Department of Pediatrics, Ramathibodi Hospital Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.
Department of Community Medicine, Ramathibodi Hospital Mahidol University, Bangkok, Thailand.
BMC Public Health. 2022 Oct 29;22(1):1983. doi: 10.1186/s12889-022-14430-z.
Sleep duration has been proposed to be associated with high blood pressure. However, nationwide studies regarding this association in adolescents remain limited. This study aimed to explore the national prevalence of high blood pressure among Thai adolescents and to determine the association between sleep duration and high blood pressure.
Data from adolescents aged 10-19 years from the Thai National Health and Examination Survey V were included. We collected demographic data (including age and gender), height, weight, waist circumference, blood pressure, fasting blood chemistries and sleep duration data. Sleep durations were categorized as short, normal or long for each age group based on the United States National Sleep Foundation's recommendations. High blood pressure was diagnosed using the 2017 guidelines of the American Academy of Pediatrics. Factors associated with high blood pressure were analyzed using multivariate logistic regression.
A total of 3505 adolescents (1785 female) were included. The prevalence of high blood pressure was 9.4% (95% CI 8.5-10.4%). The high blood pressure group had higher BMI z-score, LDL-C, triglyceride and lower HDL-C than the normotensive group. In the multivariate analysis, BMI z-score, LDL-C and HDL-C were independently associated with high blood pressure. However, there was no association between sleep duration and high blood pressure.
High blood pressure risk was increased in adolescents with high BMI z-score. Neither short nor long sleep duration was associated with an increased risk of high blood pressure.
睡眠时长与高血压有关。然而，关于这一关联的全国性研究在青少年中仍然有限。本研究旨在探讨泰国青少年高血压的全国流行情况，并确定睡眠时长与高血压之间的关系。
数据来自泰国国家健康与体检调查 V 中的 10-19 岁青少年。我们收集了人口统计学数据（包括年龄和性别）、身高、体重、腰围、血压、空腹血液化学和睡眠时长数据。根据美国国家睡眠基金会的建议，将睡眠时长分为每个年龄组的短、正常或长。高血压的诊断采用 2017 年美国儿科学会指南。使用多变量逻辑回归分析与高血压相关的因素。
共纳入 3505 名青少年（1785 名女性）。高血压的患病率为 9.4%（95%CI 8.5-10.4%）。高血压组的 BMI z 评分、LDL-C、甘油三酯较高，HDL-C 较低。多变量分析显示，BMI z 评分、LDL-C 和 HDL-C 与高血压独立相关。然而，睡眠时长与高血压之间没有关联。
BMI z 评分高的青少年高血压风险增加。短或长的睡眠时间均与高血压风险增加无关。
