Tang M L, Wei F, Zhang H F, Dai H F, Zhu X Q, Yu Z B, Qian S N, Jin M J, Wang J B, Chen K
Department of Epidemiology and Biostatistics, Zhejiang University School of Public Health/Cancer Institute of the Second Affiliated Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health of the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310058, China The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China.
Department of Epidemiology and Biostatistics, Zhejiang University School of Public Health/Cancer Institute of the Second Affiliated Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health of the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310058, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jul 10;42(7):1188-1193. doi: 10.3760/cma.j.cn112338-20200512-00713.
To explore the association between sleep duration, sleep quality and the prevalence of hypertension in the elderly aged 65 years and above. This study was conducted among the elderly in communities in Yiwu, China from April to July, 2019, and participants were recruited through physical examination in the hospital. Face-to-face interview was performed to obtain basic information. Sleep duration and sleep quality were evaluated by Pittsburgh Sleep Quality Index (PSQI). Associations between sleep duration, sleep quality and hypertension were evaluated by multivariate logistic regression analysis. A total of 3 169 elderly persons, aged ≥65 years old, were included in the study. The overall prevalence of hypertension was 50.8%. The elderly with very poor sleep quality and short sleep duration accounted for 22.4% and 28.5%, respectively. After adjusting for demographic characteristics, socioeconomic status, lifestyle and health status, the of hypertension for the elderly with very poor sleep quality was 1.42 (95%: 1.12-1.80) compared with those with very good sleep quality. Compared with the elderly with sleep duration of 6-7 h a night, the of hypertension for those with sleep duration <6 h was 1.37 (95%: 1.15-1.65). As the sleep quality decreased, the risk for hypertension increased. An U-shaped association was found between sleep duration and risk of hypertension. Subgroup analyses showed that this association existed in both men and women, but only significant in the elderly aged <75 years. Poor sleep quality and short sleep duration were associated with risk for hypertension in the elderly.
探讨65岁及以上老年人的睡眠时间、睡眠质量与高血压患病率之间的关联。本研究于2019年4月至7月在中国义乌的社区老年人中进行，参与者通过医院体检招募。进行面对面访谈以获取基本信息。采用匹兹堡睡眠质量指数（PSQI）评估睡眠时间和睡眠质量。通过多因素logistic回归分析评估睡眠时间、睡眠质量与高血压之间的关联。本研究共纳入3169名年龄≥65岁的老年人。高血压总体患病率为50.8%。睡眠质量极差和睡眠时间短的老年人分别占22.4%和28.5%。在调整人口统计学特征、社会经济地位、生活方式和健康状况后，睡眠质量极差的老年人患高血压的比值比为1.42（95%置信区间：1.12 - 1.80），与睡眠质量非常好的老年人相比。与每晚睡眠时间为6 - 7小时的老年人相比，睡眠时间<6小时的老年人患高血压的比值比为1.37（95%置信区间：1.15 - 1.65）。随着睡眠质量下降，患高血压的风险增加。睡眠时间与高血压风险之间呈U形关联。亚组分析表明，这种关联在男性和女性中均存在，但仅在年龄<75岁的老年人中具有统计学意义。睡眠质量差和睡眠时间短与老年人患高血压的风险相关。
