BMI、腰围与睡眠质量对成年人高血压患病风险的联合作用

  目的  探讨成年人BMI、腰围与睡眠质量的联合作用对高血压患病风险的影响。  方法  采用便利抽样法，于2020年10月12日―2020年12月18日对十堰市3 195名成年居民进行问卷调查。采用Logistic回归分析模型分析BMI、腰围与睡眠质量对高血压患病的联合作用。  结果  高血压患病率为18.22%。多因素Logistic回归分析模型分析显示，以BMI正常且睡眠质量好的组为对照组，体重过轻且睡眠质量好的组、超重且睡眠质量好的组、全身型肥胖且睡眠质量好的组、体重过轻且睡眠质量差的组、BMI正常且睡眠质量差的组、超重且睡眠质量差的组、全身型肥胖且睡眠质量差的组高血压患病风险分别是对照组的4.049倍、1.172倍、4.625倍、4.581倍、1.166倍、5.476倍和8.230倍。以腰围正常且睡眠质量好的组为对照组，腹型肥胖且睡眠质量好的组、腰围正常且睡眠质量差的组、腹型肥胖且睡眠质量差的组高血压患病风险分别是对照组的4.017倍、3.074倍和7.495倍。  结论  睡眠质量差和全身型肥胖或腹型肥胖共存会增加高血压的患病风险，提示睡眠质量差的人群控制BMI和腰围有利于高血压的预防。

The combined effects of BMI,waist circumference,and sleep quality on the prevalence of hyper-tension in adults

  Objective  To evaluate the combined effects of BMI, waist circumference (WC) and sleep quality on the prevalence of hypertension in adults.  Methods  A questionnaire survey was conducted among 3 195 adult residents in Shiyan City from October to December, 2020 by convenience sampling method. The Logistic regression model was used to estimate the combined effects of BMI, WC and sleep quality on hypertension prevalence.  Results  The prevalence of hypertension was 18.22%. Multivariate Logistic regression analysis showed that compared to those with normal BMI/good sleep quality, the subgroup with BMI < 18.5kg/m2/good sleep quality (OR=4.049), with overweight/good sleep quality (OR=1.172), with general obesity/good sleep quality (OR=4.625), with BMI < 18.5kg/m2/poor sleep quality (OR=4.581), with normal BMI/poor sleep quality (OR=1.166), with overweight/poor sleep quality (OR=5.476), and with general obesity/poor sleep quality (OR=8.230) had increased the risk of hypertension. In addition, compared to those with normal WC/good sleep quality, the subgroup with abdominal obesity/good sleep quality (OR=4.017), with normal WC/poor sleep quality (OR=3.074), and with abdominal obesity/poor sleep quality (OR=7.495) also had increased the risk of hypertension.  Conclusion  The co-existence of poor sleep quality and general or abdominal obesity increase the risk of hypertension, suggesting that the control of BMI and WC in people with poor sleep quality is beneficial to the prevention of hypertension.