The association between bedtime at night and hypertension in adults.

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Yingjie Su, Ning Ding, Yang Zhou, Guifang Yang, Xiangping Chai
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引用次数: 0

Abstract

Objective: This research was conducted to explore the association between bedtime at night and the prevalence of hypertension in adults.

Methods: We conducted a cross-sectional study of 14,536 participants with data from the NHANES database. Bedtime was determined from the question in the sleep questionnaire: 'What time do you usually fall asleep on weekdays or workdays?.' Hypertension was defined as systolic blood pressure (SBP) ≥ 140 mmHg, or diastolic blood pressure (DBP) ≥ 90 mmHg, or having been told by a doctor to have high blood pressure, or taking antihypertensive medication. We conducted a weighted multiple logistic regression analysis to explore the relationship between bedtime at night and the prevalence of hypertension in adults.

Results: The association between bedtime and hypertension showed a significantly U-shaped relationship. People who went to bed at 23:00 had the lowest risk of developing hypertension (OR, 0.68 [95%CI, 0.58, 0.81]). This U-shaped association still existed in different genders. In males (n = 7159), the adjusted OR was still lowest at 23:00. However, the adjusted OR was lowest at 0:00 in females(n = 7377). The interaction effect between bedtime and gender was significant (P = 0.0187).

Conclusion: With the delay in bedtime, the association between bedtime and hypertension showed a significantly U-shaped relationship. Falling asleep at 23:00 has the lowest risk of developing hypertension.

成人夜间就寝时间与高血压的关系。
目的:探讨成人夜间就寝时间与高血压患病率的关系。方法:我们对14536名参与者进行了横断面研究,数据来自NHANES数据库。就寝时间是根据睡眠问卷中的问题确定的:“你通常在工作日或工作日的什么时间入睡?”高血压被定义为收缩压(SBP)≥140 mmHg,或舒张压(DBP)≥90 mmHg,或被医生告知有高血压,或服用抗高血压药物。我们采用加权多元logistic回归分析探讨夜间就寝时间与成人高血压患病率之间的关系。结果:就寝时间与高血压呈显著的u型关系。23:00就寝的人患高血压的风险最低(OR, 0.68 [95%CI, 0.58, 0.81])。这种u型关联在不同性别中仍然存在。在男性(n = 7159)中,调整后的OR仍在23:00时最低。然而,女性在0:00时调整后的OR最低(n = 7377)。就寝时间与性别间交互作用显著(P = 0.0187)。结论:随着就寝时间的推迟,就寝时间与高血压呈显著的u型关系。23:00入睡患高血压的风险最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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