午睡与血压相关性的流行病学调查  

Epidemiological study on the relationship between the siesta and blood pressure

作　　者：曹雅旻[1] 李丹[2] 李奎宝[3] 于华[4] 辛伟 苗德军[6] 安毅[2] 

机构地区：[1]解放军总医院心内科,北京100853 [2]青岛医学院附属医院心内科 [3]首都医科大学附属朝阳医院心脏中心 [4]青岛医学院附属心血管病医院心内科 [5]山东菏泽牡丹人民医院心内科 [6]解放军总医院干部处,北京100853

出　　处：《中华医学杂志》2016年第21期1699-1701,共3页National Medical Journal of China

摘　　要：目的 应用流行病学方法探讨午睡与血压的相关性.方法 从2011年3月1日至2013年6月30日,在山东青岛胶州地区采用分层、整群、随机、等比例的抽样方法,调查950人,建立数据库,使用STATA 12.0软件分析数据.采用等级相关方法（Spearman）分析午睡时间与血压/高血压的相关关系;采用多因素Logistic回归方法在调整年龄、性别、多体质指数（BMI）变量后,分析高血压与不同午睡时间/习惯的关系.结果 午睡时间与收缩压负相关（r=-0.18,P＜0.001）;与舒张压无关（r=-0.07,P=0.02）;与高血压患病率负相关（r=-0.22,P＜0.001）.午睡时间与高血压发病风险的多因素Logistic回归分析发现,年龄≥60岁,BMI＞25 kg/m^2以及不午睡是高血压相关危险因素.不同午睡习惯与高血压发病风险的多因素Logistic回归分析发现年龄≥60岁,BMI＞25kg/m^2以及一年四季均没有午睡习惯是高血压的相关危险因素,而只有夏季午睡对高血压患病率没有影响.结论 午睡与收缩压负相关,与舒张压无关,在总体上能够减少高血压患病率;年龄≥60岁,BMI＞ 25 kg/m^2以及一年四季都不午睡是高血压相关危险因素.推荐每天午睡,或者较长时间午睡可能会更利于收缩压血压的降低.Objective Use epidemiological approaches to investigate the correlation between the siesta and blood pressure.Method From March 1st,2011 to June 30th 2013,a total of 950 people were collected from East Jiaozhou Qingdao region using variable sampling methods including stratified method,the entire group method,random and proportional methods.Medical professionals conducted a person-to-person survey,collecting the data and inputting it into computers,after which a database was established using STATA 12.0.We analyzed the correlation between the siesta time and blood pressure/hypertension by using rank correlation method （Spearman）.Logistic regression method was used to analyze the relationship between high blood pressure and different time and habit of the siesta after adjusting age,sex and BMI.Results There was a negative correlation between the time of siesta and the systolic pressure with r =-0.18,P 〈0.001;there was no relationship between the time of siesta and the diastolic pressure with r =-0.07,P =0.02;also,there is a negative correlation between the time of siesta and the hypertension morbidity,with r =-0.22,P 〈0.001.In the Logistic regression analysis about the period of time to take a nap and the risk of hypertension,it was found that the relative risk factors for hypertension were more than 60-year-old,BMI 〉 25 kg/m^2 and no siesta habits.Conclusions The time of siesta is negatively correlated to the systolic pressure,rather than the diastolic pressure,and it can generally reduce the incidence of hypertension.The relative risk factors of hypertension are more than 60-year-old,BMI 〉 25 kg/m^2 and no siesta habits in all four seasons.We recommend that take a nap a day,or it might be even better for systolic blood pressure to take longer siesta.

关 键 词：午睡 年龄 体质指数 高血压病 

分 类 号：R544.1[医药卫生—心血管疾病]