The effect of sleep duration and sleep quality on hypertension in middle-aged and older Chinese: the Dongfeng-Tongji Cohort Study

Wang, Dongming; Zhou, Yun; Guo, Yanjun; Zhang, Runbo; Li, Wenzhen; He, Meian; Zhang, Xiaomin; Guo, Huan; Yuan, Jing; Wu, Tangchun; Chen, Weihong

doi:10.1016/j.sleep.2017.09.024

Cited by 26 publications

(29 citation statements)

References 47 publications

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“…Participants were classified into three groups: good sleep quality, impaired sleep quality and poor sleep quality. 26 A global score <5 indicated that participants had a good sleep at night, such as (1) falling asleep within half an hour; (2) hardly ever waking up during sleep at night; and (3) feeling energetic in the daytime. Poor sleep quality was defined as participants who had more severe problems in sleep.…”

Section: Methodsmentioning

confidence: 99%

“…28 Additionally, we assessed the nonlinear relationship between sleep duration and hyperlipidemia using restricted cubic splines with four knots at percentiles 5, 35, 65 and 95% of the distribution in both cross-sectional and longitudinal analyses, with 7 h as the reference group. Covariates were selected based on published literatures, 26 including gender, age, BMI, education, marital status, shift work, smoking status, drinking status, physical activity, occupational noise, life stress, family history of hyperlipidemia, chronic diseases history (diabetes mellitus, myocardial infarction and stroke), systolic pressure, medications (hypnotics, diuretic and hormonal drugs), snoring, tea consumption and coffee consumption. All statistical analyses were performed using SAS 9.4 software (SAS Institute, Cary, NC), and a two-sided p -value < 0.05 was regarded as statistically significant.…”

Section: Methodsmentioning

confidence: 99%

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Association between sleep duration, sleep quality and hyperlipidemia in middle-aged and older Chinese: The Dongfeng–Tongji Cohort Study

Wang

Chen

Zhou

et al. 2019

Eur J Prev Cardiolog

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Aims This study aimed to evaluate the relationship between sleep duration, sleep quality and hyperlipidemia in middle-aged and older Chinese. Methods We included 20,712 individuals at baseline from September 2008 to June 2010, and they were followed-up until October 2013. Hyperlipidemia was defined according to the Chinese guidelines on the prevention and treatment of dyslipidemia in adults. Sleep duration was self-reported and sleep quality was evaluated with a questionnaire that was designed according to the Pittsburgh Sleep Quality Index. Logistic regression and Cox proportional hazard models were conducted to explore the associations. Results In the cross-sectional analyses, longer sleep duration (≥10 h) was significantly associated with higher prevalence of hyperlipidemia (odds ratio (OR) = 1.17, 95% confidence interval (CI) = 1.02–1.35) after adjusting for potential confounders. The ORs of hyperlipidemia were significantly elevated among participants with impaired sleep quality (OR = 1.14, 95% CI = 1.08–1.22) and poor sleep quality (OR = 1.20, 95% CI = 1.08–1.34) when compared to those with good sleep quality. In the longitudinal analyses, compared to participants with a sleep duration of 7–<8 h, those with a sleep duration of 9–<10 h (hazard ratio (HR) = 1.19, 95% CI = 1.04–1.35) and ≥10 h (HR = 1.27, 95% CI = 1.02–1.58) showed significantly higher risk of hyperlipidemia after adjusting for potential confounders. However, no statistically significant association was found between impaired or poor sleep quality and hyperlipidemia. Conclusions Longer sleep duration was significantly associated with higher risk of hyperlipidemia. Impaired or poor sleep quality were associated with elevated prevalence of hyperlipidemia, but not with the incidence of hyperlipidemia.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Association between sleep duration, sleep quality and hyperlipidemia in middle-aged and older Chinese: The Dongfeng–Tongji Cohort Study

Wang

Chen

Zhou

et al. 2019

Eur J Prev Cardiolog

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“…Sleep is crucial for human mood, memory, endocrine and immune system functions, and cognition [9][10][11][12][13][14]. Poor sleep quality, sleep disorders, and/or inadequate sleep duration are considered to be triggers for the development of hypertension [15], diabetes [16], obesity [17], cardiovascular disease [18], and increased mortality [19]. AR has been shown to be an important factor in altered sleep patterns in previous studies [7].…”

