农村中老年人群睡眠特征与高血压关联的横断面研究

目的 通过横断面研究,探讨农村中老年人群睡眠特征与高血压的关联.方法 招募丰县12个村资料完整的429例居民进行人口学特征、疾病史和生活行为习惯、睡眠特征等调查,并进行身高、体质量、血压等体格检查.结果 总人群高血压患病率为47.6％(204/429),其中43.8％(149/340)睡眠质量较差,18.1％(76/4...

A cross-sectional study on the association between sleep characteristics and hypertension in middle-aged and elderly rural population

Objective To investigate the relationship between sleeping characteristics and hypertension in the middle-age and elderly rural population by a cross-sectional study.Methods A total of 429 villagers from 12 villages of Feng County were recruited and an epidemiological survey was conducted with questionnaire and physical examinations,including demographic characteristics,history of disease,living habits,sleep characteristics,height,weight,blood pressure and so on.Results The prevalence rate of hypertension in the whole population was 47.6%(204/429),with 43.8%(149/340)presenting with poor sleep quality,18.1%(76/421)presenting with sleep duration less than 6 h.After adjusting for confounding factors,the individuals who presented with poor sleep quality,moderate subjective sleep quality,poor subjective sleep quality,sleep latency score of 3,sleep duration less than 6 h showed a high risk of hypertension(OR=1.735,1.761,2.495,2.061,1.980 respectively).The associations between sleep characteristics and hypertension in the whole study population were also found among females,>65 years,and overweight population.In addition,among overweight population,sleep efficiency<75%was associated with higher risk of hypertexion compared with sleep officiency≥85%(OR=2.287).Conclusions It is necessary to attach importance to the effect of sleep quality on hypertension and the hypertension management among the elderly population,and individualized interventions should be conducted regarding to different age,gender and weight.