Sembiring Krisnarta, Ramayani Oke Rina, Lubis Munar
Department of Child Health, Medical School, University of Sumatera Utara, Medan, Indonesia.
Open Access Maced J Med Sci. 2018 Feb 4;6(2):293-296. doi: 10.3889/oamjms.2018.068. eCollection 2018 Feb 15.
Dyssomnia is the most frequent sleep disturbance and associated with increased blood pressure. There has been no study determining the difference in mean blood pressure based on dyssomnia types among adolescents.
To determine the difference in mean blood pressure among adolescents based on dyssomnia types.
Cross-sectional study was conducted in SMP Negeri 1 Muara Batang Gadis in April 2016. Samples were students having sleep disturbance based on Sleep Disturbance Scale for Children (SDSC) questionnaire. Stature and blood pressure data were collected along with demographic data and sleep disorder questionnaire. Analyses were done with Kruskal-Wallis test and logistic regression. P - value < 0.05 was considered significant.
Seventy-six samples were obtained with mean age 13.9 (SD 1.14) years - old. Dyssomnia proportion and hypertension were 72/76 and 20/76 respectively. Mean systolic (SBP) and diastolic blood pressure (DBP) was 111.1 (SD 16.46) mmHg and 70.3 (SD 11.98) mmHg respectively. Mean SDSC score was 49.7 (SD 8.96), and the most frequent dyssomnia type was disorders of initiating and maintaining sleep. Age and sex were not the risk factors of hypertension in dyssomnia. There was a significant difference in mean SBP (P = 0.006) and DBP (P = 0.022) based on dyssomnia types. Combination dyssomnia type had the highest mean blood pressure among dyssomnia types.
There is a significant difference in mean blood pressure among adolescents based on dyssomnia types.
睡眠障碍是最常见的睡眠问题，且与血压升高有关。目前尚无研究确定青少年中基于睡眠障碍类型的平均血压差异。
确定青少年中基于睡眠障碍类型的平均血压差异。
2016年4月在穆阿拉巴唐加迪斯第一国立初中进行了横断面研究。样本为根据儿童睡眠障碍量表（SDSC）问卷存在睡眠问题的学生。收集身高、血压数据以及人口统计学数据和睡眠障碍问卷。采用Kruskal-Wallis检验和逻辑回归进行分析。P值<0.05被认为具有统计学意义。
获得76个样本，平均年龄13.9（标准差1.14）岁。睡眠障碍比例和高血压比例分别为72/76和20/76。平均收缩压（SBP）和舒张压（DBP）分别为111.1（标准差16.46）mmHg和70.3（标准差11.98）mmHg。平均SDSC评分为49.7（标准差8.96），最常见的睡眠障碍类型是入睡和维持睡眠障碍。年龄和性别不是睡眠障碍中高血压的危险因素。基于睡眠障碍类型，平均SBP（P = 0.006）和DBP（P = 0.022）存在显著差异。混合性睡眠障碍类型在所有睡眠障碍类型中平均血压最高。
青少年中基于睡眠障碍类型的平均血压存在显著差异。
