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April 1, 2021International Journal of Environmental Research and Public HealthOpen Access

Midday Nap Duration and Hypertension among Middle-Aged and Older Chinese Adults: A Nationwide Retrospective Cohort Study

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Key result

Midday napping for ≥90 min/day was associated with a higher risk of hypertension compared to non-nappers at 4-year follow-up (HR 1.18; 95% CI 1.01-1.40; p=0.048).

Why the study?

The study was conducted to investigate the associations of midday nap duration and change in midday nap duration with hypertension among middle-aged and older Chinese adults.

Does long midday nap duration increase the risk of hypertension in middle-aged and older Chinese adults?

Population

5729 Chinese adults (≥45 years old)

Comparison

Midday nap duration and changes in nap duration vs non-nappers or stable nappers

Design

Nationwide retrospective cohort study

Follow-up

four-year follow-up

Authors

JFJialin FuJoslin Diabetes CenterXZXinge ZhangHunan Provincial Center for Disease Control and PreventionJMJustin B. MooreWake Forest University

Discussion

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Implication

Long naps associated with hypertension risk warrant no practice change; leaves open causal effects and need for prospective trials.

Key Points

  • The study aimed to explore the relationships between midday nap duration and hypertension risk in older Chinese adults.
  • Retrospective cohort analysis using data from the China Health and Retirement Longitudinal Study (CHARLS) database.
  • Included 5729 participants aged 45 or older, with self-reported nap duration and objectively measured blood pressure.
  • Utilized Cox proportional hazards regression models to estimate hazard ratios for hypertension.
  • Participants napping for ≥90 minutes/day had a higher risk of hypertension (HR = 1.18, 95% CI = 1.01–1.40, p = 0.048).
  • Individuals whose nap duration decreased from ≥90 minutes/day to 1–59 minutes/day showed a reduced hypertension risk (HR = 0.59, 95% CI = 0.36–0.97, p = 0.037).
  • Those reducing nap time to 60–89 minutes/day also had a lower hypertension risk (HR = 0.68, 95% CI = 0.47–0.99, p = 0.044).

Study Design

Type

Cohort (n=5,729)

Multicenter

Yes

Structured PICO

Does long midday nap duration increase the risk of hypertension in middle-aged and older Chinese adults?

P
Population
5,729 middle-aged and older Chinese adults (≥45 years old) followed for 4 years to assess the association between midday nap duration and hypertension.
E
Exposure
Long midday nap duration (≥90 min/day) and changes in nap duration over a 2-year period
C
Comparator
Non-nappers or individuals with shorter/decreased nap durations
O
Outcome
Incident hypertension at four-year follow-up

Main Result

Hazard Ratio: 1.18 (95% CI 1.01–1.4)

p-value: p=0.048

Long midday naps (≥90 min/day) are associated with an increased risk of incident hypertension in middle-aged and older Chinese adults, while decreasing nap duration may lower this risk.

Cite This Study

Fu et al. (2021) conducted a cohort in Hypertension (n=5,729). Midday nap duration ≥90 min/day vs. Non-nappers was evaluated on Hypertension (HR 1.18, 95% CI 1.01-1.40, p=0.048). Midday napping for ≥90 min/day was associated with a higher risk of hypertension compared to non-nappers at 4-year follow-up (HR 1.18; 95% CI 1.01-1.40; p=0.048).

synapsesocial.com/papers/6a2300db3b0298f8f757f1cahttps://doi.org/10.3390/ijerph18073680

Topics

Hypertension management
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