摘要
目的探讨福州市高中生睡眠状况与高血压的关系。方法采用方便整群抽样法,于2019年3-4月选取福州市2所高中,以班级为单位随机抽取517名学生为研究对象,采用一般资料问卷和匹兹堡睡眠指数(PSQI)量表进行问卷调查,并测量高中生的身高、体质量、心率、收缩压和舒张压。结果高中生的高血压检出率为9.1%(47/517),睡眠质量差(PSQI总分>7分)检出率为22.2%(115/517);平均睡眠时长为(6.44±0.77)h,仅有29.2%的学生睡眠时间>7 h;8.9%的学生睡眠效率<85%。Logistic回归模型调整了性别、年龄、体质量指数(BMI)等一般资料后,高中生睡眠时间≤7 h(OR=4.050,95%CI1.377~11.909)和睡眠效率<85%(OR=3.627,95%CI 1.013~12.978)与高血压有关;但PSQI总分与高血压无关(P>0.05)。结论短睡眠时间和低睡眠效率是福州市高中生发生高血压的相关因素。
Objective To explore the relationship between sleep status and hypertension in high school students in Fuzhou, and to provide guidance for preventing and reducing adolescent hypertension. Methods A convenient cluster sampling method was used to select 2 high schools in Fuzhou. Five hundred and seventeen students were randomly selected based on each class. Self-reported questionnaires were used to collect the demographic data and Pittsburgh sleep quality index(PSQI) scale was used to evaluate sleep status. A physical examination was carried out to measure height, body weight, heart rate and blood pressure. Results The incident rate of hypertension was 9.1%(47/517) and incident rate of poor sleep quality(total score of PSQI>7) was 22.2%(115/517) among high school students. The average sleep duration was(6.44±0.77) hours. Only 29.2% students had sleep time >7 h and 8.9% of students had sleep efficiency <85%. After adjusted for gender, age, body mass index(BMI) and other general information, logistic regression model showed that in high school students, sleep time ≤7 h(OR=4.050, 95%CI 1.377-11.909) and sleep efficiency <85%(OR=3.627, 95% CI 1.013-12.978) were associated with hypertension while the total PSQI score was not associated with hypertension(P>0.05). Conclusion Insufficient sleep time and low sleep efficiency are risk factors for hypertension in Fuzhou high school students.
作者
林英
白雅萍
蓝雅芬
吴冬梅
练素英
郑翠红
LIN Ying;BAI Ya-ping;LAN Ya-fen;WU Dong-mei;LIAN Su-ying;ZHENG Cui-hong(Nursing College,Fujian Medical University,Fuzhou Fujian 350005,China;不详)
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2020年第11期1039-1044,共6页
Chinese Journal of Hypertension
基金
福建省医学创新课题(2017-CX-45)。
关键词
高中生
高血压
睡眠时间
睡眠效率
横断面研究
high school students
hypertension
sleep time
sleep efficiency
cross-sectional study