Long daytime napping: A silent danger for hypertensive individuals
Background and purpose Hypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless. Methods This res...
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| Veröffentlicht in: | European journal of neurology 2024-09, Vol.31 (9), p.e16382-n/a |
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| container_title | European journal of neurology |
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| creator | Wu, Jinhong Liu, Lishun Huang, Zena Wang, Li Cai, Fengjiao Li, Aimin Sun, Yong Wang, Binyan Li, Jianping Huo, Yong Lu, Yan |
| description | Background and purpose
Hypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless.
Methods
This research, which ran from 24 August 2013 to 31 December 2022, recruited 11,252 individuals with hypertension and without a history of stroke from the China Stroke Primary Prevention Trial. To determine the relationship between daytime napping duration and stroke onset in hypertensive individuals, we conducted analyses for threshold effects, multivariate‐adjusted Cox proportional hazard regression models, and Kaplan–Meier survival curves.
Results
The duration of daytime napping (60 min (HR = 1.37, 95% CI = 1.14–1.65) were substantially related with a greater risk of first stroke. Additionally, this correlation was absent in cases of hemorrhagic stroke, but present in cases of ischemic stroke, specifically for hypertensive individuals who napped for 31–60 min or >60 min (p 30 min) are at an elevated risk of stroke onset, particularly ischemic stroke, irrespective of other factors.
Daytime napping duration and the risk of first stroke in hypertensive individuals. |
| doi_str_mv | 10.1111/ene.16382 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11295159</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3087202875</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3342-2d225818e1490299fa0c7fbace59dc04af3fe79f751a2c3477a167c3ec3deeec3</originalsourceid><addsrcrecordid>eNp1kU9P4zAQxS3Eiv8HvgCKxAUOAY8d1wkXVFDZXamCC5wt40yKUeoEuynqt2eWAtpF2jnMWJqfnp7nMXYI_AyozjHgGYxkKTbYDhSjMgcpYZPeUkGugMM2203pmXMutOBbbFuWpdZaqR12Ne3CLKvtauHnmAXb9z7MLrJxlnyLYUGbMMOYNV3MnlY9xgWG5JeY-VD7pa8H26Z99qOhgQcfc4893Ezur3_l07ufv6_H09xJWYhc1EKoEkqEouKiqhrLnW4erUNV1Y4XtpEN6qrRCqxwstDawkg7iU7WiNT32OVatx8e51g7shdta_ro5zauTGe9-XcT_JOZdUsDICoFqiKFkw-F2L0MmBZm7pPDtrUBuyEZyUelVlpITejxN_S5G2Kg_xFV0hUFkUSdrikXu5QiNl9ugJs_0RiKxrxHQ-zR3_a_yM8sCDhfA690-tX_lczkdrKWfAOdgJit</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3087202875</pqid></control><display><type>article</type><title>Long daytime napping: A silent danger for hypertensive individuals</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><creator>Wu, Jinhong ; Liu, Lishun ; Huang, Zena ; Wang, Li ; Cai, Fengjiao ; Li, Aimin ; Sun, Yong ; Wang, Binyan ; Li, Jianping ; Huo, Yong ; Lu, Yan</creator><creatorcontrib>Wu, Jinhong ; Liu, Lishun ; Huang, Zena ; Wang, Li ; Cai, Fengjiao ; Li, Aimin ; Sun, Yong ; Wang, Binyan ; Li, Jianping ; Huo, Yong ; Lu, Yan</creatorcontrib><description>Background and purpose
Hypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless.
Methods
This research, which ran from 24 August 2013 to 31 December 2022, recruited 11,252 individuals with hypertension and without a history of stroke from the China Stroke Primary Prevention Trial. To determine the relationship between daytime napping duration and stroke onset in hypertensive individuals, we conducted analyses for threshold effects, multivariate‐adjusted Cox proportional hazard regression models, and Kaplan–Meier survival curves.
Results
The duration of daytime napping (<75 min) was positively correlated with stroke risk; beyond 75 min, the risk did not increase further. When compared to hypertensive individuals who napped for 1–30 min, daytime napping 31–60 min (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.06–1.53) and >60 min (HR = 1.37, 95% CI = 1.14–1.65) were substantially related with a greater risk of first stroke. Additionally, this correlation was absent in cases of hemorrhagic stroke, but present in cases of ischemic stroke, specifically for hypertensive individuals who napped for 31–60 min or >60 min (p < 0.05). Kaplan–Meier survival curves displayed that hypertensive individuals who extended daytime napping had an elevated incidence of stroke.
Conclusions
Hypertensive individuals who take longer daytime naps (>30 min) are at an elevated risk of stroke onset, particularly ischemic stroke, irrespective of other factors.
