Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 25 Issue 5
Jun.  2021
Turn off MathJax
Article Contents
DING Shuai, MIAO Wei-gang, QIN Yu, SU Jian, CUI Lan, DU Wen-cong, ZHOU Jin-yi, WU Ming. A study on the interaction of snoring and body mass index on hypertension[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 589-593. doi: 10.16462/j.cnki.zhjbkz.2021.05.017
Citation: DING Shuai, MIAO Wei-gang, QIN Yu, SU Jian, CUI Lan, DU Wen-cong, ZHOU Jin-yi, WU Ming. A study on the interaction of snoring and body mass index on hypertension[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 589-593. doi: 10.16462/j.cnki.zhjbkz.2021.05.017

A study on the interaction of snoring and body mass index on hypertension

doi: 10.16462/j.cnki.zhjbkz.2021.05.017
Funds:

National Major Public Health Service Project Cai She﹝2014﹞No.37

More Information
  • Corresponding author: WU Ming, E-mail: jswuming@vip.sina.com
  • Received Date: 2021-02-02
  • Rev Recd Date: 2021-03-23
  • Available Online: 2021-06-16
  • Publish Date: 2021-05-10
  •   Objective  To analyze the interaction between snoring and body mass index (BMI) on hypertension, and to develop appropriate prevention strategies.  Methods  Based on the preliminary screening data of 82 751 residents aged ≥35 in the China Peace-MPP program for High-risk Cardiovascular Disease population in Jiangsu Province from September 2015 to June 2018, logistic regression analysis was used to evaluate the impact of snoring and body mass index on hypertension, and the interaction between snoring and BMI was further analyzed.  Results  Among the subjects, the prevalence of snorers was 45 013 (54.40%), hypertension was 47 295 (57.15%), people with BMI≥24 kg/m2 was 52 641 (63.61%). People who snored and high BMI were at higher risk for hypertension, the odds ratio (OR) was 1.686(95% CI: 1.635-1.738)and 2.242 (95% CI: 2.172-2.313), respectively. Snoring and BMI were found to have synergistic effects on hypertension (RERI=1.160, AP=0.311, S=1.738). The risk of hypertension was 3.732 times greater when these factors both were present compared with neither was present (95% CI: 3.582-3.888).  Conclusions   Both snoring and overweight increased the risk of hypertension, with synergistic effects. Health education and blood pressure monitoring should be carried out for people who snored and overweight to prevent the occurrence of hypertension and cardiovascular diseases.
  • loading
  • [1]
    Wang Z, Chen Z, Zhang L, et al. Status of hypertension in China: results from the China hypertension survey, 2012-2015[J]. Circulation, 2018, 137(22): 2344-2356. DOI: 10.1161/CIRCULATIONAHA.117.032380
    [2]
    Joint Committee for Guideline Revision. 2018 Chinese guidelines for prevention and treatment of hypertension—a report of the Revision Committee of Chinese guidelines for prevention and treatment of hypertension[J]. J Geriatr Cardiol, 2019, 16(3): 182-241. DOI: 10.11909/j.issn.1671-5411.2019.03.014.
    [3]
    胡盛寿, 高润霖, 刘力生, 等. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2019.03.001.

    Hu SS, Gao RL, Liu LS, et al. Summary of the 2018 report on cardiovascular diseases in China[J]. Chin Circul J, 2019, 34(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2019.03.001.
    [4]
    Hu FB, Willett WC, Colditz GA, et al. Prospective study of snoring and risk of hypertension in women[J]. Am J Epidemiol, 1999, 150(8): 806-816. DOI: 10.1093/oxfordjournals.aje.a010085.
    [5]
    Lindberg E, Berne C, Franklin KA, et al. Snoring and daytime sleepiness as risk factors for hypertension and diabetes in women--a population-based study. [J]. Respir Med, 2007, 101(6): 1283-1290. DOI: 10.1016/j.rmed.2006.10.015.
    [6]
    冯宝玉, 陈纪春, 李莹, 等. 中国成年人超重和肥胖与高血压发病关系的随访研究[J]. 中华流行病学杂志, 2016, 37(5): 606-611. DOI: 10.3760/cma.j.issn.0254-6450.2016.05.004.

    Feng BY, Chen JC, Li Y, et al. Relationship between overweight/obesity and hypertension among adults in China: a prospective study[J]. Chin J Epidemiol, 2016, 37(5): 606-611. DOI: 10.3760/cma.j.issn.0254-6450.2016.05.004.
    [7]
    何忠明, 韩芳, 李鸿霞, 等. 打鼾与高血压的关系研究[C] //中国睡眠研究会. 中国睡眠研究会第六届学术年会论文集. 2010: 215-218.