Section: Introductionmentioning

confidence: 99%

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

et al. 2020

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This systematic review and meta-analysis examines the associations of allergic rhinitis with sleep duration and sleep impairment. Observational studies published before August 2019 were obtained through English language literature searches in the PubMed, Embase, and CINAHL databases. Mean differences and odds ratios with 95% confidence intervals were extracted and used for meta-analysis. Heterogeneity was confirmed by the I 2-heterogeneity test. Subgroup analysis was conducted to evaluate the influence of study design. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to determine the level of evidence. In total, 2544 records were identified through database searches; 914 duplicate records were excluded, 1452 records were removed after screening of titles and abstracts, 151 records were excluded after full-text screening, and 27 articles were included in the final meta-analyses. A total of 240,706,026 patients (19,444,043 with allergic rhinitis) were considered. No significant difference in sleep duration between the allergic rhinitis and the control groups was found. Patients with allergic rhinitis presented with significantly higher sleep quality scores, sleep disturbances scores, and sleep latency scores; more frequent use of sleep medications; and lower sleep efficiency as measured by the Pittsburgh Sleep Quality Index and polysomnography. Meta-analyses for adjusted odds ratios showed that allergic rhinitis was also associated with higher risks of nocturnal dysfunctions, including insomnia, nocturnal enuresis, restless sleep, sleep-disordered breathing, obstructive sleep apnea, and snoring. Meta-analysis for adjusted odds ratio also showed that allergic rhinitis was associated with daytime dysfunction, including difficulty waking up, daytime sleepiness, morning headache, and the use of sleep medications. The overall quality of evidence ranged from low to very low, indicating that caution is required when interpreting these results. This study demonstrates that there is a significant association of AR with sleep characteristics.

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“…Socioeconomic status was evaluated based on the average monthly individual income. Current smoking was defined as smoking one or more cigarette per day for sequential or cumulative over a 6-month period (20). Current drinking was defined as consuming alcohol at least 12 times per year (8).…”

Section: Assessment Of Potential Covariatesmentioning

confidence: 99%

The Association of Body Fat Percentage With Hypertension in a Chinese Rural Population: The Henan Rural Cohort Study

Tian

Wang³

et al. 2020

Front. Public Health

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Background: Obesity is an important risk factor for hypertension. Previous studies have explored the association between body fat percentage (BFP) and hypertension, but evidence on the consistency of the association remains uncertain and limited. The aim of this study was to explore the relationship between BFP and hypertension in a Chinese rural population. Methods: The present cross-sectional study including 38,913 eligible individuals was conducted in rural areas of Henan province. BFP was measured by bioelectrical impedance methods using Omron body fat and weight measurement device. Logistic regression models and restricted cubic spline regression models were performed to investigate the relationship between BFP and hypertension. Receiver operating characteristic (ROC) analyses were used to compare the discriminating power of adiposity indices. Results: The age-standard prevalence of hypertension was 23.74 and 17.87% in males and females, respectively. Compared with the first quartile of BFP, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for hypertension in the highest BFP quartile were 3.30 (95% CI: 2.85, 3.83) in males and 2.66 (95% CI: 2.36, 2.99) in females, and the adjusted ORs increased along with increasing BFP levels. The areas under ROC and 95% CIs of BFP were 0.673 (0.665, 0.682) in males and 0.696 (0.689, 0.703) in females, respectively. Conclusions: BFP was significantly positively associated with the prevalence of hypertension in both males and females in the Chinese rural population. Controlling of body fat should be emphasized in rural areas of China.

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The effect of sleep duration and sleep quality on hypertension in middle-aged and older Chinese: the Dongfeng-Tongji Cohort Study

Cited by 26 publications

References 47 publications

Association between sleep duration, sleep quality and hyperlipidemia in middle-aged and older Chinese: The Dongfeng–Tongji Cohort Study

Association between sleep duration, sleep quality and hyperlipidemia in middle-aged and older Chinese: The Dongfeng–Tongji Cohort Study

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

The Association of Body Fat Percentage With Hypertension in a Chinese Rural Population: The Henan Rural Cohort Study

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