Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study

Objectives. Cognitive decline could be seen as the sign of preclinical phase of dementia, which was found to be sex differentiated. Previous studies had discovered that there might be some link between abnormal sleep duration and cognitive performance. Additionally, hypertension was found to be one...

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Main Authors: Xinlei Zhou, Junpei Li, Chao Yu, Wangsheng Fang, Yanyou Xie, Li Wang, Si Shen, Wei Zhou, Lingjuan Zhu, Tao Wang, Xiao Huang, Huihui Bao, Jianglong Tu, Xiaoshu Cheng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2022/7566033
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author Xinlei Zhou
Junpei Li
Chao Yu
Wangsheng Fang
Yanyou Xie
Li Wang
Si Shen
Wei Zhou
Lingjuan Zhu
Tao Wang
Xiao Huang
Huihui Bao
Jianglong Tu
Xiaoshu Cheng
author_facet Xinlei Zhou
Junpei Li
Chao Yu
Wangsheng Fang
Yanyou Xie
Li Wang
Si Shen
Wei Zhou
Lingjuan Zhu
Tao Wang
Xiao Huang
Huihui Bao
Jianglong Tu
Xiaoshu Cheng
author_sort Xinlei Zhou
collection DOAJ
description Objectives. Cognitive decline could be seen as the sign of preclinical phase of dementia, which was found to be sex differentiated. Previous studies had discovered that there might be some link between abnormal sleep duration and cognitive performance. Additionally, hypertension was found to be one of the important risk factors for cognitive decline and abnormal sleep duration was also a significant risk factor for hypertension. Therefore, the purpose of this study was to investigate sex differences in the association of sleep duration with cognitive performance and to further explore potential effect modifiers that may exist. Methods. Data analyzed in this study was from the China H-type Hypertension Registry Study. Sleep duration was assessed with a sleep questionnaire and categorized as <5 hours, 5-8 hours, and ≥8 hours. Cognitive performance was evaluated with the Mini-Mental State Examination (MMSE). Result. A total of 9527 subjects were included. The average age was 63.7±9.8 years. Linear regression analyses showed that the association between long sleep duration (≥8 h) and MMSE score adjusting for pertinent covariables was stronger in female (β=−0.95, 95% CI: -1.23 to -0.68, P<0.001) than in male (β=−0.29, 95% CI: -0.53 to -0.06, P=0.013). Furthermore, there was a significant interaction between sleep duration and age on cognitive performance only in female. Conclusion. In summary, this study found that long sleep duration (≥8 h) was associated with poorer cognitive performance. Furthermore, this association was more pronounced in female than in male, especially in older female.
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spelling doaj-art-59485520b8c44141b811312e246d60072025-02-03T01:32:35ZengWileyBehavioural Neurology1875-85842022-01-01202210.1155/2022/7566033Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry StudyXinlei Zhou0Junpei Li1Chao Yu2Wangsheng Fang3Yanyou Xie4Li Wang5Si Shen6Wei Zhou7Lingjuan Zhu8Tao Wang9Xiao Huang10Huihui Bao11Jianglong Tu12Xiaoshu Cheng13Department of CardiovascularDepartment of CardiovascularJiangxi Provincial Cardiovascular Disease Clinical Medical Research CenterWuyuan Health CommissionDepartment of CardiovascularDepartment of CardiovascularDepartment of CardiovascularJiangxi Provincial Cardiovascular Disease Clinical Medical Research CenterJiangxi Provincial Cardiovascular Disease Clinical Medical Research CenterJiangxi Provincial Cardiovascular Disease Clinical Medical Research CenterDepartment of CardiovascularDepartment of CardiovascularDepartment of NeurologyDepartment of CardiovascularObjectives. Cognitive decline could be seen as the sign of preclinical phase of dementia, which was found to be sex differentiated. Previous studies had discovered that there might be some link between abnormal sleep duration and cognitive performance. Additionally, hypertension was found to be one of the important risk factors for cognitive decline and abnormal sleep duration was also a significant risk factor for hypertension. Therefore, the purpose of this study was to investigate sex differences in the association of sleep duration with cognitive performance and to further explore potential effect modifiers that may exist. Methods. Data analyzed in this study was from the China H-type Hypertension Registry Study. Sleep duration was assessed with a sleep questionnaire and categorized as <5 hours, 5-8 hours, and ≥8 hours. Cognitive performance was evaluated with the Mini-Mental State Examination (MMSE). Result. A total of 9527 subjects were included. The average age was 63.7±9.8 years. Linear regression analyses showed that the association between long sleep duration (≥8 h) and MMSE score adjusting for pertinent covariables was stronger in female (β=−0.95, 95% CI: -1.23 to -0.68, P<0.001) than in male (β=−0.29, 95% CI: -0.53 to -0.06, P=0.013). Furthermore, there was a significant interaction between sleep duration and age on cognitive performance only in female. Conclusion. In summary, this study found that long sleep duration (≥8 h) was associated with poorer cognitive performance. Furthermore, this association was more pronounced in female than in male, especially in older female.http://dx.doi.org/10.1155/2022/7566033
spellingShingle Xinlei Zhou
Junpei Li
Chao Yu
Wangsheng Fang
Yanyou Xie
Li Wang
Si Shen
Wei Zhou
Lingjuan Zhu
Tao Wang
Xiao Huang
Huihui Bao
Jianglong Tu
Xiaoshu Cheng
Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
Behavioural Neurology
title Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
title_full Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
title_fullStr Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
title_full_unstemmed Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
title_short Sex Modified the Association between Sleep Duration and worse Cognitive Performance in Chinese Hypertensive Population: Insight from the China H-Type Hypertension Registry Study
title_sort sex modified the association between sleep duration and worse cognitive performance in chinese hypertensive population insight from the china h type hypertension registry study
url http://dx.doi.org/10.1155/2022/7566033
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