Daytime napping duration and the risk of first stroke in hypertensive individuals.</description><identifier>ISSN: 1351-5101</identifier><identifier>ISSN: 1468-1331</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/ene.16382</identifier><identifier>PMID: 38877755</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Aged ; China - epidemiology ; CSPPT ; Daytime ; daytime napping duration ; Female ; Health risks ; Hemorrhage ; Humans ; Hypertension ; Hypertension - complications ; Hypertension - epidemiology ; hypertensive individuals ; Ischemia ; Ischemic Stroke - epidemiology ; Male ; Middle Aged ; Original ; Regression analysis ; Regression models ; Risk ; Risk Factors ; Sleep - physiology ; Statistical analysis ; Stroke ; Stroke - epidemiology ; stroke subtypes ; Survival ; Time Factors</subject><ispartof>European journal of neurology, 2024-09, Vol.31 (9), p.e16382-n/a</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.</rights><rights>2024 The Author(s). European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3342-2d225818e1490299fa0c7fbace59dc04af3fe79f751a2c3477a167c3ec3deeec3</cites><orcidid>0009-0003-9659-3495</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295159/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295159/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,1418,11567,27929,27930,45579,45580,46057,46481,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38877755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Jinhong</creatorcontrib><creatorcontrib>Liu, Lishun</creatorcontrib><creatorcontrib>Huang, Zena</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Cai, Fengjiao</creatorcontrib><creatorcontrib>Li, Aimin</creatorcontrib><creatorcontrib>Sun, Yong</creatorcontrib><creatorcontrib>Wang, Binyan</creatorcontrib><creatorcontrib>Li, Jianping</creatorcontrib><creatorcontrib>Huo, Yong</creatorcontrib><creatorcontrib>Lu, Yan</creatorcontrib><title>Long daytime napping: A silent danger for hypertensive individuals</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and purpose
Hypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless.
Methods
This research, which ran from 24 August 2013 to 31 December 2022, recruited 11,252 individuals with hypertension and without a history of stroke from the China Stroke Primary Prevention Trial. To determine the relationship between daytime napping duration and stroke onset in hypertensive individuals, we conducted analyses for threshold effects, multivariate‐adjusted Cox proportional hazard regression models, and Kaplan–Meier survival curves.
Results
The duration of daytime napping (<75 min) was positively correlated with stroke risk; beyond 75 min, the risk did not increase further. When compared to hypertensive individuals who napped for 1–30 min, daytime napping 31–60 min (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.06–1.53) and >60 min (HR = 1.37, 95% CI = 1.14–1.65) were substantially related with a greater risk of first stroke. Additionally, this correlation was absent in cases of hemorrhagic stroke, but present in cases of ischemic stroke, specifically for hypertensive individuals who napped for 31–60 min or >60 min (p < 0.05). Kaplan–Meier survival curves displayed that hypertensive individuals who extended daytime napping had an elevated incidence of stroke.
Conclusions
Hypertensive individuals who take longer daytime naps (>30 min) are at an elevated risk of stroke onset, particularly ischemic stroke, irrespective of other factors.
Daytime napping duration and the risk of first stroke in hypertensive individuals.</description><subject>Aged</subject><subject>China - epidemiology</subject><subject>CSPPT</subject><subject>Daytime</subject><subject>daytime napping duration</subject><subject>Female</subject><subject>Health risks</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - epidemiology</subject><subject>hypertensive individuals</subject><subject>Ischemia</subject><subject>Ischemic Stroke - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sleep - physiology</subject><subject>Statistical analysis</subject><subject>Stroke</subject><subject>Stroke - epidemiology</subject><subject>stroke subtypes</subject><subject>Survival</subject><subject>Time Factors</subject><issn>1351-5101</issn><issn>1468-1331</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kU9P4zAQxS3Eiv8HvgCKxAUOAY8d1wkXVFDZXamCC5wt40yKUeoEuynqt2eWAtpF2jnMWJqfnp7nMXYI_AyozjHgGYxkKTbYDhSjMgcpYZPeUkGugMM2203pmXMutOBbbFuWpdZaqR12Ne3CLKvtauHnmAXb9z7MLrJxlnyLYUGbMMOYNV3MnlY9xgWG5JeY-VD7pa8H26Z99qOhgQcfc4893Ezur3_l07ufv6_H09xJWYhc1EKoEkqEouKiqhrLnW4erUNV1Y4XtpEN6qrRCqxwstDawkg7iU7WiNT32OVatx8e51g7shdta_ro5zauTGe9-XcT_JOZdUsDICoFqiKFkw-F2L0MmBZm7pPDtrUBuyEZyUelVlpITejxN_S5G2Kg_xFV0hUFkUSdrikXu5QiNl9ugJs_0RiKxrxHQ-zR3_a_yM8sCDhfA690-tX_lczkdrKWfAOdgJit</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Wu, Jinhong</creator><creator>Liu, Lishun</creator><creator>Huang, Zena</creator><creator>Wang, Li</creator><creator>Cai, Fengjiao</creator><creator>Li, Aimin</creator><creator>Sun, Yong</creator><creator>Wang, Binyan</creator><creator>Li, Jianping</creator><creator>Huo, Yong</creator><creator>Lu, Yan</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><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>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0003-9659-3495</orcidid></search><sort><creationdate>202409</creationdate><title>Long