Disparities in Hypertension Among African-Americans: Implications of Insufficient Sleep.

Disparities in Hypertension Among African-Americans: Implications of Insufficient Sleep.
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DOI:
10.1007/s11906-018-0855-1
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发表时间:
2018-06-08
影响因子:
5.6
通讯作者:
Somers VK
Somers VK
中科院分区:
医学2区
文献类型:
--
作者:
Covassin N;Greene EL;Singh P;Somers VK

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睡眠不足被认为是心血管健康种族差异的潜在因素。我们提出了当代黑人/非洲裔美国人睡眠不足的不平等负担的证据,以及对不同高血压风险的影响。睡眠不足的患病率很高,而且还在上升,已被认为是一个重要的心血管危险因素。据推测,由于环境,心理和个人决定因素的星座,这些风险似乎加剧了黑人/非洲裔美国人,谁更有可能经历短睡眠比其他种族/种族群体。基于人口的数据表明,与睡眠不足相关的高血压风险在非洲血统的人中更大。然而,在非洲裔美国人中,将睡眠时间短与血压水平联系起来的实验证据很少。黑人/非洲裔美国人可能更容易受到睡眠不足及其高血压影响。未来的研究需要明确地建立因果关系,并确定假设的睡眠充足性和随之而来的心血管风险的种族不平等的机制。
Sleep deficiency has been proposed as a potential contributor to racial disparities in cardiovascular health. We present contemporary evidence on the unequal burden of insufficient sleep in Blacks/African-Americans and the repercussions for disparate risk of hypertension. The prevalence of insufficient sleep is high and rising, and has been recognized as an important cardiovascular risk factor. Presumably due to a constellation of environmental, psychosocial and individual determinants, these risks appear exacerbated in Blacks/African-Americans, who are more likely to experience short sleep than other ethnic/racial groups. Population-based data suggest that the risk of hypertension associated with sleep deficiency is greater in those of African ancestry. However, there is a paucity of experimental evidence linking short sleep duration to blood pressure levels in African-Americans. Blacks/African-Americans may be more vulnerable to sleep deficiency and to its hypertensive effects. Future research is needed to unequivocally establish causality and determine mechanism underlying the postulated racial inequalities in sleep adequacy and consequent cardiovascular risk.
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