失眠与客观睡眠时间短和高血压风险之间关系的荟萃分析

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Yanyuan Dai , Alexandros N. Vgontzas , Le Chen , Dandan Zheng , Baixin Chen , Julio Fernandez-Mendoza , Maria Karataraki , Xiangdong Tang , Yun Li
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引用次数: 0

摘要

这项荟萃分析的目的是通过横断面研究和纵向研究,分别探讨客观睡眠时间短的失眠症(ISSD)与高血压患病率和发病率之间的关系。数据收集自 6 项横断面研究和 2 项纵向研究,前者有 5914 名参与者,后者有 1963 名参与者。通过对个别研究的调整数据进行荟萃分析,计算出了高血压患病率(ORs)和高血压发病风险比(RRs)。与睡眠时间客观正常(NNSD)的正常睡眠者相比,ISSD与较高的高血压患病风险比(Pooled OR = 2.67, 95%CI = 1.45-4.90)和高血压发病风险比(Pooled RR = 1.95, 95%CI = 1.19-3.20)显著相关。与睡眠时间客观正常的失眠症患者相比,ISSD患者的高血压发病率汇总OR值(汇总OR值=1.94,95%CI=1.29-2.92)和高血压发病率汇总RR值(汇总RR值=2.07,95%CI=1.47-2.90)分别显著较高。此外,与NNSD相比,客观睡眠时间短的正常睡眠者与高血压发病率(汇总OR = 1.21,95%CI = 0.84-1.75)或高血压事件(汇总RR = 0.97,95%CI = 0.81-1.17)均无关联。我们的研究结果表明,ISSD是一种与较高的高血压风险相关的更严重的障碍表型。客观短睡眠时间可能是失眠对心血管健康影响的一个有效且临床有用的指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A meta-analysis of the association between insomnia with objective short sleep duration and risk of hypertension

The aim of this meta-analysis was to examine the association between insomnia with objective short sleep duration (ISSD) with prevalent and incident hypertension in cross-sectional and longitudinal studies, respectively. Data were collected from 6 cross-sectional studies with 5914 participants and 2 longitudinal studies with 1963 participants. Odds ratios (ORs) for prevalent and risk ratios (RRs) for incident hypertension were calculated through meta-analyses of adjusted data from individual studies. Compared to normal sleepers with objective normal sleep duration (NNSD), ISSD was significantly associated with higher pooled OR for prevalent hypertension (pooled OR = 2.67, 95%CI = 1.45–4.90) and pooled RR for incident hypertension (pooled RR = 1.95, 95%CI = 1.19–3.20), respectively. Compared to insomnia with objective normal sleep duration, ISSD was associated with significantly higher pooled OR of prevalent hypertension (pooled OR = 1.94, 95%CI = 1.29–2.92) and pooled RR for incident hypertension (pooled RR = 2.07, 95%CI = 1.47–2.90), respectively. Furthermore, normal sleepers with objective short sleep duration were not associated with either prevalent (pooled OR = 1.21, 95%CI = 0.84–1.75) or incident (pooled RR = 0.97, 95%CI = 0.81–1.17) hypertension compared to NNSD. Our findings suggest that ISSD is a more severe phenotype of the disorder associated with a higher risk of hypertension. Objective short sleep duration might be a valid and clinically useful index of insomnia's impact on cardiovascular health.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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