睡眠时间与高血压、糖尿病和冠心病关系的现况研究

A Cross-Sectional Study on Association of Sleep Duration with Hypertension,Diabetes and Coronary Heart Disease

目的探讨睡眠时问与高血压、糖尿病和冠心病的关系。方法通过多阶段分层整群随机抽样，抽取徐州市17458名18岁及以上常住居民，开展横断面调查。使用Logistic回归，分析睡眠时间与多种慢性病的关系。结果Logistic回归结果显示，调整了年龄、体质指数（BMI）、家族史、体力活动、吸烟、饮酒等多因素后，相对于6～8h／d组，睡眠时间为〈6h／d和〉8h／d对高血压、糖尿病和冠心病的OR值及95％置信区间分别为1．405（1．230—1．604）、1．582（1．373-1．822），1．171（0．948—1．446）、1．628（1．314—2．018），1．288（1．019—1．629）、1．828（1．400—2．386）。结论睡眠时间不足和睡眠时间过量均是高血压、糖尿病和冠心病的危险因素。

Objective To explore the relationship between sleep duration and hypertension, diabetes and coronary heart dis- ease. Methods With multistage stratified cluster random sampling, we selected some local residents aged 18 to 75 years in Xuzhou and implemented a cross-sectional study among them. Then we carried out the analysis between sleep duration and hyper- tension, diabetes and coronary heart disease through Logistic regressions. Results After adjusted for age, BMI, family history for diseases, physical activities, smoking, alcohol etc. , compared with sleep time of 6 -8 hours per day, the odds ratio （OR） and 95% confidence interval of 6 or8 hours per day for hypertension, diabetes and coronary heart disease were 1. 405 （ 1. 230 - 1. 604） and 1. 582 （ 1. 373 - 1. 822）, 1.171 （0. 948 - 1. 446 ） and 1. 628 （ 1.314 -2.018 ）, and 1. 288 （ 1.019 - 1. 629 ） and 1. 828 （ 1. 400 - 2. 386 ） ,respectively. Conclusion Both short sleep duration and long sleep duration are the risk factors for hypertension,diabe- tes and coronary heart disease.