在一个具有全国代表性的样本中,种族/民族与阻塞性睡眠呼吸暂停和高血压之间的关联。

The association between obstructive sleep apnea and hypertension by race/ethnicity in a nationally representative sample.

机构信息

Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

J Clin Hypertens (Greenwich). 2013 Aug;15(8):593-9. doi: 10.1111/jch.12144. Epub 2013 Jun 10.

Abstract

The association between obstructive sleep apnea (OSA) and hypertension by race/ethnicity has not been well characterized in a national sample. Adult participants in the 2007-2008 National Health and Nutrition Examination Survey were reviewed by self-report of sleep apnea diagnosis, snorting, gasping or stopping breathing during sleep, and snoring to derive whether OSA was probable (pOSA). Multivariable logistic regression determined whether pOSA predicted hypertension in the overall cohort, and by body mass index (BMI) group and ethno-racial strata. pOSA predicted hypertension in several groups: (1) Within BMI strata, there was a significant association among overweight individuals [odds ratio [OR], 1.82; 95% confidence interval [CI], 1.26-2.62); (2) In race/ethnicity subgroups, the association was significant among Hispanic/Latinos (OR, 1.69; 95% CI, 1.13-2.53) and whites (OR, 1.40; 95% CI, 1.07-1.84); (3) In models stratified by both race/ethnicity and BMI, pOSA predicted hypertension among overweight black/African Americans (OR, 4.74; 95% CI, 1.86-12.03), overweight whites (OR, 1.65; 95% CI, 1.06-2.57), and obese Hispanic/Latino participants (OR, 2.01; 95% CI, 1.16-3.49). A simple, self-report tool for OSA was strongly associated with hypertension, and may serve as a potential future opportunity for OSA diagnosis.

摘要

种族/民族与阻塞性睡眠呼吸暂停(OSA)和高血压之间的关系在全国样本中尚未得到很好的描述。通过自我报告睡眠呼吸暂停诊断、打鼾、喘息或睡眠中停止呼吸以及打鼾,对 2007-2008 年全国健康和营养调查的成年参与者进行了回顾,以确定 OSA 是否可能(pOSA)。多变量逻辑回归确定了 pOSA 是否在整个队列中预测高血压,以及是否按体重指数(BMI)组和族裔种族分层。pOSA 在几个组中预测高血压:(1)在 BMI 分层内,超重个体之间存在显著关联[比值比(OR),1.82;95%置信区间(CI),1.26-2.62);(2)在种族/族裔亚组中,西班牙裔/拉丁裔(OR,1.69;95%CI,1.13-2.53)和白人(OR,1.40;95%CI,1.07-1.84)之间存在显著关联;(3)在按种族/族裔和 BMI 分层的模型中,pOSA 预测超重黑人/非裔美国人(OR,4.74;95%CI,1.86-12.03)、超重白人(OR,1.65;95%CI,1.06-2.57)和肥胖西班牙裔/拉丁裔参与者(OR,2.01;95%CI,1.16-3.49)中高血压。一种简单的、针对 OSA 的自我报告工具与高血压密切相关,可能成为未来 OSA 诊断的潜在机会。

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