Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population
Sleep disorders have been proposed as the potential risk factors for hypertension, thus we aimed to investigate the association of sleep quality with new-onset hypertension. We evaluated sleep quality using Pittsburgh Sleep Quality Index (PSQI) and it's seven components in normotensive populati...
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| Veröffentlicht in: | Sleep medicine 2021-12, Vol.88, p.189-196 |
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| container_title | Sleep medicine |
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| creator | Yuan, Yujuan Heizhati, Mulalibieke Wang, Lin Li, Mei Lin, Mengyue Gan, Lin Cai, Xintian Yang, Wenbo Yao, Ling Wang, Zhongrong Abudereyimu, Reyila Li, Nanfang |
| description | Sleep disorders have been proposed as the potential risk factors for hypertension, thus we aimed to investigate the association of sleep quality with new-onset hypertension.
We evaluated sleep quality using Pittsburgh Sleep Quality Index (PSQI) and it's seven components in normotensive population aged 18 years old and over in Emin Xinjiang, China in 2016 and followed up till 2019 using annual health checkup data. Poor sleep quality was defined as a PSQI score>5, and good sleep quality was defined as a PSQI score⩽5.
Among 9344 analytic sample 57.29% were female. A total of 2958 (31.66%) subjects developed hypertension during 22,960 person-years of follow-up. Poor sleep quality (HR 1.131, 95% CI 1.045, 1.224) showed had higher risk of development hypertension in total population in adjusted Cox models. Fairly bad subjective sleep quality (HR 1.148, 95% CI 1.015, 1.298), habitual sleep efficiency of |
| doi_str_mv | 10.1016/j.sleep.2021.10.021 |
| format | Article |
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We evaluated sleep quality using Pittsburgh Sleep Quality Index (PSQI) and it's seven components in normotensive population aged 18 years old and over in Emin Xinjiang, China in 2016 and followed up till 2019 using annual health checkup data. Poor sleep quality was defined as a PSQI score>5, and good sleep quality was defined as a PSQI score⩽5.
Among 9344 analytic sample 57.29% were female. A total of 2958 (31.66%) subjects developed hypertension during 22,960 person-years of follow-up. Poor sleep quality (HR 1.131, 95% CI 1.045, 1.224) showed had higher risk of development hypertension in total population in adjusted Cox models. Fairly bad subjective sleep quality (HR 1.148, 95% CI 1.015, 1.298), habitual sleep efficiency of <65%–75% group (HR 1.174, 95% CI 1.026, 1.344), and mild (HR 1.194, 95% CI 1.098, 1.299) and moderate (HR 1.264, 95% CI 1.080, 1.479) sleep disturbance increased the risk of developing hypertension compared to their counterparts. In age stratification, poor sleep quality (HR 1.100, 95% CI 1.007, 1.202) had higher risk of developing hypertension in the young and middle-aged population after adjusted all covariates.
Poor sleep quality is associated with higher risk of new-onset hypertension in young and middle-aged population.
•Our research is aimed at multi-ethnic, multi-regional community population.•We analyzed the association of PSQI and it's seven elements with new onset of hypertension.•Our longitudinal study is the first study on the correlation between sleep quality and new-onset hypertension in the multi-ethnic, multi-regional community population of Northwestern China.•Poor sleep quality is associated with higher risk of new-onset hypertension in the young and middle-aged population.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2021.10.021</identifier><identifier>PMID: 34781033</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Aged ; Cross-Sectional Studies ; Diverse population ; Female ; Humans ; Hypertension ; Hypertension - epidemiology ; Middle Aged ; PSQI ; Sleep ; Sleep Initiation and Maintenance Disorders ; Sleep Quality ; Sleep Wake Disorders - complications ; Sleep Wake Disorders - epidemiology ; Young and middle-aged</subject><ispartof>Sleep medicine, 2021-12, Vol.88, p.189-196</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-d6283ce27bc27824b2edf6cda7098d05f3ac8ae01b87e14640b70c01a23194073</citedby><cites>FETCH-LOGICAL-c359t-d6283ce27bc27824b2edf6cda7098d05f3ac8ae01b87e14640b70c01a23194073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1389945721005268$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34781033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yuan, Yujuan</creatorcontrib><creatorcontrib>Heizhati, Mulalibieke</creatorcontrib><creatorcontrib>Wang, Lin</creatorcontrib><creatorcontrib>Li, Mei</creatorcontrib><creatorcontrib>Lin, Mengyue</creatorcontrib><creatorcontrib>Gan, Lin</creatorcontrib><creatorcontrib>Cai, Xintian</creatorcontrib><creatorcontrib>Yang, Wenbo</creatorcontrib><creatorcontrib>Yao, Ling</creatorcontrib><creatorcontrib>Wang, Zhongrong</creatorcontrib><creatorcontrib>Abudereyimu, Reyila</creatorcontrib><creatorcontrib>Li, Nanfang</creatorcontrib><title>Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population</title><title>Sleep medicine</title><addtitle>Sleep Med</addtitle><description>Sleep disorders have been proposed as the potential risk factors for hypertension, thus we aimed to investigate the association of sleep quality with new-onset hypertension.