daytime napping: A silent danger for hypertensive individuals</title><author>Wu, Jinhong ; Liu, Lishun ; Huang, Zena ; Wang, Li ; Cai, Fengjiao ; Li, Aimin ; Sun, Yong ; Wang, Binyan ; Li, Jianping ; Huo, Yong ; Lu, Yan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3342-2d225818e1490299fa0c7fbace59dc04af3fe79f751a2c3477a167c3ec3deeec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>China - epidemiology</topic><topic>CSPPT</topic><topic>Daytime</topic><topic>daytime napping duration</topic><topic>Female</topic><topic>Health risks</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - epidemiology</topic><topic>hypertensive individuals</topic><topic>Ischemia</topic><topic>Ischemic Stroke - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Sleep - physiology</topic><topic>Statistical analysis</topic><topic>Stroke</topic><topic>Stroke - epidemiology</topic><topic>stroke subtypes</topic><topic>Survival</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Jinhong</creatorcontrib><creatorcontrib>Liu, Lishun</creatorcontrib><creatorcontrib>Huang, Zena</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Cai, Fengjiao</creatorcontrib><creatorcontrib>Li, Aimin</creatorcontrib><creatorcontrib>Sun, Yong</creatorcontrib><creatorcontrib>Wang, Binyan</creatorcontrib><creatorcontrib>Li, Jianping</creatorcontrib><creatorcontrib>Huo, Yong</creatorcontrib><creatorcontrib>Lu, Yan</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Jinhong</au><au>Liu, Lishun</au><au>Huang, Zena</au><au>Wang, Li</au><au>Cai, Fengjiao</au><au>Li, Aimin</au><au>Sun, Yong</au><au>Wang, Binyan</au><au>Li, Jianping</au><au>Huo, Yong</au><au>Lu, Yan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long daytime napping: A silent danger for hypertensive individuals</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2024-09</date><risdate>2024</risdate><volume>31</volume><issue>9</issue><spage>e16382</spage><epage>n/a</epage><pages>e16382-n/a</pages><issn>1351-5101</issn><issn>1468-1331</issn><eissn>1468-1331</eissn><abstract>Background and purpose
Hypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless.
Methods
This research, which ran from 24 August 2013 to 31 December 2022, recruited 11,252 individuals with hypertension and without a history of stroke from the China Stroke Primary Prevention Trial. To determine the relationship between daytime napping duration and stroke onset in hypertensive individuals, we conducted analyses for threshold effects, multivariate‐adjusted Cox proportional hazard regression models, and Kaplan–Meier survival curves.
Results
The duration of daytime napping (<75 min) was positively correlated with stroke risk; beyond 75 min, the risk did not increase further. When compared to hypertensive individuals who napped for 1–30 min, daytime napping 31–60 min (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.06–1.53) and >60 min (HR = 1.37, 95% CI = 1.14–1.65) were substantially related with a greater risk of first stroke. Additionally, this correlation was absent in cases of hemorrhagic stroke, but present in cases of ischemic stroke, specifically for hypertensive individuals who napped for 31–60 min or >60 min (p < 0.05). Kaplan–Meier survival curves displayed that hypertensive individuals who extended daytime napping had an elevated incidence of stroke.
Conclusions
Hypertensive individuals who take longer daytime naps (>30 min) are at an elevated risk of stroke onset, particularly ischemic stroke, irrespective of other factors.
Daytime napping duration and the risk of first stroke in hypertensive individuals.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>38877755</pmid><doi>10.1111/ene.16382</doi><tpages>11</tpages><orcidid>https://orcid.org/0009-0003-9659-3495</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library; Wiley Online Library (Open Access Collection); PubMed Central |
| subjects | Aged China - epidemiology CSPPT Daytime daytime napping duration Female Health risks Hemorrhage Humans Hypertension Hypertension - complications Hypertension - epidemiology hypertensive individuals Ischemia Ischemic Stroke - epidemiology Male Middle Aged Original Regression analysis Regression models Risk Risk Factors Sleep - physiology Statistical analysis Stroke Stroke - epidemiology stroke subtypes Survival Time Factors |
| title | Long daytime napping: A silent danger for hypertensive individuals |
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