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Int. J. Environ. Res. Public Health 2015, 12(1), 488-503; doi:10.3390/ijerph120100488

Association between Self-Reported Global Sleep Status and Prevalence of Hypertension in Chinese Adults: Data from the Kailuan Community

Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Heart Center, Peking University People's Hospital, No.11 South Xizhimen Avenue, Beijing 100044, China
Department of Education and Science, China Medical Association, Beijing 100044, China
Department of Cardiology, The Kailuan General Hospital, Hebei United University, No.57, East Xinhua Avenue, Tangshan 063001, China
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 30 September 2014 / Accepted: 24 December 2014 / Published: 7 January 2015
View Full-Text   |   Download PDF [720 KB, uploaded 7 January 2015]


Background: Assessment of sleep only by sleep duration is not sufficient. This cross-sectional study aimed to investigate the potential association of self-reported global sleep status, which contained both qualitative and quantitative aspects, with hypertension prevalence in Chinese adults. Methods: A total of 5461 subjects (4076 of them were male) were enrolled in the current study and were divided into two groups with the age of 45 years as the cut-off value. Sleep status of all subjects was assessed using the standard Pittsburgh Sleep Quality Index (PSQI). Hypertension was defined as blood pressure ≥140/90 mmHg in the current study. Results: After adjusting for basic cardiovascular characteristics, the results of multivariate logistic regression indicated that sleep status, which was defined as the additive measurement of sleep duration and sleep quality, was associated with hypertension prevalence in males of both age groups (odds ratio (OR) = 1.11, 95% confidence interval (CI), 1.07–1.15, p < 0.05; OR = 1.12, 95% CI, 1.08–1.15, p < 0.05) and in females aged ≤45years (OR = 1.10, 95% CI, 1.02–1.18, p < 0.05). As one component of PSQI, short sleep duration was associated with hypertension prevalence only in Chinese male subjects, but this association disappeared after the further adjustment of the other components of PSQI that measured the qualitative aspect of sleep. Conclusion: Association between sleep status and hypertension prevalence in Chinese adults varied by age and sex. Sleep should be measured qualitatively and quantitatively when investigating its association with hypertension. View Full-Text
Keywords: hypertension; sleep status; sleep quality; sleep duration hypertension; sleep status; sleep quality; sleep duration
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Lu, K.; Ding, R.; Tang, Q.; Chen, J.; Wang, L.; Wang, C.; Wu, S.; Hu, D. Association between Self-Reported Global Sleep Status and Prevalence of Hypertension in Chinese Adults: Data from the Kailuan Community. Int. J. Environ. Res. Public Health 2015, 12, 488-503.

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