We evaluated sleep quality using Pittsburgh Sleep Quality Index (PSQI) and it's seven components in normotensive population aged 18 years old and over in Emin Xinjiang, China in 2016 and followed up till 2019 using annual health checkup data. Poor sleep quality was defined as a PSQI score>5, and good sleep quality was defined as a PSQI score⩽5.
Among 9344 analytic sample 57.29% were female. A total of 2958 (31.66%) subjects developed hypertension during 22,960 person-years of follow-up. Poor sleep quality (HR 1.131, 95% CI 1.045, 1.224) showed had higher risk of development hypertension in total population in adjusted Cox models. Fairly bad subjective sleep quality (HR 1.148, 95% CI 1.015, 1.298), habitual sleep efficiency of <65%–75% group (HR 1.174, 95% CI 1.026, 1.344), and mild (HR 1.194, 95% CI 1.098, 1.299) and moderate (HR 1.264, 95% CI 1.080, 1.479) sleep disturbance increased the risk of developing hypertension compared to their counterparts. In age stratification, poor sleep quality (HR 1.100, 95% CI 1.007, 1.202) had higher risk of developing hypertension in the young and middle-aged population after adjusted all covariates.
Poor sleep quality is associated with higher risk of new-onset hypertension in young and middle-aged population.
•Our research is aimed at multi-ethnic, multi-regional community population.•We analyzed the association of PSQI and it's seven elements with new onset of hypertension.•Our longitudinal study is the first study on the correlation between sleep quality and new-onset hypertension in the multi-ethnic, multi-regional community population of Northwestern China.•Poor sleep quality is associated with higher risk of new-onset hypertension in the young and middle-aged population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Diverse population</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Middle Aged</subject><subject>PSQI</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders</subject><subject>Sleep Quality</subject><subject>Sleep Wake Disorders - complications</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Young and middle-aged</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPIzEQhC20CLKBX4CEfNzLZP2YGXsOe0CIfUiRlgOcLY_dAUcTe7A9RPn3OI_luKdqtaqq1R9CN5QsKKHt9_UiDQDjghFGy2ZR5AzNqBSyahrSfikzl13V1Y24RF9TWhNCBZX1BbrktZCUcD5D68cQIj4U4bdJDy7vsEtYpxSM0xks3rr8ij1sq-ATZPy6GyFm8MkFj53HGlv3DjEB3oXJv2DtLd44aweo9EuJj2GcBp2L-wqdr_SQ4Pqkc_T88-Hp_ne1_Pvrz_3dsjK86XJlWya5ASZ6w4Rkdc_ArlpjtSCdtKRZcW2kBkJ7KYDWbU16QQyhmnHa1UTwOfp27B1jeJsgZbVxycAwaA9hSoo1nSSluQCYI360mhhSirBSY3QbHXeKErWHrNbqwEbtIe-XRUrq9nRg6jdgPzP_qBbDj6MBypvvDqJKxoE3YF0Ek5UN7r8HPgBWQ4_V</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Yuan, Yujuan</creator><creator>Heizhati, Mulalibieke</creator><creator>Wang, Lin</creator><creator>Li, Mei</creator><creator>Lin, Mengyue</creator><creator>Gan, Lin</creator><creator>Cai, Xintian</creator><creator>Yang, Wenbo</creator><creator>Yao, Ling</creator><creator>Wang, Zhongrong</creator><creator>Abudereyimu, Reyila</creator><creator>Li, Nanfang</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202112</creationdate><title>Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population</title><author>Yuan, Yujuan ; Heizhati, Mulalibieke ; Wang, Lin ; Li, Mei ; Lin, Mengyue ; Gan, Lin ; Cai, Xintian ; Yang, Wenbo ; Yao, Ling ; Wang, Zhongrong ; Abudereyimu, Reyila ; Li, Nanfang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-d6283ce27bc27824b2edf6cda7098d05f3ac8ae01b87e14640b70c01a23194073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>Diverse population</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Middle Aged</topic><topic>PSQI</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders</topic><topic>Sleep