Chi Y Y, Song Q F, Wu S L, Chen S H, Wang X Z
Department of Cardiology, Tangshan People's Hospital Affiliated to North China University of Science and Technology, Tangshan 063001, China.
Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2019 Mar 24;47(3):228-234. doi: 10.3760/cma.j.issn.0253-3758.2019.03.009.
To investigate the association between sleep duration and brachial-ankle pulse wave velocity (baPWV). A cross-sectional study method was used to observe 38 604 employees of Kailuan Group who participated in the physical examination and the baPWV test from January 2010 to July 2018. The age was (51.6±11.1) years old. There were 72.4% (27 955/38 604) male participants. According to the sleep duration, subjects were divided into 5 groups including ≤ 5 hours group (3 762 cases),>5 hours and ≤6 hours group (9 585 cases),>6 hours and ≤7 hours group (12 604 cases), >7 hours and ≤8 hours group (11 921 cases) and >8 hours group (732 cases). Multivariate logistic regression model was used to analyze the association between sleep duration and the baPWV. The age was (51.6±11.1) years old. There were 72.4% (27 955/38 604) male participants. The prevalence of baPWV≥14 m/s in ≤ 5 hours group, >5 hours and ≤6 hours group, >6 hours and ≤7 hours group, >7 hours and ≤8 hours group, and >8 hours group was 63.5% (2 389/3 762), 58.9% (5 645/9 585), 55.0% (6 926/12 604), 53.3% (6 356/11 921) and 54.8% (401/732) respectively. After adjusting for confounding factors including age, gender, smoking, drinking, physical exercise, snoring, hypertension, diabetes mellitus, dyslipidemia, body mass index≥24 kg/m(2), mean arterial pressure, heart rate, and C-reactive protein, the multivariate logistic regression analysis showed that the were 1.48 (95 1.29-1.70, 0.01) and 1.18 (95 1.07-1.30, 0.01) respectively for baPWV≥14 m/s in ≤ 5 hours and >5 hours and ≤6 hours group when compared with >7 hours and ≤ 8 hours group. Short sleep duration is associated with elevated baPWV in mid-aged Chinese population.
探讨睡眠时间与臂踝脉搏波速度（baPWV）之间的关联。采用横断面研究方法，观察了2010年1月至2018年7月参加体检及baPWV检测的开滦集团38604名员工。年龄为（51.6±11.1）岁。男性参与者占72.4%（27955/38604）。根据睡眠时间，将受试者分为5组，包括≤5小时组（3762例）、>5小时且≤6小时组（9585例）、>6小时且≤7小时组（12604例）、>7小时且≤8小时组（11921例）和>8小时组（732例）。采用多因素logistic回归模型分析睡眠时间与baPWV之间的关联。年龄为（51.6±11.1）岁。男性参与者占72.4%（27955/38604）。≤5小时组、>5小时且≤6小时组、>6小时且≤7小时组、>7小时且≤8小时组和>8小时组中baPWV≥14 m/s的患病率分别为63.5%（2389/3762）、58.9%（5645/9585）、55.0%（6926/12604）、53.3%（6356/11921）和54.8%（401/732）。在调整年龄、性别、吸烟、饮酒、体育锻炼、打鼾、高血压、糖尿病、血脂异常、体重指数≥24 kg/m²、平均动脉压、心率和C反应蛋白等混杂因素后，多因素logistic回归分析显示，与>7小时且≤8小时组相比，≤5小时组和>5小时且≤6小时组中baPWV≥14 m/s的比值比分别为1.48（95%CI 1.29 - 1.70，P<0.01）和1.18（95%CI 1.07 - 1.30，P<0.01）。在中国中年人群中，短睡眠时间与baPWV升高有关。