    He ZM, Han F, Li HX, et al. Investigation on the relationship between snoring and hypertension[C]// Chinese Sleep Research Society. Proceedings of the 6th annual meeting of the Chinese Sleep Research Society. 2010: 215-218.
    [8]
    马金香, 孙业桓, 曹多志, 等. 男性打鼾与高血压的关系[J]. 中国慢性病预防与控制, 2005, 13(2): 60-62, 72. DOI: 10.3969/j.issn.1004-6194.2005.02.005.

    Ma JX, Sun YH, Cao DZ, et al. Association between Snoring and Hypertension in Male Workers in Ma'anshan Iron and Steel Enterprise[J]. Chin J Prev Contr Chro Dis, 2005, 13(2): 60-62, 72. DOI: 10.3969/j.issn.1004-6194.2005.02.005.
    [9]
    佟明坤, 满塞丽麦, 金成, 等. 千万例体检人群高血压患病率、知晓率、治疗率和控制率的调查[J]. 中国循环杂志, 2020, 35(9): 866-872. DOI: 10.3969/j.issn.1000-3614.2020.09.004

    Tong MK, Man SLM, Jin C, et al. Prevalence, awareness, treatment and control of hypertension in China: survey on a 10 million health check-up population[J]. Chin Circul J, 2020, 35(9): 866-872. DOI: 10.3969/j.issn.1000-3614.2020.09.004
    [10]
    Lu J, Xuan S, Downing NS, et al. Protocol for the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Million Persons Project pilot[J]. BMJ Open, 2016, 6(1): e010200. DOI: 10.1136/bmjopen-2015-010200.
    [11]
    中国肥胖问题工作组. 中国成人超重与肥胖症预防与控制指南(节录)[J]. 营养学报, 2004, 26(1): 1-4. DOI: 10.3321/j.issn:0512-7955.2004.01.001.

    Group of China Obesity Task Force. Guidelines for Prevention and Control of Overweight and Obesity in Chinese Adults[J]. Acta Nutrimenta Sinica, 2004, 26(1): 1-4. DOI: 10.3321/j.issn:0512-7955.2004.01.001.
    [12]
    人类年龄段划分新标准[J]. 现代养生, 2005, (9): 16. DOI: CNKI:SUN:YSXD.0.2005-09-013.

    New standards for human age[J]. Xiandaiyangsheng, 2005, (9): 16. DOI: CNKI:SUN:YSXD.0.2005-09-013.
    [13]
    刘晨越, 吴爽, 邱琳, 等. 陕西省不同年龄段人群吸烟状况研究[J]. 中国慢性病预防与控制, 2020, 28(6): 439-443. DOI: 10.16386/j.cjpccd.issn.1004-6194.2020.06.009.

    Liu CY, Wu S, Qiu L, et al. Investigation on smoking status of different age groups in shaanxi province[J]. Chin J Prev Contr Chron Dis, 2020, 28(6): 439-443. DOI: 10.16386/j.cjpccd.issn.1004-6194.2020.06.009.
    [14]
    覃世龙, 徐静东, 罗西. 武汉市20~34岁青年饮酒状况及影响因素研究[J]. 中国慢性病预防与控制, 2019, 27(3): 185-188. DOI: 10.16386/j.cjpccd.issn.1004-6194.2019.03.006.

    Qin SL, Xu JD, Luo X. Investigation on drinking behavior and its influencing factors among youth aged 20-34 in Wuhan city[J]. Chin J Prev Contr Chron Dis, 2019, 27(3): 185-188. DOI: 10.16386/j.cjpccd.issn.1004-6194.2019.03.006.
    [15]
    夏艳杰, 周龙, 李莹. 打鼾与高甘油三酯血症关系的横断面研究[J]. 中国循环杂志, 2019, 34(1): 85-89. DOI: 10.3969/j.issn.1000-3614.2019.01.014.

