Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose-response relationships, standardization, and health behaviors

Explore the association between short sleep and hypertension risk in the Chinese population. Data from the 2020 Chinese Psychological and Behavioral Study of the Population were utilized. Restricted cubic spline models assessed dose-response relationships between sleep duration and hypertension risk. A binary logistic regression model, incorporating propensity score matching, explored the true association between short sleep duration and hypertension risk in the Chinese population. In addition, using binary logistic regression models examined the association between >5 hours of sleep and hypertension risks and the impact of health behaviors on hypertension risk among short sleepers. Sleep duration and hypertension risk exhibited a non-linear U-shaped pattern. ≤5-hour sleepers had a 32% reduced hypertension risk per additional hour of sleep post-matching. >5-hour sleep didn't affect hypertension risk. Among ≤5-hour sleepers, smoking and prolonged fixed position work increased hypertension risk by 128% and 103.4%, respectively, while engaging in physical activity for over six months reduced it by 63.7%. The 5-hour sleep threshold represents a significant turning point for hypertension risk in the Chinese population studied and could serve as a criterion for defining short sleep. Lifestyle modifications such as quitting smoking, adjusting posture during work, and maintaining regular exercise routines can mitigate hypertension risk among individuals with short sleep duration.