中国10个地区成年人午睡行为特征及其与慢性病的相关性分析  

Characteristics of daytime napping and its correlation with chronic diseases in Chinese adults

作　　者：温俏睿 朱蕴卿 吕筠[1,2] 郭彧 裴培 杨玲[4,5] 杜怀东[4,5] 陈怡平[4,5] 陈君石 余灿清[1,2] 陈铮鸣[5] 李立明[1,2] Wen Qiaorui;Zhu Yunqing;Lyu Jun;Guo Yu;Pei Pei;Yang Ling;Du Huaidong;Chen Yiping;Chen Junshi;Yu Canqing;Chen Zhengming;Li Liming(Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing 100191,China;Peking University Center for Public Health and Epidemic Preparedness&Response,Beijing 100191,China;Fuwai Hospital,Chinese Academy of Medical Sciences,National Center for Cardiovascular Diseases,Beijing 100037,China;Nuffield Department of Population Health,Center for Clinical and Epidemiological Studies,University of Oxford,Oxford OX37LF,UK;Clinical Trial Service Unit and Epidemiological Studies Unit,Nuffield Department of Population Health,University of Oxford,Oxford OX37LF,UK;China National Center for Food Safety Risk Assessment,Beijing 100022,China)

机构地区：[1]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [2]北京大学公众健康与重大疫情防控战略研究中心,北京100191 [3]中国医学科学院阜外医院/国家心血管病中心,北京100037 [4]英国牛津大学医学研究委员会人口健康研究组,牛津OX37LF [5]英国牛津大学临床与流行病学研究中心纳菲尔德人群健康系,牛津OX37LF [6]国家食品安全风险评估中心,北京100022

出　　处：《中华流行病学杂志》2022年第12期1869-1874,共6页Chinese Journal of Epidemiology

基　　金：国家自然科学基金(81941018,91846303,91843302);国家重点研发计划(2016YFC0900500,2016YFC0900501,2016YFC0900504);中国香港Kadoorie Charitable基金。

摘　　要：目的描述中国慢性病前瞻性研究(CKB)10个地区人群午睡行为的分布特征,探索我国成年人午睡习惯与主要慢性病的关系。方法剔除基线调查时自报患有肿瘤的个体后,采用logistic回归描述调查对象午睡习惯的地区和年龄分布,分析午睡习惯与糖尿病、高血压、冠心病、脑卒中、慢性阻塞性肺疾病和慢性肝病的相关性。结果共纳入510145名研究对象,其中39.9%有夏季午睡习惯,20.8%有常年午睡习惯。夏季午睡和常年午睡的分布存在城乡差异,农村地区及苏州市项目点以夏季午睡为主,比例在32.9%~73.3%之间;海口市和柳州市常年午睡率较高,分别为60.4%和63.3%。常年午睡比例随年龄增加而增加(趋势P<0.001),以70岁组最高(31.9%)。夏季午睡与患糖尿病、高血压、冠心病及慢性肝病呈正相关,OR值(95%CI)分别为1.10(1.07~1.14)、1.03(1.02~1.05)、1.07(1.02~1.12)和1.07(1.00~1.14),常年午睡与糖尿病、高血压、冠心病、脑卒中、慢性阻塞性肺疾病及慢性肝病均呈正相关,OR值(95%CI)分别为1.33(1.29~1.37)、1.11(1.09~1.13)、1.39(1.33~1.45)、1.33(1.26~1.41)、1.12(1.08~1.16)和1.27(1.18~1.37)。结论CKB项目的人群在午睡习惯上存在地区及年龄差异,午睡与主要慢性疾病呈正相关,且常年午睡与慢性病相关性更高。Objective To describe the prevalence of daytime nap habit in participants of the China Kadoorie Biobank(CKB)study,across 10 study regions and explore its correlation with prevalence of major chronic diseases.Methods Participants with a self-reported pre-diagnosis of any cancer at baseline survey were excluded.Logistic regression models were used to analyze the differences in study regions and age distribution of the prevalence daytime nap habit,and its correlation with the prevalence of diabetes,hypertension,coronary heart disease(CHD),stroke,chronic obstructive pulmonary disease(COPD),and chronic liver diseases.Results Among 510145 participants,39.9%had daytime nap habit in summer and 20.8%had daytime nap habit all the year round.Urban-rural differences were observed in the prevalence of summer nap habit and perennial nap habit.Daytime nap in summer was common in rural areas and Suzhou,with prevalence ranged from 32.9%to 73.3%.Haikou and Liuzhou had higher prevalence of perennial nap(60.4%and 63.3%).The proportion of people with daytime nap habit all the year round increased with age(P for trend<0.001),the proportion was highest in those aged 70-years(31.9%).Daytime nap habit in summer was positively correlated with the prevalence of diabetes,hypertension,CHD and chronic liver disease with OR of 1.10(95%CI:1.07-1.14),1.03(95%CI:1.02-1.05),1.07(95%CI:1.02-1.12)and 1.07(95%CI:1.00-1.14),respectively.Daytime nap habit all the year round was positively correlated with the prevalence of diabetes,hypertension,CHD,stroke,COPD and chronic liver disease with OR of 1.33(95%CI:1.29-1.37),1.11(95%CI:1.09-1.13),1.39(95%CI:1.33-1.45),1.33(95%CI:1.26-1.41),1.12(95%CI:1.08-1.16)and 1.27(95%CI:1.18-1.37)respectively.Conclusion There were regional and age differences in prevalence of daytime nap habit among CKB participants.Daytime nap habit,especially daytime nap habit all the year round,was positively correlated with the prevalence of major chronic diseases.

关 键 词：午睡 地区差异 年龄差异 慢性病 

分 类 号：R195.4[医药卫生—卫生统计学]