陕西省成人睡眠时间及质量与高血压的关联研究  

Association between duration and quality of sleep with hypertension among adults in Shaanxi

作　　者：武萌 王维华[1] 飒日娜[1] 刘蓉[1] 王艳平 胡志平[1] 徐亚陇 邱琳[1] WU Meng;WANG Wei-hua;SA Ri-na;LIU Rong;WANG Yan-ping;HU Zhi-ping;XU Ya-long;QIU Lin(Shaanxi Provincial Center for Disease Control and Prevention,Xi’an,Shaanxi 710054,China)

机构地区：[1]陕西省疾病预防控制中心慢性非传染性疾病预防控制所,陕西西安710054

出　　处：《现代预防医学》2023年第4期762-768,共7页Modern Preventive Medicine

基　　金：陕西省2021年重点研发计划项目(2021SF-325)。

摘　　要：目的探讨陕西省成年人睡眠时间和睡眠质量与高血压之间的关联。方法运用2018年陕西省成人慢性病及其危险因素监测数据,纳入18岁及以上常住居民6202人,通过问卷调查和体格检查方式收集信息。采用SPSS 25.0软件对高血压患病指标进行加权调整。睡眠时间、睡眠质量及二者组合对高血压患病的影响采用多因素logistic回归模型分析。结果陕西省成年人高血压患病率为31.92%。多因素logistic回归分析结果显示,与睡眠时间6~8 h/d组相比,睡眠时间<6 h/d组高血压患病OR(95%CI)为1.23(1.02~1.49)。与睡眠质量良好组相比,睡眠质量较差组高血压患病OR(95%CI)为1.20(1.05~1.38)。亚组分析显示,与睡眠时间6~8 h/d组相比,女性睡眠时间<6 h/d组高血压患病OR(95%CI)为1.33(1.04~1.71)。与睡眠质量良好组相比,男性睡眠质量较差组高血压患病OR(95%CI)为1.25(1.03~1.52)。将睡眠时间和睡眠质量组合后,与睡眠时间6~8 h/d且睡眠质量良好组相比,睡眠时间<6 h/d且睡眠质量较差组和睡眠时间>8 h/d且睡眠质量较差组高血压患病OR(95%CI)分别为1.52(1.21~1.90)和1.39(1.13~1.71)。结论睡眠时间异常和睡眠质量较差对高血压患病存在联合效应。Objective To explore the relationship between sleep duration,sleep quality and hypertension among adults in Shaanxi Province.Methods Based on the surveillance data of adult chronic diseases and their risk factors in Shaanxi Province in 2018,6202 permanent residents aged 18 and above were included,and information was collected by means of questionnaires and physical examinations.The prevalence of hypertension was weighted by SPSS 25.0 software.The effects of sleep duration,sleep quality and their combination on hypertension were analyzed by the multivariate logistic regression model.Results The prevalence of hypertension among adults in Shaanxi Province was 31.92%.The results of multivariate logistic regression analysis showed that the OR(95%CI)for the prevalence of hypertension in the sleep duration<6h/d group was 1.23(95%CI:1.02-1.49)compared with those of sleep duration<6 h/d group.The OR(95%CI)for the prevalence of hypertension in the poor sleep quality group was 1.20(95%CI:1.05-1.38)compared to the good sleep quality group.Subgroup analyses showed that compared with the 6-8 h/d group,the OR(95%CI)of hypertension in sleep duration<6 h/d group was 1.33(95%CI:1.04-1.71)in the female.Compared with the good sleep quality group,the OR(95%CI)of hypertension in the poor sleep quality group was 1.25(1.03-1.52)in male.After combining sleep duration and sleep quality,compared with 6-8 h/d and good sleep quality group,the OR(95%CI)of hypertension in sleep duration<6 h/d and poor sleep quality group and sleep duration>8h/d and poor sleep quality group were 1.52(95%CI:1.21-1.90)and 1.39(95%CI:1.13-1.71),respectively.Conclusion There was a combined effect of abnormal sleep duration and poor sleep quality on the prevalence of hypertension.

关 键 词：睡眠时间 睡眠质量 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]