Skip to main content
Top
Published in: Sleep and Breathing 4/2016

01-12-2016 | Epidemiology • Original Article

Short sleep duration is associated with increased risk of pre-hypertension and hypertension in Chinese early middle-aged females

Authors: Xun-ming Sun, Shun Yao, Shu-juan Hu, Zu-yun Liu, Ya-jun Yang, Zi-yu Yuan, Wei-min Ye, Li Jin, Xiao-feng Wang

Published in: Sleep and Breathing | Issue 4/2016

Login to get access

Abstract

Purpose

The aim of this study is to investigate the relationship between sleep duration and hypertension in a middle-aged Chinese population.

Methods

Cross-sectional data of 20,505 individuals aged 35–64 years from Taizhou longitudinal study was used. Logistic regression models were used to calculate odds ratios (ORs) for the risk of pre-hypertension and hypertension in association with sleep duration.

Results

Short sleep duration was associated with high systolic and diastolic blood pressure in comparison with sleep duration of 7–8 h in females. Short sleep duration was also associated with an increased risk of hypertension in females. Age-stratified analysis showed that as compared with sleep duration of 7–8 h, sleep duration <6 h increased risk of hypertension after controlling for multiple covariates with an OR of 1.766 (1.024–2.775) in early middle-aged females of 35–44 years. More importantly, sleeping less than 6 h is associated with increased risk of pre-hypertension in females of this age category, after controlling for multiple covariates with an OR of 1.769 (1.058–2.958).

