title: Association of Sleep Duration, Sleep Quality and Shift-Work Schedule in Relation to Hypertension Prevalence in Chinese Adult Males: A Cross-Sectional Survey.
abstract: Background:Previous studies indicated that measurement of sleep only by duration and quality may be biased. This study aimed to investigate the interactive association of self-reported sleep duration, quality and shift-work schedule with hypertension prevalence in Chinese adult males.Methods:A total of 4519 Chinese adult males (≥18 years) were enrolled into the cross-sectional survey. Sleep attributes were measured from the responses to the standard Pittsburgh Sleep Quality Index and relevant questions in a structured questionnaire survey. The association of sleep duration, quality and shift-work schedule with hypertension prevalence was analyzed using multivariate logistic regression, considering the interaction between them or not.Results:Taking the potential interaction of the three aspects of sleep into consideration, only short sleep duration combined with poor sleep quality was found to be related to hypertension prevalence in Chinese adult males (odds ratio (OR): 1.74, 95% confidence interval (CI): 1.31-2.31), which could be modified by occasional and frequent shift-work schedule (OR: 1.43, 95% CI: 1.05-1.95; OR: 1.97, 95% CI: 1.40-2.79).Conclusions:Short sleep duration was not associated with the prevalence of hypertension in Chinese adult males unless poor sleep quality exists, which could be further modified by shift-work schedule. Assessment of sleep by measuring sleep duration only was not sufficient when exploring the association of sleep with hypertension.
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China. lukai2013@foxmail.com.
authors.forename: Kai
authors.initials: K
authors.lastname: Lu
authors.affiliation: Department of Clinical Nutrition, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China. drchenjia@foxmail.com.
authors.forename: Jia
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Cardiology, Yong Chuan Hospital, Chongqing Medical University, Chongqing 400042, China. wangli514@sina.cn.
authors.forename: Li
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China. wangchangying04@163.com.
authors.forename: Changying
authors.initials: C
authors.lastname: Wang
authors.affiliation: Heart Center, Peking University People's Hospital, Beijing 100044, China. rongjingding@163.com.
authors.forename: Rongjing
authors.initials: R
authors.lastname: Ding
authors.affiliation: Kailuan General Hospital, Hebei United University, Tangshan 100816, China. drwushouling@163.com.
authors.forename: Shouling
authors.initials: S
authors.lastname: Wu
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China. dayihu2014@163.com.
authors.forename: Dayi
authors.initials: D
authors.lastname: Hu
mesh_terms: D000328:Adult; D044466:Asian People; D002681:China; D003430:Cross-Sectional Studies; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D057566:Self Report; D012890:Sleep / Q000502:physiology*; D020178:Sleep Disorders, Circadian Rhythm / Q000453:epidemiology* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: hypertension; shift-work schedule; sleep duration; sleep quality