ArticleBMJ open2016
Gender- and age-specific associations between sleep duration and prevalent hypertension in middle-aged and elderly Chinese: a cross-sectional study from CHARLS 2011-2012.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- Association between sleep duration and chronic lung diseases among Chinese middle-aged and older adults: A cross-sectional study.PloS one · 2026Article
- Internet Usage, Social Participation, and Depression Symptoms Among Middle-Aged and Older Adult Chinese Individuals Before and During the COVID-19 Pandemic: Evidence From the China Health and Retirement Longitudinal Observational Study.Journal of medical Internet research · 2025Observational
- Associations Between Sleep Duration and Cognitive Function Among Older Adults: Cross-Sectional Study.JMIR human factors · 2025Article
- Association of sleep duration with hypertension in young and middle-aged adults: A systematic review and meta-analysis.International journal of cardiology. Cardiovascular risk and prevention · 2025Review
- Associations Between Sleep Duration and Activity of Daily Living Disability Among Older Adults in China: Cross-Sectional Study.Interactive journal of medical research · 2025Article
- Sex Differences in Elderly People's Sleep: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2024Article
- The regional disparities in liver disease comorbidity among elderly Chinese based on a health ecological model: the China Health and Retirement Longitudinal Study.BMC public health · 2024Article
- Correlation between sleep duration and prevalence of hypertension: the China Health and Nutrition Survey.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024Article
- Factors influencing the progression from prehypertension to hypertension among Chinese middle-aged and older adults: a 2-year longitudinal study.BMC public health · 2023Article
- The association of nighttime sleep duration and daytime napping duration with hypertension in Chinese rural areas: a population-based study.Journal of human hypertension · 2021Article
- Sleep duration, vegetable consumption and all-cause mortality among older adults in China: a 6-year prospective study.BMC geriatrics · 2021Article
- Daytime Sleep as Compensation for the Effects of Reduced Nocturnal Sleep on the Incidence of Hypertension: A Cohort Study.Nature and science of sleep · 2021Article
- Association of long-term sleep habits and hypertension: a cross-sectional study in Chinese adults.Journal of human hypertension · 2020Article
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- Extended afternoon naps are associated with hypertension in women but not in men.Heart & lung : the journal of critical careArticle
- Associations Between Objective Sleep and Ambulatory Blood Pressure in a Community Sample.Psychosomatic medicineArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe impact of gender and age on the association between sleep duration and hypertension is not well known in Asians. The objective of this study was to analyse gender- and age-specific associations between sleep duration and prevalent hypertension in middle-aged and elderly Chinese.
designSecondary analysis of a cohort sample.
settingThis study used data from the national baseline survey of the China Health and Retirement Longitudinal Study (CHARLS, 2011-2012), covering 150 counties/districts and 450 villages/resident committees from 28 provinces in China.
participantsCommunity-based subjects were drawn from the CHARLS through multistage probability sampling. Overall, this study included 9086 eligible subjects aged 45 years or above. OUTCOME MEASURES: Self-reported sleep duration was obtained using a structured questionnaire. The mean of three measures of systolic blood pressure and diastolic blood pressure was calculated. By gender and age groups (45-60 years, middle-aged; ≥60 years, elderly), relationships between self-reported sleep duration and prevalent hypertension were examined using logistic regression models to estimate OR and 95% CIs.
resultsCompared with the reference group (≥7 and <8 hours/night), the group who had less sleep (<6 hours/night) had a higher likelihood of hypertension in the whole sample (OR 1.26, 95% CI 1.04 to 1.52). Significant ORs (95% CIs) of hypertension were 1.68 (1.17 to 2.42), 1.69 (1.11 to 2.59) and 2.21 (1.29 to 3.80) for <6, 6-7 (≥6 and <7) and 8-9 (≥8 and <9) hours/night, respectively, in middle-aged men but not women. Interestingly, a significant association was observed between long sleep duration (≥9 hours/night) and hypertension in middle-aged women (OR 1.55, 95% CI 1.02 to 2.35) but not in men.
conclusionsExtremes of sleep duration increased the likelihood of prevalent hypertension in middle-aged Chinese depending on gender, suggesting that appropriate strategies for improvement in sleep health are required.
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