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Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
International Journal of Hypertension ( IF 1.9 ) Pub Date : 2021-11-30 , DOI: 10.1155/2021/7028942
Ningjing Qian 1 , Dandan Yang 1 , Huajun Li 1 , Siyin Ding 1 , Xia Yu 1 , Qingqiu Fan 1 , Zhebin Yu 2 , Shenfeng Ye 1 , Hualiang Yu 3 , Yaping Wang 1 , Xiaohong Pan 1
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Few studies have considered psychosocial characteristics when investigating the associations between sleep duration and blood pressure (BP). In this study, we took propensity score matching (PSM) to adjust for psychosocial characteristics when comparing BP between individuals with short sleep duration and those with normal sleep duration. A total of 429 participants were included. 72 participants with sleep duration ≤6 h and 65 participants with sleep duration >6 h were matched after PSM. We compared office BP, 24-hour BP, and prevalence of hypertension in the populations before and after PSM, respectively. In the unmatched population, participants with sleep duration ≤6 h were observed with higher office diastolic BP (DBP) and 24-h systolic BP (SBP)/DBP (all ). In the matched populations, the differences between the two groups (sleep duration ≤6 h vs. sleep duration >6 h) in office DBP (88.4 ± 10.9 vs. 82.5 ± 11.1 mm Hg; ), 24-h SBP (134.7 ± 12.0 vs. 129.3 ± 11.6 mm Hg; ), and 24-h DBP (83.4 ± 9.9 vs. 78.1 ± 10.1 mm Hg; ) become more significant. Participants with sleep duration ≤6 h only show higher prevalence of hypertension based on 24-h BP data, while analysis after PSM further revealed that these with sleep duration ≤6 h presented about 20% higher prevalence of elevated BP up to office diagnosed hypertension threshold. Therefore, psychosocial characteristics accompanied with short sleep duration should be fully valued in individuals at risks for elevated BP. This trial is registered with NCT03866226.

中文翻译:

在调查睡眠时间短的患者的血压时考虑社会心理因素:倾向评分匹配分析

在调查睡眠时间与血压 (BP) 之间的关联时,很少有研究考虑社会心理特征。在这项研究中,我们在比较睡眠时间短的人和睡眠时间正常的人之间的血压时,采用倾向评分匹配 (PSM) 来调整社会心理特征。共有 429 名参与者被包括在内。PSM 后,72 名睡眠时间≤6 小时的参与者和 65 名睡眠时间>6 小时的参与者匹配。我们分别比较了 PSM 前后人群的诊室血压、24 小时血压和高血压患病率。在不匹配的人群中,观察到睡眠时间≤6 小时的参与者具有较高的诊室舒张压 (DBP) 和 24 小时收缩压 (SBP)/DBP(所有)。在匹配人群中,两组(睡眠时间≤6小时vs.睡眠时间>6小时)诊室DBP的差异(88.4±10.9vs.82.5±11.1mm Hg;), 24 小时收缩压(134.7 ± 12.0 与 129.3 ± 11.6 毫米汞柱;)和 24 小时 DBP(83.4 ± 9.9 与 78.1 ± 10.1 毫米汞柱;)变得更加重要。根据 24 小时血压数据,睡眠持续时间≤6 小时的参与者仅显示出较高的高血压患病率,而 PSM 后的分析进一步显示,睡眠持续时间≤6 小时的参与者血压升高的患病率高达办公室诊断的高血压阈值的 20% . 因此,对于有血压升高风险的个体,应充分重视伴随睡眠时间短的社会心理特征。该试验已在 NCT03866226 注册。
更新日期:2021-11-30
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