Conclusions

Sleeping less than 6 h a day is associated with increased risk of pre-hypertension and hypertension in Chinese early middle-aged females. The high-risk populations require sufficient sleep, which could probably prevent the increased risk of pre-hypertension as well as hypertension.
Appendix
Available only for authorised users
Literature
2.
go back to reference Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, White IR, Caulfield MJ, Deanfield JE, Smeeth L, Williams B, Hingorani A, Hemingway H (2014) Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 125 million people. The Lancet 383(9932):1899–1911. doi:10.1016/s0140-6736(14)60685-1 CrossRef Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, White IR, Caulfield MJ, Deanfield JE, Smeeth L, Williams B, Hingorani A, Hemingway H (2014) Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 125 million people. The Lancet 383(9932):1899–1911. doi:10.​1016/​s0140-6736(14)60685-1 CrossRef
4.
go back to reference Xi B, Zhao X, Chandak GR, Shen Y, Cheng H, Hou D, Wang X, Mi J (2013) Influence of obesity on association between genetic variants identified by genome-wide association studies and hypertension risk in Chinese children. American journal of hypertension 26(8):990–996. doi:10.1093/ajh/hpt046 CrossRefPubMed Xi B, Zhao X, Chandak GR, Shen Y, Cheng H, Hou D, Wang X, Mi J (2013) Influence of obesity on association between genetic variants identified by genome-wide association studies and hypertension risk in Chinese children. American journal of hypertension 26(8):990–996. doi:10.​1093/​ajh/​hpt046 CrossRefPubMed
5.
go back to reference Fang J, Wheaton AG, Keenan NL, Greenlund KJ, Perry GS, Croft JB (2012) Association of sleep duration and hypertension among US adults varies by age and sex. American journal of hypertension 25(3):335–341. doi:10.1038/ajh.2011.201 CrossRefPubMed Fang J, Wheaton AG, Keenan NL, Greenlund KJ, Perry GS, Croft JB (2012) Association of sleep duration and hypertension among US adults varies by age and sex. American journal of hypertension 25(3):335–341. doi:10.​1038/​ajh.​2011.​201 CrossRefPubMed
6.
go back to reference Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D (2006) Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension 47(5):833–839. doi:10.1161/01.HYP.0000217362.34748.e0 CrossRefPubMed Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D (2006) Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension 47(5):833–839. doi:10.​1161/​01.​HYP.​0000217362.​34748.​e0 CrossRefPubMed
12.
go back to reference Stranges S, Dorn JM, Cappuccio FP, Donahue RP, Rafalson LB, Hovey KM, Freudenheim JL, Kandala N-B, Miller MA, Trevisan M (2010) A population-based study of reduced sleep duration and hypertension: the strongest association may be in premenopausal women. Journal of Hypertension 28(5):896–902. doi:10.1097/HJH.0b013e328335d076 CrossRefPubMed Stranges S, Dorn JM, Cappuccio FP, Donahue RP, Rafalson LB, Hovey KM, Freudenheim JL, Kandala N-B, Miller MA, Trevisan M (2010) A population-based study of reduced sleep duration and hypertension: the strongest association may be in premenopausal women. Journal of Hypertension 28(5):896–902. doi:10.​1097/​HJH.​0b013e328335d076​ CrossRefPubMed
13.
go back to reference Stranges S, Dorn JM, Shipley MJ, Kandala NB, Trevisan M, Miller MA, Donahue RP, Hovey KM, Ferrie JE, Marmot MG, Cappuccio FP (2008) Correlates of short and long sleep duration: a cross-cultural comparison between the United Kingdom and the United States: the Whitehall II Study and the Western New York Health Study. American journal of epidemiology 168(12):1353–1364. doi:10.1093/aje/kwn337 CrossRefPubMedPubMedCentral Stranges S, Dorn JM, Shipley MJ, Kandala NB, Trevisan M, Miller MA, Donahue RP, Hovey KM, Ferrie JE, Marmot MG, Cappuccio FP (2008) Correlates of short and long sleep duration: a cross-cultural comparison between the United Kingdom and the United States: the Whitehall II Study and the Western New York Health Study. American journal of epidemiology 168(12):1353–1364. doi:10.​1093/​aje/​kwn337 CrossRefPubMedPubMedCentral
16.
go back to reference Chalmers J, Comm GS (1999) 1999 World Health Organization—International Society of Hypertension guidelines for the management of hypertension. Clinical and Experimental Hypertension 21(5-6):1009–1060CrossRefPubMed Chalmers J, Comm GS (1999) 1999 World Health Organization—International Society of Hypertension guidelines for the management of hypertension. Clinical and Experimental Hypertension 21(5-6):1009–1060CrossRefPubMed
17.
go back to reference Tseng C-D, Yen AM-F, Chiu SY-H, Chen L-S, Chen H-H, Chang S-H (2012) A predictive model for risk of prehypertension and hypertension and expected benefit after population-based life-style modification (KCIS No. 24). American journal of hypertension 25(2):171–179CrossRefPubMed Tseng C-D, Yen AM-F, Chiu SY-H, Chen L-S, Chen H-H, Chang S-H (2012) A predictive model for risk of prehypertension and hypertension and expected benefit after population-based life-style modification (KCIS No. 24). American journal of hypertension 25(2):171–179CrossRefPubMed
18.
