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Association between sleep duration and hypertension among Chinese children and adolescents
Xiaofan Guo1, Liqiang Zheng, Yang Li
1Department of Cardiology, First Affiliated Hospital, China Medical University, Shenyang, People's Republic of China.
Insights
Short sleep duration is linked to a higher risk of hypertension in children and adolescents. Specifically, less than 9 hours of sleep per night was associated with increased hypertension risk in 11–14-year-old boys.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Sleep Medicine
Background:
- Adult studies link short sleep duration to increased hypertension risk.
- The association between sleep duration and hypertension in pediatric populations remains less understood.
Purpose of the Study:
- To investigate the relationship between sleep duration and hypertension in children and adolescents.
- To determine if short sleep duration is an independent risk factor for hypertension in this age group.
Main Methods:
- Cross-sectional study involving 4902 participants aged 5–18 years.
- Blood pressure (BP) measured and classified using population-based percentiles.
- Sleep duration assessed via questionnaires.
Main Results:
- Prevalence of hypertension and prehypertension was 20.3% and 15%, respectively.
- Short sleep duration (<9 hours) was associated with higher hypertension risk in boys aged 11–14 years (OR, 1.5; 95% CI, 1.04–2.15), after adjusting for covariates.
- Linear regression showed an inverse association between sleep duration and BP in boys aged 11–14 years.
Conclusions:
- Short sleep duration (<9 hours) is independently associated with hypertension in Chinese boys aged 11–14 years.
- Findings highlight the importance of adequate sleep for cardiovascular health in adolescents.
Background:
Short sleep duration was reported to be associated with an increased risk of hypertension among adults. The present study aimed to investigate this association in children and adolescents.
Hypothesis:
Short sleep duration is related to higher risk of hypertension among children and adolescents.
Methods:
We conducted a cross-sectional study of 4902 children and adolescents age 5 to 18 years. Blood pressure (BP) was measured at the research center and classified using the population-based percentiles. Sleep duration and related information were determined through questionnaires.
Results:
The prevalence of hypertension and prehypertension were 20.3% and 15%, respectively. The median sleep duration was 8.77 ± 1.07 hours (mean ± standard deviation). A short sleep duration (<9 hours) was associated with a higher risk of hypertension when compared with the group sleeping longer (9-10 h), among boys age 11 to 14 years old (OR, 1.5; 95% CI, 1.04-2.15), adjusting for age, body mass index, waist circumference, and physical activity. The linear regression stratified by age indicated that for boys age 11 to 14 years the inverse association existed after adjustment with the coefficients -1.04 mm Hg and -0.55 mm Hg per hour of sleep for systolic BP and diastolic BP, respectively.
Conclusions:
Short sleep duration (<9 h) is independently associated with hypertension among Chinese boys age 11 to 14 years old.
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