Quality</topic><topic>Sleep Wake Disorders - complications</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Young and middle-aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuan, Yujuan</creatorcontrib><creatorcontrib>Heizhati, Mulalibieke</creatorcontrib><creatorcontrib>Wang, Lin</creatorcontrib><creatorcontrib>Li, Mei</creatorcontrib><creatorcontrib>Lin, Mengyue</creatorcontrib><creatorcontrib>Gan, Lin</creatorcontrib><creatorcontrib>Cai, Xintian</creatorcontrib><creatorcontrib>Yang, Wenbo</creatorcontrib><creatorcontrib>Yao, Ling</creatorcontrib><creatorcontrib>Wang, Zhongrong</creatorcontrib><creatorcontrib>Abudereyimu, Reyila</creatorcontrib><creatorcontrib>Li, Nanfang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuan, Yujuan</au><au>Heizhati, Mulalibieke</au><au>Wang, Lin</au><au>Li, Mei</au><au>Lin, Mengyue</au><au>Gan, Lin</au><au>Cai, Xintian</au><au>Yang, Wenbo</au><au>Yao, Ling</au><au>Wang, Zhongrong</au><au>Abudereyimu, Reyila</au><au>Li, Nanfang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population</atitle><jtitle>Sleep medicine</jtitle><addtitle>Sleep Med</addtitle><date>2021-12</date><risdate>2021</risdate><volume>88</volume><spage>189</spage><epage>196</epage><pages>189-196</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>Sleep disorders have been proposed as the potential risk factors for hypertension, thus we aimed to investigate the association of sleep quality with new-onset hypertension.
We evaluated sleep quality using Pittsburgh Sleep Quality Index (PSQI) and it's seven components in normotensive population aged 18 years old and over in Emin Xinjiang, China in 2016 and followed up till 2019 using annual health checkup data. Poor sleep quality was defined as a PSQI score>5, and good sleep quality was defined as a PSQI score⩽5.
Among 9344 analytic sample 57.29% were female. A total of 2958 (31.66%) subjects developed hypertension during 22,960 person-years of follow-up. Poor sleep quality (HR 1.131, 95% CI 1.045, 1.224) showed had higher risk of development hypertension in total population in adjusted Cox models. Fairly bad subjective sleep quality (HR 1.148, 95% CI 1.015, 1.298), habitual sleep efficiency of <65%–75% group (HR 1.174, 95% CI 1.026, 1.344), and mild (HR 1.194, 95% CI 1.098, 1.299) and moderate (HR 1.264, 95% CI 1.080, 1.479) sleep disturbance increased the risk of developing hypertension compared to their counterparts. In age stratification, poor sleep quality (HR 1.100, 95% CI 1.007, 1.202) had higher risk of developing hypertension in the young and middle-aged population after adjusted all covariates.
Poor sleep quality is associated with higher risk of new-onset hypertension in young and middle-aged population.
•Our research is aimed at multi-ethnic, multi-regional community population.•We analyzed the association of PSQI and it's seven elements with new onset of hypertension.•Our longitudinal study is the first study on the correlation between sleep quality and new-onset hypertension in the multi-ethnic, multi-regional community population of Northwestern China.•Poor sleep quality is associated with higher risk of new-onset hypertension in the young and middle-aged population.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34781033</pmid><doi>10.1016/j.sleep.2021.10.021</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Cross-Sectional Studies Diverse population Female Humans Hypertension Hypertension - epidemiology Middle Aged PSQI Sleep Sleep Initiation and Maintenance Disorders Sleep Quality Sleep Wake Disorders - complications Sleep Wake Disorders - epidemiology Young and middle-aged |
| title | Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population |
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