Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study
Objectives To examine the relationship between sleep duration and hypertension of migrant workers aged 18–59 years in China.Design Population-based cross-sectional study using a complex survey sampling design.Participants There were 43 655 subjects in our analysis, after excluding people with missin...
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| Format: | Article |
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BMJ Publishing Group
2019-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/11/e031126.full |
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| author | Xiao Zhang Chun Li Yunqi Guan Mei Zhang Zhenping Zhao Zhengjing Huang Qian Xiao Limin Wang |
| author_facet | Xiao Zhang Chun Li Yunqi Guan Mei Zhang Zhenping Zhao Zhengjing Huang Qian Xiao Limin Wang |
| author_sort | Xiao Zhang |
| collection | DOAJ |
| description | Objectives To examine the relationship between sleep duration and hypertension of migrant workers aged 18–59 years in China.Design Population-based cross-sectional study using a complex survey sampling design.Participants There were 43 655 subjects in our analysis, after excluding people with missing information for key exposure and outcome variables and abnormal values for sleep duration (≤2 or ≥17 hours).Primary outcome measure Hypertension was defined as systolic blood pressure (BP) ≥140 mm Hg and/or diastolic BP ≥90 mm Hg, or self-reported history of hypertension diagnosis in hospitals at the township (community) level or above and use of hypertensive medicine in the last 2 weeks.Results Of 43 655 subjects, 15.6% (95% CI 15.1% to 16.1%) of migrant workers had hypertension. The prevalence of hypertension decreased with the increased sleep duration, both in males and females. Logistic regression models, using 7–8 hours sleep/day as the reference, showed a greater odds for hypertension among men and women who reported <6 hours of sleep after adjusting for sociodemographic characteristics, behavioural risk factors, body mass index, diabetes, stroke and myocardial infarction (men: OR 1.26; 95% CI 1.03 to 1.54, women: OR 1.55; 95% CI 1.13 to 2.06, pinteraction=0.096). Further stratified by age and migration time, it revealed that among adults less than 45 years old, those sleeping 9 or more hours had adjusted odds for hypertension of 0.82 (95% CI 0.72 to 0.93, pinteraction=0.020),while there was no evidence of an association between sleep duration and hypertension among adults aged 45–59 years. Among adults whose migration time was less than 4.5 years, those sleeping 9 or more hours had adjusted odds for hypertension of 0.80 (95% CI 0.68 to 0.94, pinteraction=0.097).Conclusion The association between sleep duration and hypertension varies by age. Short sleep duration (<6 hours) is associated with an increased prevalence of hypertension in both genders. |
| format | Article |
| id | doaj-art-e879591310c145ba8d36b47b1dc15f04 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e879591310c145ba8d36b47b1dc15f042024-11-30T17:40:12ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-031126Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance studyXiao Zhang0Chun Li1Yunqi Guan2Mei Zhang3Zhenping Zhao4Zhengjing Huang5Qian Xiao6Limin Wang7China International Neuroscience Institute (China-INI), Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, ChinaDepartment of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Pharmacology, Chinese PLA General Hospital, Beijing, ChinaepidemiologistepidemiologistDepartment of Colorectal Surgery and Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Chinaprofessor in epidemiologyObjectives To examine the relationship between sleep duration and hypertension of migrant workers aged 18–59 years in China.Design Population-based cross-sectional study using a complex survey sampling design.Participants There were 43 655 subjects in our analysis, after excluding people with missing information for key exposure and outcome variables and abnormal values for sleep duration (≤2 or ≥17 hours).Primary outcome measure Hypertension was defined as systolic blood pressure (BP) ≥140 mm Hg and/or diastolic BP ≥90 mm Hg, or self-reported history of hypertension diagnosis in hospitals at the township (community) level or above and use of hypertensive medicine in the last 2 weeks.Results Of 43 655 subjects, 15.6% (95% CI 15.1% to 16.1%) of migrant workers had hypertension. The prevalence of hypertension decreased with the increased sleep duration, both in males and females. Logistic regression models, using 7–8 hours sleep/day as the reference, showed a greater odds for hypertension among men and women who reported <6 hours of sleep after adjusting for sociodemographic characteristics, behavioural risk factors, body mass index, diabetes, stroke and myocardial infarction (men: OR 1.26; 95% CI 1.03 to 1.54, women: OR 1.55; 95% CI 1.13 to 2.06, pinteraction=0.096). Further stratified by age and migration time, it revealed that among adults less than 45 years old, those sleeping 9 or more hours had adjusted odds for hypertension of 0.82 (95% CI 0.72 to 0.93, pinteraction=0.020),while there was no evidence of an association between sleep duration and hypertension among adults aged 45–59 years. Among adults whose migration time was less than 4.5 years, those sleeping 9 or more hours had adjusted odds for hypertension of 0.80 (95% CI 0.68 to 0.94, pinteraction=0.097).Conclusion The association between sleep duration and hypertension varies by age. Short sleep duration (<6 hours) is associated with an increased prevalence of hypertension in both genders.https://bmjopen.bmj.com/content/9/11/e031126.full |
| spellingShingle | Xiao Zhang Chun Li Yunqi Guan Mei Zhang Zhenping Zhao Zhengjing Huang Qian Xiao Limin Wang Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study BMJ Open |
| title | Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study |
| title_full | Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study |
| title_fullStr | Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study |
| title_full_unstemmed | Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study |
| title_short | Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study |
| title_sort | association between sleep duration and hypertension of migrant workers in china a national cross sectional surveillance study |
| url | https://bmjopen.bmj.com/content/9/11/e031126.full |
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