摘要
目的了解广东省成年居民睡眠情况与高血压患病的关系,为高血压的预防控制提供科学依据。方法收集2022年中国居民营养与健康状况监测项目中广东省11个监测点4982名≥18岁成年居民的相关调查数据。应用多因素非条件logistic回归模型分析广东省成年居民有无睡眠问题和睡眠时长与高血压患病的关系。结果广东省4982名成年居民中,无睡眠问题者2393人(49.41%),有睡眠问题者2589人(50.59%);睡眠时长不足者1084人(19.65%),睡眠时长充足者3168人(66.54%),睡眠时长过长者730人(13.81%);患高血压者1611例,复杂加权后高血压患病率为30.04%。在调整性别、年龄、文化程度、婚姻状况、居住地、是否现在吸烟、饮酒频次、身体活动情况、有无高血压家族史、体质量指数和是否中心型肥胖等混杂因素后,多因素非条件logistic回归分析结果显示,广东省成年居民有睡眠问题的高血压患病风险为无睡眠问题成年居民的1.237倍(OR=1.237,95%CI=1.122~1.364),成年居民≥60岁有睡眠问题的高血压患病风险为无睡眠问题成年居民的1.468倍(OR=1.468,95%CI=1.183~1.823);广东省成年居民睡眠时长过长的高血压患病风险为睡眠时长充足成年居民的1.228倍(OR=1.228,95%CI=1.046~1.442);女性成年居民睡眠时长过长的高血压患病风险为睡眠时长充足成年居民的1.340倍(OR=1.340,95%CI=1.006~1.786),≥60岁睡眠时长过长的成年女性居民高血压患病风险为睡眠时长充足成年居民的1.446倍(OR=1.446,95%CI=1.001~2.088)。结论广东省成年居民尤其是≥60岁居民有睡眠问题会增加高血压患病风险,睡眠时长过长亦会增加广东省成年居民尤其是女性和≥60岁居民的高血压患病风险。
Objective To explore the relationship between hypertension prevalence and sleep among adult residents in Guangdong province,providing scientific evidence for the control and prevention of hypertension.Methods Data were collected from 4982 adult residents aged≥18 years in 11 monitoring sites of Guangdong province in the 2022 Chinese Nutrition and Health Surveillance.The unconditional multivariate logistic regression model was employed to analyze the relationships of sleep problems and sleep duration with hypertension prevalence among adult residents in Guangdong province.Results Among the 4982 adult residents in Guangdong province,there were 2393(49.41%)residents without sleep problems and 2589(50.59%)residents with sleep problems.Among them,1084(19.65%),3168(66.54%),and 730(13.81%)residents had insufficient sleep,adequate sleep,and excessive sleep,respectively.There were 1611 residents with hypertension,and the complex weighted prevalence of hypertension was 30.04%.After adjusting confounding factors such as gender,age,educational background,marital status,place of residence,current smoking,frequency of alcohol consumption,physical activity,family history of hypertension,body mass index,and central obesity,the results of the unconditional multivariate logistic regression analysis showed that the risk of hypertension among adult residents with sleep problems in Guangdong province was 1.237 times(95%CI:1.122–1.364)that of adults without sleep problems.The risk of hypertension among adult residents aged≥60 years and with sleep problems in this province was 1.468 times(95%CI:1.183–1.823)that of those without sleep problems.The risk of hypertension among adult residents with excessive sleep was 1.228 times(95%CI:1.046–1.442)that of those with adequate sleep.For female adult residents with excessive sleep,the risk of hypertension was 1.340 times(95%CI:1.006–1.786)that of those with adequate sleep.For female adult residents aged≥60 years and with excessive sleep,the risk of hypertension was 1.446 times(95%CI:1.001–2.088)that of those with adequate sleep.Conclusions The risk of hypertension increased in adults with sleep problems in Guangdong province,especially in those aged≥60 years.Excessive sleep duration was also associated with increased risk of hypertension,especially in females and the adults aged≥60 years.
作者
蒋琦
纪桂元
黄盼盼
黄栩滨
洪晓敏
李嘉琪
闻剑
丁钢强
JIANG Qi;JI Guiyuan;HUANG Panpan;HUANG Xubin;HONG Xiaomin;LI Jiaqi;WEN Jian;DING Gangqiang(Guangdong Provincial Institute of Public Health,Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,China;Institute of Nutrition and Food Safety,Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,China;National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China)
出处
《中国公共卫生》
北大核心
2025年第12期1506-1510,共5页
Chinese Journal of Public Health
基金
广东省疾病预防控制中心人才支持项目(2023D336)。
关键词
高血压
睡眠问题
睡眠时长
成年居民
广东省
hypertension
sleep problems
sleep duration
adult residents
Guangdong province
