2015年中国十五省老年人睡眠时长与高血压的关系  

Relationship between sleep duration and hypertension among elderly residents in 15 provinces of China in 2015

作　　者：朱冰[1] 方柯红 郝莉[1] 何宇纳 Zhu Bing;Fang Kehong;Hao Li;He Yuna(Hangzhou Center for Disease Control and Prevention,Hangzhou 310021,China;National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]杭州市疾病预防控制中心,杭州310021 [2]中国疾病预防控制中心营养与健康所,北京100050

出　　处：《卫生研究》2022年第6期947-952,共6页Journal of Hygiene Research

摘　　要：目的探究中国十五省(自治区、直辖市)60岁及以上居民睡眠时长与高血压的关系。方法以2015年“中国居民营养状况变迁的队列研究”为依托,采用分层多阶段整群随机抽样方法,选取提供完整的睡眠时长和血压诊断信息的4078名60岁及以上居民为研究对象。结果十五省(自治区、直辖市)60岁及以上居民的平均年龄为68.41岁,其中男性1915人,女性2163人,城镇1683人,农村2464人。睡眠时长充足(≥7 h/d且<9 h/d)2514人(61.64%),睡眠时长不足(<7 h/d)和过长(≥9 h/d)分别为688人(16.87%)和876人(21.48%),高血压患者人数为1861人(45.64%)。模型2多因素Logistic回归分析发现,在调整性别、年龄、文化程度和家庭月收入后,与睡眠时长充足相比,睡眠时长不足和过长发生高血压的风险性提高,其OR值分别为1.24(95%CI 1.03~1.51)和1.38(95%CI 1.15~1.65)。模型3在模型2的基础上调整了静坐时间、吸烟、饮酒和肥胖,与睡眠时长充足相比,睡眠时长不足和过长发生高血压的风险性均发生提高,OR值分别为1.27(95%CI 1.04~1.56)和1.40(95%CI 1.16~1.70)。结论中国十五省60岁及以上居民中睡眠时长不足或过长者发生高血压的风险升高。OBJECTIVE To explore the relationship between the duration of sleep and hypertension among residents aged 60 and above in 15 provinces of China.METHODS Based on the China Health and Nutrition Survey in 2015,4078 residents aged 60 and above who provided complete diagnostic information on sleep duration and blood pressure were selected as subjects by stratified multi-stage cluster random sampling.RESULTS The average age of participants aged 60 and above in 15 provinces was 68.41 years old,with 1915 were male,2163 were female,1683 urban participants and 2464 rural participants.After adjusting for gender,age,education,and economic confounding factors,Model 2 found that subjects who slept less than 7 h/d and those who slept more than 8 h /d had an increased risk of developing hypertension compared with therecommended sleep duration,the ORs were 1. 24 ( 95%CI 1. 03-1. 51) and 1. 38 ( 95%CI 1. 15-1. 65) . Adding the sitting time,smoking,drinking and obesity to the Model 2,compared with the recommended sleep duration,subjects who slept less than 7 h /d andthose who slept more than 9 h /d had an increased risk of hypertension. The ORs valueswere 1. 27 ( 95% CI 1. 04 - 1. 56) and 1. 40 ( 95% CI 1. 16- 1. 70) . CONCLUSIONThe proportion of the elder aged 60 and older who sleep less than 7 h /d or more than9 h /d has increased hypertension.

关 键 词：老年人 睡眠时长 高血压 

分 类 号：R195.4[医药卫生—卫生统计学] R181[医药卫生—卫生事业管理]