Dataset Information

Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys.

ABSTRACT: Objective:This meta-analysis examined the prevalence of poor sleep quality and its associated factors in patients with hypertension in China. Methods:Both English (PubMed, PsycINFO, EMBASE) and Chinese (Wan Fang Database and Chinese National Knowledge Infrastructure) databases were systematically and independently searched. The random-effects model was used to estimate the prevalence of poor sleep quality in Chinese patients with hypertension. The funnel plot and Egger's tests were used to assess publication bias. Results:The prevalence of poor sleep quality in 24 studies with 13,920 hypertensive patients was 52.5% (95% confidence interval [CI]: 46.1-58.9%). In contrast, the prevalence of poor sleep quality in six studies with 5,610 healthy control subjects was 32.5% (95% CI: 19.0-49.7%). In these studies, compared to healthy controls, the pooled odds ratio (OR) of poor sleep quality was 2.66 (95% CI: 1.80-3.93) for hypertensive patients. Subgroup and meta-regression analyses revealed that patients in hospitals were more likely to have poor sleep quality than patients in the community. Studies with smaller sample size, studies using convenience or consecutive sampling and those published in Chinese reported higher prevalence of poor sleep quality. Furthermore, poor sleep quality was more common in older and male hypertensive patients, while the proportion of poor sleep quality was negatively associated with survey year. Conclusion:Appropriate strategies for screening, prevention, and treatment of poor sleep quality in this population should be developed.

SUBMITTER: Li L

PROVIDER: S-EPMC7338685 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys.

Li Lin L Li Lu L Chai Jing-Xin JX Xiao Le L Ng Chee H CH Ungvari Gabor S GS Xiang Yu-Tao YT

Frontiers in psychiatry 20200630

<h4>Objective</h4>This meta-analysis examined the prevalence of poor sleep quality and its associated factors in patients with hypertension in China.<h4>Methods</h4>Both English (PubMed, PsycINFO, EMBASE) and Chinese (Wan Fang Database and Chinese National Knowledge Infrastructure) databases were systematically and independently searched. The random-effects model was used to estimate the prevalence of poor sleep quality in Chinese patients with hypertension. The funnel plot and Egger's tests wer ...[more]

PMID: 32695027

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Project description:IntroductionThe epidemiologic characteristics of erectile dysfunction (ED) in mainland China remain incompletely understood.AimTo evaluate the overall prevalence and determine the severity of ED in mainland China.MethodsAn extensive database search was performed of PubMed, Embase, the Chinese National Knowledge Infrastructure (CNKI) database, the WanFang database, the Chinese Biological Medical Literature (CBM) database, and the Chongqing VIP using the following terms: erectile dysfunction, prevalence, epidemiology, epidemiological, and China. Study quality was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Data were pooled for the random-effects model. Sensitivity analyses were conducted to assess potential bias.Main outcome measuresAll survey studies reporting on the prevalence of ED in mainland China were included. Data extraction was performed independently by two of the authors, and conflicts were resolved by another author.ResultsOf 2,155 retrieved articles, 25 were included in this meta-analysis with a total of 48,254 participants. The pooled prevalence of ED in men was 49.69% (95% CI = 39.29-60.10). The occurrence rates of ED in age groups younger than 30, 30 to 39, 40 to 49, 50 to 59, 60 to 69, and at least 70 years were 20.86%, 25.30%, 40.48%, 60.12%, 79.10%, and 93.72%, respectively. The severity-specific prevalences of mild, moderate, and severe ED were 32.54%, 9.86%, and 13.97%, respectively. Moreover, the prevalences reported by different diagnostic methods were 14.19% for self-reports, 44.60% for the Chinese Index of Erectile Function, and 49.91% for the International Index of Erectile Function-5. The prevalence map based on a geographic information system showed an unequal geographic distribution.ConclusionED is highly prevalent in mainland China, and its prevalence increases with age. More high-quality surveys on ED with larger samples throughout mainland China are needed to confirm these findings.

Project description:BACKGROUND:Sleep problems are widespread among college students around the globe, especially in China. This study was designed to investigate the prevalence of poor sleep quality and identify associated factors among college students in Jilin Province, China. METHODS:A total of 6284 participants were completely collected by stratified cluster sampling in 2016. Information on basic demographics, lifestyles, social and family support, and subjective sleep quality was collected by questionnaire. The Pittsburgh Sleep Quality Index (PSQI) is a self-administered questionnaire used to assess sleep for one month. RESULTS:1951 (31.0%) participants were classified into poor sleep quality group, as defined by a PSQI score?>?5. Males scored significantly higher than females on sleep duration and use of sleep medication, while females scored significantly higher than males on PSQI total and sleep disturbances. The results of the multivariate logistic regression show the following factors to be significant predictors of poor sleep quality: freshman (OR?=?1.523, 95% CI: 1.168-1.987), alcohol use (OR?=?1.634, 1.425-1.874), gambling behaviors (OR?=?1.167, 95% CI: 1.005-1.356), exercised for more than 30?min a week on less than one day (OR?=?1.234, 95% CI: 1.016-1.498), the feelings of satisfied with parental love (OR?=?1.849, 95% CI: 1.244-2.749), and harmonious/neutral relationship with classmates (OR?=?2.206, 95% CI: 1.312-3.708; OR?=?1.700, 95% CI: 1.414-2.045),. No study pressure of this academic year (OR?=?0.210, 95% CI: 0.159-0.276), no truancy in the past month (OR?=?0.510, 95% CI: 0.354-0.735), never had self-injurious behaviors (OR?=?0.413, 95% CI: 0.245-0.698), very harmonious family relationship (OR?=?0.377, 95% CI: 0.219-0.650), frequent communication with parents (OR?=?0.524, 95% CI: 0.312-0.880), the feelings of satisfied with maternal love (OR?=?0.432, 95% CI: 0.257-0.725), and frequent excursions to gymnasium (OR?=?0.770, 95% CI: 0.659-0.899) were the protective factors. CONCLUSIONS:The implication of the present study may be that college students must be made aware of the consequences of inadequate sleep quality and risk factors could be improved if students tried to change their behavior and subjective consciousness.

Dataset Information

Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys.

Publications

Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys.

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