Examining Mother-Reported Poor Sleep and Blood Pressure in Black/African American Mother-Child Dyads.
Examining Mother-Reported Poor Sleep and Blood Pressure in Black/African American Mother-Child Dyads.
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检查母亲报告的黑人/非洲裔美国人母子二人组的睡眠不良和血压。
DOI：
10.1097/jcn.0000000000000749
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发表时间：
2021-03-01
期刊：
影响因子：
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通讯作者：
Taylor JY
中科院分区：
文献类型：
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作者：
Robbins R;DiClemente RJ;Ejikeme C;Crusto CA;Taylor JY
睡眠不好是高血压（HTN）的一个确认的危险因素，黑人/非洲裔美国人（AA）妇女在美国的HTN率最高。我们使用遗传和心理因素对血压的代际影响研究的数据，研究了黑人/AA母子二人组之间睡眠和血压（BP）之间的关系。本研究的数据来自250个黑人/AA母子二人组，来自低收入社区，通过2年4次家访收集。母亲们报告说睡眠不好，包括睡眠比平时差和夜间醒来的报告。记录母亲和孩子的血压。母亲血压评分为正常（<120/<80 mm Hg）、升高（120-129/<80 mm Hg）、1期HTN（130-139/80-89 mm Hg）或2期HTN（收缩压≥140或舒张压≥90 mm Hg）。广义线性模型检查了母亲报告的睡眠不良变量与母亲和儿童血压之间的关系。调整后的模型检查母亲的血压控制母亲的年龄，教育，婚姻状况，吸烟，体重指数和抑郁症状。在校正模型中，夜间觉醒与2期HTN相关（B = 2.70，95%置信区间[CI]，0.54-4.86，P <0.05）。与母亲血压正常的儿童相比，母亲血压升高的儿童舒张压较高（B = 0.37; 95%CI，0.19-0.54; P <0.001），母亲血压升高与子女收缩压均相关（B = 2.49; 95%CI，0.44-4.53; P < .05）和舒张压（B = 2.07; 95%CI，0.39- 3.76; P < .05）。母亲1期HTN与儿童收缩压（B = 2.16; 95%CI，0.29-4.03; P <0.05）和舒张压（B = 3.91; 95%CI，2.40-5.42; P <0.001）相关。我们检测到母亲2期HTN和母亲夜间觉醒在预测儿童舒张压升高方面具有显著的相互作用（B = 8.16; 95%CI，0.65-15.68; P <0.05）。我们发现了母亲夜间醒来与高血压之间存在联系的证据。我们的研究还阐明了母亲高血压和儿童高血压之间的密切关系。最后，我们的研究发现了母亲夜间觉醒在预测母亲2期HTN和儿童BP之间关系的潜在中介作用的初步支持。
Poor sleep is a confirmed risk factor for hypertension (HTN), and Black/African American (AA) women have among the highest rates of HTN in the United States. We examined the relationship between sleep and blood pressure (BP) among Black/AA mother-child dyads using data from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure study. Data for this study were derived from 250 Black/AA mother-child dyads from low-income neighborhoods, collected via 4 home visits over 2 years. Mothers reported poor sleep, including reports of sleeping worse than usual and nighttime awakenings. Recordings of BP were obtained for mother and child. Mother BP was scored as normal (<120/<80 mm Hg), elevated (120–129/<80 mm Hg), stage 1 HTN (130–139/80–89 mm Hg), or stage 2 HTN (systolic ≥140 or diastolic ≥90 mm Hg). Generalized linear models examined the relationships between mother-reported poor sleep variables and both mother and child BP. Adjusted models examining mother BP controlled for the mother’s age, education, marital status, smoking, body mass index, and depression symptoms. In adjusted models, nighttime awakenings were associated with stage 2 HTN (b = 2.70, 95% confidence interval [CI], 0.54–4.86, P < .05). Compared with children whose mother who had normal BP, children whose mother had elevated BP had higher diastolic BP (b = 0.37; 95% CI, 0.19–0.54; P < ,001), Mother elevated BP was associated with both child systolic BP (b = 2.49; 95% CI, 0.44–4.53; P < .05) and diastolic BP(b = 2.07; 95% CI, 0.39–3 .76; P < .05). Mother stage 1 HTN was associated with both child systolic BP (b = 2.16; 95% CI, 0.29–4.03; P < .05) and diastolic BP (b = 3.91; 95% CI, 2.40–5.42; P < .001). We detected a significant interaction between mother stage 2 HTN and mother nighttime awakenings in predicting higher child diastolic BP (b = 8.16; 95% CI, 0.65–15.68; P < .05). We found evidence for an association between mothers’ nighttime awakenings and very high BP. Our study also illuminated a strong relationship between high mother BP and high child BP. Finally, our study found preliminary support for the potentially mediating role of mothers’ nighttime awakenings in predicting the relationship between mother stage 2 HTN and child BP.