Evidence map›Paper›PMID 38877755›Full record

ArticleEuropean journal of neurology2024

Long daytime napping: A silent danger for hypertensive individuals.

Jinhong Wu, Lishun Liu, Zena Huang, Li Wang, Fengjiao Cai, Aimin Li, Yong Sun, Binyan Wang, Jianping Li, Yong Huo and 1 more

Abstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jinhong WuDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, China.
Lishun LiuClinical Research Center, Shenzhen Evergreen Medical Institute, Shenzhen, China.
Zena HuangClinical Research Center, Shenzhen Evergreen Medical Institute, Shenzhen, China.
Li WangDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, China.
Fengjiao CaiDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, China.
Aimin LiDepartment of Neurosurgery, First Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
Yong SunDepartment of Neurosurgery, First Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
Binyan WangClinical Research Center, Shenzhen Evergreen Medical Institute, Shenzhen, China.
Jianping LiDepartment of Cardiology, Peking University First Hospital, Beijing, China.
Yong HuoDepartment of Cardiology, Peking University First Hospital, Beijing, China.
Yan LuDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, China.ORCID 0009-0003-9659-3495

Funding

Development and Reform Commission of Shenzhen Municipality XMHT20220104055fifth "333" high-level talent training project of Jiangsu Province BRA2019247Medical Research Project of Jiangsu Provincial Health Commission in 2020 ZDA2020018National Key Research and Development Program of China 2022YFC2009600National Key Research and Development Program of China 2022YFC2009601Science, Technology and Innovation Committee of Shenzhen JSGG20201103153807021Science, Technology and Innovation Committee of Shenzhen KCXFZ20211020163801002the Guangdong Provincial Key Laboratory of H-type Hypertension and Stroke Precision Prevention Research and Development Enterprise 2020B121202010
6 · The paper itself

Abstract

background and purposeHypertension significantly contributes to stroke. Previous research has indicated a connection between daytime napping and stroke. Research on the connection between daytime napping duration and first stroke in hypertensive individuals is lacking nevertheless.

methodsThis research, which ran from 24 August 2013 to 31 December 2022, recruited 11,252 individuals with hypertension and without a history of stroke from the China Stroke Primary Prevention Trial. To determine the relationship between daytime napping duration and stroke onset in hypertensive individuals, we conducted analyses for threshold effects, multivariate-adjusted Cox proportional hazard regression models, and Kaplan-Meier survival curves.

resultsThe duration of daytime napping (<75 min) was positively correlated with stroke risk; beyond 75 min, the risk did not increase further. When compared to hypertensive individuals who napped for 1-30 min, daytime napping 31-60 min (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.06-1.53) and >60 min (HR = 1.37, 95% CI = 1.14-1.65) were substantially related with a greater risk of first stroke. Additionally, this correlation was absent in cases of hemorrhagic stroke, but present in cases of ischemic stroke, specifically for hypertensive individuals who napped for 31-60 min or >60 min (p < 0.05). Kaplan-Meier survival curves displayed that hypertensive individuals who extended daytime napping had an elevated incidence of stroke.

conclusionsHypertensive individuals who take longer daytime naps (>30 min) are at an elevated risk of stroke onset, particularly ischemic stroke, irrespective of other factors.

Indexed as

HypertensionSleepStrokeAgedChinaFemaleHumansIschemic StrokeMaleMiddle AgedRisk FactorsTime FactorsCSPPTdaytime napping durationhypertensive individualsstrokestroke subtypes

Identifiers

PMID38877755
PMCPMC11295159

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.