-743. DOI: 10.1111/j.1751-7176.2011.00500.
[19]	Phillips B, Buzková P, Enright P, et al. Insomnia did not predict incident hypertension in older adults in the cardiovascular health study[J]. Sleep, 2009;32(1): 65-72. DOI: 10.1080/00365510510025692.
[20]	陈佳, 覃数, 陈冀, 等.睡眠时间和睡眠质量对中国成年男性高血压患病率的影响[J].第三军医大学学报, 2015, 37(1): 83-86. DOI: 10.16016/j.10005404.201408011. Chen J, Qin S, Chen J, et al. Effect of sleep duration and quality on hypertension prevalence in Chinese male adults[J]. J Third Mil Med Univ, 2015, 37(1): 83-86. DOI: 10.16016/j.10005404.201408011.