go back to reference Kuciene R, Dulskiene V (2014) Associations of short sleep duration with prehypertension and hypertension among Lithuanian children and adolescents: a cross-sectional study. BMC Public Health 14(1):255CrossRefPubMedPubMedCentral Kuciene R, Dulskiene V (2014) Associations of short sleep duration with prehypertension and hypertension among Lithuanian children and adolescents: a cross-sectional study. BMC Public Health 14(1):255CrossRefPubMedPubMedCentral
19.
go back to reference Knutson KLP, Van Cauter EP, Rathouz PJP, Yan LLP, Hulley SBMDMPH, Liu KP, Lauderdale DSP (2009) Association between sleep and blood pressure in midlife: The CARDIA Sleep Study. Archives of Internal Medicine 169(11):1055CrossRefPubMedPubMedCentral Knutson KLP, Van Cauter EP, Rathouz PJP, Yan LLP, Hulley SBMDMPH, Liu KP, Lauderdale DSP (2009) Association between sleep and blood pressure in midlife: The CARDIA Sleep Study. Archives of Internal Medicine 169(11):1055CrossRefPubMedPubMedCentral
20.
go back to reference Guo X, Zheng L Fau - Wang J, Wang J Fau - Zhang X, Zhang X Fau - Zhang X, Zhang X Fau - Li J, Li J Fau - Sun Y, Sun Y (2013) Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep Medicine 14(4):324–332 Guo X, Zheng L Fau - Wang J, Wang J Fau - Zhang X, Zhang X Fau - Zhang X, Zhang X Fau - Li J, Li J Fau - Sun Y, Sun Y (2013) Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep Medicine 14(4):324–332
21.
go back to reference Gangwisch, JE (2014) A review of evidence for the link between sleep duration and hypertension. Am J Hypertens 27(10):1235–42 Gangwisch, JE (2014) A review of evidence for the link between sleep duration and hypertension. Am J Hypertens 27(10):1235–42
23.
go back to reference Kario K, Schwartz JE, Pickering TG (2000) Changes of nocturnal blood pressure dipping status in hypertensives by nighttime dosing of α-Adrenergic blocker, Doxazosin: results from the HALT Study. Hypertension 35(3):787–794CrossRefPubMed Kario K, Schwartz JE, Pickering TG (2000) Changes of nocturnal blood pressure dipping status in hypertensives by nighttime dosing of α-Adrenergic blocker, Doxazosin: results from the HALT Study. Hypertension 35(3):787–794CrossRefPubMed
25.
go back to reference Lusardi P, Zoppi A, Preti P, Pesce RM, Piazza E, Fogari R (1999) Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study. American journal of hypertension 12(1):63–68CrossRefPubMed Lusardi P, Zoppi A, Preti P, Pesce RM, Piazza E, Fogari R (1999) Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study. American journal of hypertension 12(1):63–68CrossRefPubMed
27.
go back to reference Antonijevic IA, Murck H, Frieboes RM, Holsboer F, Steiger A (1999) On the gender differences in sleep-endocrine regulation in young normal humans. Neuroendocrinology 70(4):280–287CrossRefPubMed Antonijevic IA, Murck H, Frieboes RM, Holsboer F, Steiger A (1999) On the gender differences in sleep-endocrine regulation in young normal humans. Neuroendocrinology 70(4):280–287CrossRefPubMed
28.
go back to reference Boyd A, Van de Velde S, Vilagut G, de Graaf R, O′Neill S, Florescu S, Alonso J, Kovess-Masfety V (2015) Gender differences in mental disorders and suicidality in Europe: Results from a large cross-sectional population-based study. Journal of Affective Disorders 173:245–254. doi:10.1016/j.jad.2014.11.002 CrossRefPubMed Boyd A, Van de Velde S, Vilagut G, de Graaf R, O′Neill S, Florescu S, Alonso J, Kovess-Masfety V (2015) Gender differences in mental disorders and suicidality in Europe: Results from a large cross-sectional population-based study. Journal of Affective Disorders 173:245–254. doi:10.​1016/​j.​jad.​2014.​11.​002 CrossRefPubMed
29.
go back to reference de Graaf R, ten Have M, van Gool C, van Dorsselaer S (2012) Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2. Soc Psychiatry Psychiatr Epidemiol 47(2):203–213. doi:10.1007/s00127-010-0334-8 CrossRefPubMed de Graaf R, ten Have M, van Gool C, van Dorsselaer S (2012) Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2. Soc Psychiatry Psychiatr Epidemiol 47(2):203–213. doi:10.​1007/​s00127-010-0334-8 CrossRefPubMed
30.
go back to reference Harrell S, Davis D, Joint Committee on Chinese Studies (1993) Chinese families in the Post-Mao Era. University of California Press, Berkeley Harrell S, Davis D, Joint Committee on Chinese Studies (1993) Chinese families in the Post-Mao Era. University of California Press, Berkeley
Metadata
Title
Short sleep duration is associated with increased risk of pre-hypertension and hypertension in Chinese early middle-aged females
Authors
Xun-ming Sun
Shun Yao
Shu-juan Hu
Zu-yun Liu
Ya-jun Yang
Zi-yu Yuan
Wei-min Ye
Li Jin
Xiao-feng Wang
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Sleep and Breathing / Issue 4/2016
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-016-1392-2

Other articles of this Issue 4/2016

Sleep and Breathing 4/2016 Go to the issue

Sleep Breathing Physiology and Disorders • Letter to the Editors (Invited)

Probing the prevalence of central sleep apnea in patients with chronic kidney disease

Neurology • Original Article

Misdiagnosis of narcolepsy

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.