Grupo de Investigación GERMINA, Hospital Universitario de Santander, Universidad Industrial de Santander, Bucaramanga, Colombiar.
Departamento de Salud Pública, Universidad Industrial de Santander, Bucaramanga, Colombia.
Biomedica. 2024 May 31;44(Sp. 1):47-62. doi: 10.7705/biomedica.7012.
Introduction. Alterations in the quality and duration of sleep are risk factors for the development of arterial hypertension in Eastern countries. However, in Latin America there are few studies researching this association. Objective. To analyze the association between the quality and duration of sleep and the rate of arterial hypertension in a Colombian population. Materials and methods. An observational, longitudinal, prospective and analytical study nested in the INEFAC population-based cohort, was conducted with participants over 18 years of age from Bucaramanga (Colombia). Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Sleep duration was assessed using standardized questions. Multivariate analysis was performed with logistic regression models adjusted for possible confounding variables. Results. A total of 1,306 non-hypertensive participants with a mean age of 40 ± 12 years were included. In this population, 92.8% had one or more sleep issues. 45.15% slept 6 hours or less and 28.6% slept 8 hours or more. Multivariate analysis showed a higher risk of hypertension in participants with diabetes (OR = 5.27; 95% CI: 2.27-12.26), obesity (OR = 2.81; 95% CI: 1.11-7.13), active smoking (OR = 2.02; 95% CI: 1.01-4.04) and higher socioeconomic level (OR = 4.94; 95% CI: 1.59-15.38 for level 4), but no higher risk was found in participants with poor sleep quality or short sleep duration. Conclusions. No association was found between the duration or quality of sleep and the rate of arterial hypertension in the Colombian population. More studies are required in this population to reach definitive conclusions.
简介。在东方国家,睡眠质量和时长的改变是动脉高血压发展的一个风险因素。然而,在拉丁美洲,针对这一关联的研究很少。目的。分析哥伦比亚人群中睡眠质量和时长与动脉高血压发生率之间的关系。材料与方法。本研究为嵌套于基于人群的 INEFAC 队列中的观察性、纵向、前瞻性和分析性研究,参与者来自哥伦比亚的布卡拉曼加,年龄均在 18 岁以上。使用匹兹堡睡眠质量指数评估睡眠质量,使用标准化问题评估睡眠时长。采用多变量逻辑回归模型进行分析,调整了可能的混杂变量。结果。共纳入 1306 名非高血压参与者,平均年龄为 40 ± 12 岁。在该人群中,92.8%存在 1 种或多种睡眠问题。45.15%的人睡眠时间为 6 小时或更少,28.6%的人睡眠时间为 8 小时或更长。多变量分析显示,患有糖尿病(OR = 5.27;95%CI:2.27-12.26)、肥胖(OR = 2.81;95%CI:1.11-7.13)、主动吸烟(OR = 2.02;95%CI:1.01-4.04)和更高社会经济水平(OR = 4.94;95%CI:1.59-15.38,四级)的参与者患高血压的风险更高,但睡眠质量差或睡眠时间短的参与者风险并未升高。结论。在哥伦比亚人群中,睡眠时长或质量与动脉高血压发生率之间没有关联。需要在该人群中进行更多研究以得出明确的结论。