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October 24, 2022JMIR Public Health and SurveillanceOpen Access

Midday napping for 60 to 90 minutes was significantly associated with an increased risk of hypertension (OR 1.705) among Chinese adults older than 45 years, with BMI acting as a partial mediator.

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Why the study?

Hypertension is a major global public health issue and midday napping is a popular habit, but the association between the two remains to be explored.

Does midday napping increase the risk of hypertension in Chinese adults older than 45 years?

Population

11,439 (2011), 12,689 (2015), and 9464 (2018) Chinese respondents aged over 45 years

Comparison

Midday napping durations and their association with hypertension

Design

Cross-sectional study

Key result

Midday napping for 60 to 90 minutes was significantly associated with an increased risk of hypertension (OR 1.705) among Chinese adults older than 45 years, with BMI acting as a partial mediator.

Authors

DTDongfeng TangYZYiheng ZhouCLChengxu Long

Discussion

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Member takes

Overview

Longer midday napping should not yet alter hypertension advice; leaves open causal confirmation in prospective studies of older Chinese adults.

Study Design

Type

Cross-Sectional (n=33,592)

Multicenter

Yes

Structured PICO

Does midday napping increase the risk of hypertension in Chinese adults older than 45 years?

P
Population
Chinese respondents aged over 45 years from the China Health and Retirement Longitudinal Study 2011 (n=11,439), 2015 (n=12,689), and 2018 (n=9,464) data sets.
I
Intervention
Midday napping (durations including 30 to 60 minutes and 60 to 90 minutes)
C
Comparator
No midday napping or different napping durations
O
Outcome
Prevalence of hypertension

Main Result

Effect estimate: OR 1.705 (95% CI 1.346-2.159)

p-value: p=<0.001

Midday napping is positively associated with hypertension in Chinese adults over 45, with BMI acting as a partial mediator.

Limitations

  • Cross-sectional study design limits causal inference
  • Self-reported midday napping duration may introduce recall bias
  • Potential residual covariates due to absence of genetic, family history, biomarker, and environmental data
  • Time-dependent covariates were not included, making comparisons across years difficult
  • Uncertain applicability to age groups younger than 45 years
  • Potential interaction effect of midday napping and night sleep was not analyzed

Cite This Study

Tang et al. (2022) conducted a cross-sectional in Hypertension (n=33,592). Midday napping vs. No napping was evaluated on Hypertension (OR 1.705, 95% CI 1.346-2.159, p=<0.001). Midday napping for 60 to 90 minutes was significantly associated with an increased risk of hypertension (OR 1.705) among Chinese adults older than 45 years, with BMI acting as a partial mediator.

synapsesocial.com/papers/6a1ab7be49c3147e1045e321https://doi.org/10.2196/38782
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Midday Nap Duration and Hypertension among Middle-Aged and Older Chinese Adults: A Nationwide Retrospective Cohort Study2021 · 23 citations
  2. 2Daytime napping is associated with retinal microcirculation: a large population-based study in China2021 · 4 citations
  3. 3Association between nap time, nighttime sleep, and mild cognitive impairment in Chinese older adults: a cross-sectional study2024
  4. 4Association between nighttime sleep duration, nap time, and mild cognitive impairment in Chinese older adults: a cross-sectional study2024 · 11 citations
  5. 5Factors influencing the progression from prehypertension to hypertension among Chinese middle-aged and older adults: a 2-year longitudinal study2023 · 20 citations