摘要
目的 了解2017年北京市成人睡眠情况与高血压的关系,为开展健康生活方式指导提供科学依据。方法 利用2017年北京市成人慢性病与危险因素监测的数据。该监测采用多阶段分层抽样方法在全市范围内抽取13 240名调查对象。监测内容包括问卷调查、体格测量、采集空腹静脉血进行相关生化指标测定。采用SPSS 20.0软件进行χ^(2)检验及多因素logistic回归分析。结果 共纳入男性6 164人,占66.23%,女性7 076人,占33.77%。有睡眠问题的共5 740人,占46.31%,没有睡眠问题的共7 500人,占53.69%。睡眠时长<6、6~<7、7~<8、8~<9和≥9 h/d的分别有759人(6.14%)、2 019人(15.92%)、3 452人(28.02%)、5 185人(37.00%)和1 825人(12.92%)。调整混杂因素后的多因素logistic回归分析显示,与没有睡眠问题相比,有睡眠问题使高血压患病风险增加1.441(95%CI=1.244~1.670)倍。男性和女性中有睡眠问题分别使高血压患病风险增加1.458(95%CI=1.221~1.742)倍和1.343(95%CI=1.133~1.591)倍。18~44岁和≥45岁人群中,有睡眠问题分别使高血压患病风险增加1.435(95%CI=1.129~1.825)倍和1.410(95%CI=1.131~1.758)倍。全部调查人群中,与睡眠时间7~<8 h/d相比,睡眠时间≥9 h/d增加高血压患病风险(OR=1.204,95%CI=1.001~1.448);其中男性中睡眠时间≥9 h/d增加高血压患病风险(OR=1.359,95%CI=1.035~1.784);≥45岁人群中,睡眠时间≥9 h/d增加高血压患病风险(OR=1.355,95%CI=1.058~1.736)。结论 有睡眠问题的成年人会增加高血压患病风险;睡眠时间过长尤其是男性和≥45岁人群,也会使高血压患病风险增加。
Objective To investigate the relationship between sleep and hypertension risk among adults in Beijing in2017,and to provide evidence for healthy lifestyle promotion.Methods The study data were from the Adult Chronic Diseases and Risk Factors Surveillance in Beijing-2017.In the surveillance,13 240 residents aged 18-79 years were recruited from 55 urban communities and 165 rural villages across Beijing city with stratified multistage sampling for a survey including questionnaire interview,physical measurements,and fasting venous blood sampling for relevant biochemical indicator determinations.Chi-square test and multivariate logistic regression analysis were used in data analyses with SPSS 20.0 software.Results Of the adults,6 164(66.23%) were males and 7 076(33.77%) were females;5 740(46.31%) reported problematic sleep and 7 500(53.69%) reported normal sleep.The proportions of the adults reporting daily sleep duration of < 6,6-< 7,7-< 8,8-< 9,and ≥ 9 hours were 6.14%,15.92%,28.02%,37.00%,and12.92%,respectively.After adjusting for potential confounders,multivariate logistic regression analysis showed that compared with those with normal sleep,the adults with problematic sleep were at increased the risk of hypertension(odds ratio [OR] = 1.441,95% confidence interval [95%CI]:1.244-1.670);the increased hypertension risk was of significance for both the gender subgroups(male adults:OR = 1.458,95%CI:1.221-1.742;female adults:OR = 1.343,95%CI:1.133 –1.591) and the age subgroups(aged 18-44 years:OR = 1.435,95%CI:1.129-1.825 and aged ≥ 45 years:OR = 1.410,95%CI:1.131-1.758);the results also indicated that compared with those with daily sleep duration of 7-< 8 hours,the adults with the daily sleep duration of ≥ 9 hours had an increased hypertension risk(OR = 1.204,95%CI:1.001-1.448)and the increased risk was much higher for the two subgroups of the adults(males:OR = 1.359,95%CI:1.035-1.784;the adults aged ≥ 45 years:OR = 1.355,95%CI:1.058-1.736).Conclusion Among the adults,problematic sleep may increase hypertension risk and excessive daily sleep duration is also associated with increased hypertension risk,especially in males and the adults aged 45 years and above.
作者
沈丹洋
马爱娟
谢瑾
董忠
SHEN Danyang;MA Aijuan;XIE Jin;DONG Zhong(Beijing Center for Disease Control and Prevention,Beijing 100013,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2024年第2期186-193,共8页
Chinese Journal of Public Health
关键词
睡眠
高血压
成年人
监测
北京
sleep
hypertension
adults
surveillance
Beijing