    Xia YJ, Zhou L, Li Y. Relationship between snoring and hypertriglyceridemia in middle-aged Chinese population : a cross-sectional study[J]. Chinese Circulation Journal, 2019, 34(1): 85-89. DOI: 10.3969/j.issn.1000-3614.2019.01.014.
    [16]
    Andersson T, Alfredsson L, Kallberg H, et al. Calculating measures of biological interaction[J]. Eur J Epidemiol, 2005, 20(7): 575-579. DOI: 10.1007/s10654-005-7835-x.
    [17]
    Wenning F, Shiyi C, Bing L, et al. Association of general and central adiposity with blood pressure among Chinese adults: results from the China National Stroke Prevention Project[J]. J Hypertens, 2018. DOI: 10.1097/HJH.0000000000001852.
    [18]
    Knol MJ, Vanderweele TJ. Recommendations for presenting analyses of effect modification and interaction[J]. Int J Epidemiol, 2012, 41(2): 514-520. DOI: 10.1093/ije/dyr218.
    [19]
    Jinyoung K, Hyeryeon Y, Rim SK, et al. Snoring as an Independent Risk Factor for Hypertension in the Nonobese Population: The Korean Health and Genome Study[J]. American Journal of Hypertension, 2007, 20(8). DOI: 10.1016/j.amjhyper.2007.03.007.
    [20]
    Lindberg E, Janson C, Gislason T, et al. Snoring and hypertension: a 10 year follow-up[J]. Eur Respir J, 1998, 11(4): 884-889. DOI: 10.1183/09031936.98.11040884.
    [21]
    夏艳杰. 打鼾与心血管病及其代谢性危险因素的关系研究[D]. 中国医学科学院北京协和医学院, 2019.

    Xia YJ. Relationships of snoring habits with cardiovascular disease and its metabolic risk factors[D]. CAMS and PUMC, 2019.
    [22]
    Bixler EO, Vgontzas AN, Lin HM, et al. Association of hypertension and sleep-disordered breathing[J]. Arch Intern Med, 2000, 160(15): 2289-2295. DOI: 10.1001/archinte.160.15.2289.
    [23]
    郭向娇, 李建彬, 武恩平, 等. 郑州市40~79岁居民高血压患病及影响因素分析[J]. 预防医学, 2020, 32(3): 304-306. DOI: 10.19485/j.cnki.issn2096-5087.2020.03.023.

    Guo XJ, Li JB, Wu EP, et al. Prevalence of hypertension and its influencing factors among residents aged 40 to 79 in Zhengzhou[J]. J Prev Med, 2020, 32(3): 304-306. DOI: 10.19485/j.cnki.issn2096-5087.2020.03.023.
    [24]
    彭艳. 重庆市高血压患病率及其与超重、肥胖、睡眠时间相关性分析[D]. 重庆: 重庆医科大学, 2018.

    Peng Y. Prevalence of hypertension and association with overweight, obesity and sleep time in Chongqing.[D]. Chongqing: Chongqing Medical University, 2018.
    [25]
    Gnatiuc L, Alegre-Diaz J, Halsey J, et al. Adiposity and Blood Pressure in 110 000 Mexican Adults[J]. Hypertension, 2017, 69(4): 608-614. DOI: 10.1161/HYPERTENSIONAHA.116.08791.
    [26]
    芦波, 桂明泰, 符德玉. 肥胖相关高血压的发病机制[J]. 国际心血管病杂志, 2015, 42(1): 16-18, 25. DOI: 10.3969/j.issn.1673-6583.2015.01.005.

    Lu B, Gui MT, Fu DY. Pathogenesis of obesity-associated hypertension[J]. Int J Cardiov Dis, 2015, 42(1): 16-18, 25. DOI: 10.3969/j.issn.1673-6583.2015.01.005.
    [27]
    Kotsis V, Stabouli S, Papakatsika S, et al. Mechanisms of obesity-induced hypertension[J]. Hypertens Res, 2010, 33(5): 386-93. DOI: 10.1038/hr.2010.9.
    [28]
    Dorresteijn JA, Visseren FL, Spiering W. Mechanisms linking obesity to hypertension[J]. Obes Rev, 2012, 13(1): 17-26. DOI: 10.1111/j.1467-789X.2011.00914.x.
    [29]
    谢开婿, 王春梅, 陈玲琍. 睡眠打鼾与浙江省成年人高血压患病关联的研究[J]. 中华流行病学杂志, 2020, 41(5): 722-726. DOI: 10.3760/cma.j.cn112338-20190814-00596.

    Xie KX, Wang CM, Chen LL, et al. Association between snoring and hypertension among Zhejiang adults in a cross sectional study[J]. Chin J Epidemiol, 2020, 41(5): 722-726. DOI: 10.3760/cma.j.cn112338-20190814-00596.
    [30]
    Li Y, Gao Q, Li L, et al. Additive interaction of snoring and body mass index on the prevalence of metabolic syndrome among Chinese coal mine employees: a cross-sectional study[J], BMC Endocr Disord, 2019, 19(1). DOI: 10.1186/s12902-019-0352-9.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (517) PDF downloads(43) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return