DOI QR코드

DOI QR Code

한국 성인의 수면시간과 맥압과의 관련성: 국민건강영양조사 제7기 자료를 중심으로

Relationship between sleep duration and pulse pressure in Korean adults: Focusing on the data of the 7th National Health and Nutrition Survey

  • 정은영 (광주보건대학교 보건행정과)
  • Jung, Eun-Young (Department of Health & Administration, Gwangu Health University)
  • 투고 : 2022.01.18
  • 심사 : 2022.04.20
  • 발행 : 2022.04.28

초록

본 연구는 한국 성인의 수면시간과 맥압과의 관련성을 알아보고자 하며, 연구방법은 국민건강 영양조사 제7기(2016-2018) 자료를 이용하였다. 대상자는 20세 이상 5,707명을 대상으로 빈도와 백분율 연속형 자료는 평균과 표준편차, 교차분석과 independent t-test, 고 맥압에 대한 단계적인 로지스틱 회귀분석을 실시하였으며, SPSS WIN 18.0 version 통계프로그램을 이용하였다. 연구결과 전체 인구(OR=1.344, 95% CI=1.002-1.803)와 여성(OR=1.624, 95% CI=1.112-2.371)에서는 수면시간이 6시간 이하에 비하여 9시간 이상에서 고 맥압의 유병률이 높았지만, 남성(OR=1.012, 95% CI=0.631-1.550)에서는 그 유의성이 없었다. 따라서 적절하지 않은 수면시간이 건강에 미치는 영향을 고려할 때 이에 대한 보건학적인 교육과 관리가 필요할 것으로 생각하며 추후 수면시간과 맥압의 관계에 관해서는 계속된 연구가 필요할 것이다.

The purpose of this study is to investigate the relationship between sleep time and pulse pressure in Korean adults, and the research method used data from the 7th period (2016-2018) of the National Health and Nutrition Examination Survey. Subjects were 5,707 persons aged 20 years or older, and for frequency and percentage continuous data, mean and standard deviation, cross analysis and independent t-test, and stepwise logistic regression analysis for high pulse pressure were performed. SPSS WIN 18.0 version statistical program was used. was used. As a result of the study, the prevalence of hypertension was higher in the overall population (OR=1.344, 95% CI=1.002-1.803) and in women (OR=1.624, 95% CI=1.112-2.371) when sleeping for more than 9 hours compared to less than 6 hours. high, but not significant in males (OR=1.012, 95% CI=0.631-1.550). Therefore, considering the effects of inappropriate sleep time on health, public health education and management are necessary. Further research on the relationship between sleep time and pulse pressure will be needed.

