睡眠时间与高血压相关性的Meta分析
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(皖南医学院弋矶山医院电生理科,安徽省芜湖市 241000)

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张永军, 硕士,副主任医师,副教授,硕士研究生导师,研究方向为心血管内科学,E-mail为zyj200888@yeah.net。

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安徽省科技厅公益性技术应用研究联动计划项目(1704f0804047)


Meta-analysis of the relationship between sleep duration and hypertension
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Department of Electrophysiological, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui 241000, China)

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    摘要:

    目的 通过对睡眠时间与高血压发生风险进行系统性评价,为高血压防控管理提供科学依据。方法 检索数据库为Pubmed、Embase、万方数据库、维普中文期刊数据库及中国期刊全文数据库,筛选关于睡眠时间与高血压相关性的横断面研究文献,检索时间为2012年3月至2018年9月,双人提取信息并评价文献质量,采用Stata12.0软件进行Meta分析,并进行异质性、敏感性及发表偏倚分析等。结果 符合纳入标准的文献17篇,样本量共计959 358例,短睡眠时间增加高血压患病风险,当睡眠时间<7 h高血压风险会增高55%(OR=1.55,95%CI:1.28~1.87,P<0.001),睡眠时间>7 h未显示与高血压存在关联(OR=1.02,95%CI:0.78~1.32,P>0.05)。亚组分析发现,地区人群不同和睡眠时间定义不同是异质性主要来源。漏斗图进行Begg's和Eegg's检验显示结果不完全一致。敏感性分析提示本研究结果稳定性较好。结论 成人短时间睡眠可增加高血压发病风险,而长时间睡眠未提示与高血压发病相关。

    Abstract:

    Aim To systematically evaluate the correlation between sleep duration and incidence risk of hypertension, and provide scientific basis for prevention and control of hypertension. Methods From Embase, Pubmed, CNKI, VIP and Wanfang database, screening the cross-sectional study of the correlation between sleep duration and hypertension from March 2012 to September 2018. Then the related data were evaluated and extracted. Publication bias was evaluated, and sensitivity and Meta-analyses were conducted with Stata12.0. Results A total of 17 studies were collected where 959 358 cases were included. The Meta-analysis showed that short sleep duration was associated with a higher risk of hypertension, the risk of hypertension increased by 55% when sleep duration<7 h (OR 1.55,95%CI 1.28~1.87, P<0.001). No evidence suggested any relation between higher risk of hypertension and the sleep duration>7 h (OR 1.2,5%CI 0.78~1.32, P>0.05). By subgroup analysis, it was found that different regional populations and different definitions of sleep duration were the major sources of heterogeneity. Funnel charts for Begg's and Eegg's tests showed that results were not exactly the same. Sensitivity analysis indicated these results of Meta-analysis were stable.Conclusion Short sleep duration in adults increases the incidence risk of hypertension, but long sleep duration is not associated with risk of hypertension.

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张永军.睡眠时间与高血压相关性的Meta分析[J].中国动脉硬化杂志,2019,27(6):522~527.

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  • 收稿日期:2018-10-17
  • 最后修改日期:2019-12-07
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  • 在线发布日期: 2019-06-04