키워드

참고문헌

  1. Saper, C. B, Cano. G & Scammel. T. E. (2005). Homeostatic, circadian, and emotional regulation of sleep. Journal of Comparative Neurology, 493(1), 92-98. DOI : 10.1002/cne.20770
  2. Gangwisch. J. E, Heymsfield. S. B, Boden-Albala. B, Buijs. R. M, Kreier. F & Pickering. T. G. et al. (2006). Short sleep duration as a risk factor for hypertension: Analyses of the first National Health and Nutrition Examination Survey. Hypertension,47,833-839. DOI : 10.1161/01.HYP.0000217362.34748.e0
  3. J. Kim, I. Jo. (2010). Age-dependent association between sleep duration and hypertension in the adult Korean population. American Journal of Hypertension, 23, 1286-1291. DOI : 10.1038/ajh.2010.166
  4. Itani. O, Jike. M, Watanabe. N & Kaneita. Y. (2017). Short sleep duration and health outcomes: A systematic review, meta-analysis, and meta-regression. Sleep Medicine, 32, 246-256. DOI : 10.1016/j.sleep.2016.08.006
  5. Cappuccio. F. P, D'Elia. L, Strazzullo. P & Miller. M. A. (2010). Sleep duration and all-cause mortality: A systematic review and meta-analysis of prospective studies. Sleep, 33(5), 585-592. DOI : 10.1093/sleep/33.5.585
  6. Cappuccio. F. P, Cooper. D, D'Elia. L, Strazzullo. P & Miller. M. A. (2011). Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. European Heart Journal, 32(12), 1484-1492. DOI : 10.1093/eurheartj/ehr007
  7. Li. W, Wang. D, Cao. S, Yin. X, Gong. Y, Gan. Y, Zhou. Y & Lu. Z. (2016). Sleep duration and risk of stroke events and stroke mortality: A systematic review and meta-analysis of prospective cohort studies. International Journal of Cardiology, 223(15), 870-876. DOI : 10.1016/j.ijcard.2016.08.302
  8. Shan. Z, Ma. H, Xie. M, Yan. P, Guo. Y, Bao. W, Rong. Y, Jackson. C. L, Hu. F. B & Liu. L. et al. (2015). Sleep duration and risk of type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care, 38(3), 529-537. DOI : 10.2337/dc14-2073
  9. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O & DonCarlos L. et al. (2015). National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43. DOI : 10.1016/j.sleh.2014.12.010
  10. Benetos A, Rudnichi A, Safar M & Guize L. (1998). Pulse pressure and cardiovascular mortality in normotensive and hypertensive subjects. Hypertension, 32(3), 560-564. DOI : 10.1161/01.hyp.32.3.560
  11. H. Yoon, G. S. Kim. (2013). "The effect of Vitamin D on Pulse pressure in Korean Adults: Korea National Health and Nutrition Survey, 2010", Journal of the Korea Academia-Industrial cooperation Society, 14(6), 2735-2745 DOI : 10.5762/KAIS.2013.14.6.2735
  12. J. Gasowski, R. H. Fagard, J. A. Staessen, T. Grodzicki, S. Pocock, F. Boutitie, F. Gueyffier & J. P. Boissel. (2002). "Pulse blood pressure component as predictor of mortality in hypertension: a meta-analysis of clinical trial control groups", J. Hypertension, 20(1), 145-151. DOI: 10.1097/00004872-200201000-00021
  13. S. S. Franklin, S. A. Khan, N. D. Wong, M. G. Larson & D. Levy. (1999). "Is pulse pressure useful in predicting risk for coronary heart Disease, The Framingham heart study", Circulation, 100(4), 354-360 DOI: 10.1161/01.cir.100.4.354
  14. M. Y. Gee, H. Yoon. (2016). The Association of urine Microalbumin and Pulse Pressure in Korean Adults. Korean J Clin Lab Sci, 48(3), 183-187 DOI : 10.15324/kjcls.2016.48.3.183
  15. S. Y. Park, H. Yoon & H. J. Oh. (2014). Association of metabolic syndrome, metabolic syndrome score and pulse pressure in Korean adults: Korea National Health and Nutrition Survey, 2012. J Korea Acad Industr Coop Soc, 15(9), 5660-5667. DOI : 10.5762/KAIS.2014.15.9.5660
  16. H. Yun. (2020). Association between Pulse Pressure and Impaired Pulmonary Function in Non-Smoking Adults. Korean Journal Clin Lab Sci, 52(2), 119-127. DOI: 10.15324/kjcls.2020.52.2.119
  17. Yasuno S, Ueshima K, Oba K, Fujimoto A, Hirata M & Ogihara T. et al. (2010). Is pulse pressure a predictor of new-onset diabetes in high-risk hypertensive patients? Asubanalysis of the Candesartan Antihypertensive Survival Evaluation in Japan (CASE-J) trial. Diabetes Care, 33(5), 1122-1127. DOI: 10.2337/dc09-1447
  18. M. E. Safar. (2004). "Pulse pressure. arterial stiffness. and microvessels," Hypertension, 44(3), 121-122 DOI: 10.1161/01.HYP.0000135448.73199.75
  19. Sesso HD, Stampfer MJ, Rosner B, Hennekens CH, Gaziano JM & Manson JE. et al. (2000). Systolic and diastolic blood pressure, pulse pressure, and mean arterial pressure as predictors of cardiovascular disease risk in Men. Hypertension. 36(5), 801-807. DOI : 10.1161/01.hyp.36.5.801
  20. R. Berne, M. Levy. (1992), Cardiovascular Physiology, St Louis: Mosby-Year Book
  21. M. E. Safar. (2000). "Pulse pressure. arterial stiffness. and cardiovascular risk". Curr Opin Cardiol, 15(4), 258-263 https://doi.org/10.1097/00001573-200007000-00009
  22. Staessen JA, Gasowski J, Wang JG, Thijs L, Hond ED & Boissel JP. et al. (2000). Risks of untreated and treated isolated systolic hypertension in the elderly: meta-analysis of outcome trials. Lancet., 355(9207), 865-872. DOI: 10.1016/S0140-6736(99)07330-4
  23. Yiqiang Zhan, Ruoqing Chen & Jinming Yu. (2014). Sleep duration and abnormal serum lipids: the China Health and Nutrition Survey, Jul;15(7), 833-9 DOI: 10.1016/j.sleep.2014.02.006
  24. H. J. Lee, Y. W. Jeong, H. J. Kim & R. H. Chung. (2019). Association between Sleep Duration and Prevalence of Dyslipidemia in Korean Adults: The Sixth Korean National Health and Nutrition Examination Survey, Korean Journal of Family Practice, 9(6), 485-491 DOI : 10.21215/kjfp.2019.9.6.485
  25. S. K. Jang, J. H. Kim & Y. K. Boo. (2019). Association between Sleep duration and Grip strength in Korean adults Using Convergence Survey Data. Journal of Digital Convergence, 17(12), 435-444 DOI : 10.14400/JDC.2019.17.12.435
  26. S. J. Choi, E. O. Park. (2013). The Association of Sleep Duration and Hypertension in Adults in Korea. Korean Journal of Health Promotion, 13(4), 141-147
  27. Michael Grandner, Janet M. Mullington, Sarah D. Hashmi, Nancy S. Redeker, Nathaniel F. Watson & Timothy I. Morgenthaler. (2018). Sleep Duration and Hypertension: Analysis of > 700,000 Adults by Age and Sex. J Clin Sleep Med, 15; 14(6), 1031-1039 DOI : 10.5664/jcsm.7176
  28. H. J. Chae. (2020). Relationships between sleep time and depression and suicidal ideation in middle aged women. Journal of Digital Convergence, 18(4), 263-272 DOI : 10.14400/JDC.2020.18.4.263
  29. M. Y. Choung, E. J. Kim, H. G. Cho, D. G. Hwang & C. Y. Lee. (2019), Association between Sleep Patterns and Health Indicators and Diseases in Adults Over 19 Years of Age in Korea: Based on the Korea National Health and Nutrition Examination Survey 2016-2017, Korean Journal of Family Practice, 9(5), 408-415 DOI : 10.21215/kjfp.2019.9.5.408
  30. Y. Y. Yoon, S. G. Kim & J. H. Shin. (2018). The Study of Relationship of Obesity and Abdominal Obesity and Pulse Pressure Using Big Data, Journal of the KIECS, 13(1), 187-192 DOI : 10.13067/JKIECS.2018.13.1.187