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Wen Y, Pi FH, Guo P, Dong WY, Xie YQ, Wang XY, Xia FF, Pang SJ, Wu YC, Wang YY, Zhang QY. Sleep duration, daytime napping, markers of obstructive sleep apnea and stroke in a population of southern China. Sci Rep 2016; 6:34689. [PMID: 27698374 PMCID: PMC5048149 DOI: 10.1038/srep34689] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 09/19/2016] [Indexed: 02/05/2023] Open
Abstract
Sleep habits are associated with stroke in western populations, but this relation has been rarely investigated in China. Moreover, the differences among stroke subtypes remain unclear. This study aimed to explore the associations of total stroke, including ischemic and hemorrhagic type, with sleep habits of a population in southern China. We performed a case-control study in patients admitted to the hospital with first stroke and community control subjects. A total of 333 patients (n = 223, 67.0%, with ischemic stroke; n = 110, 23.0%, with hemorrhagic stroke) and 547 controls were enrolled in the study. Participants completed a structured questionnaire to identify sleep habits and other stroke risk factors. Least absolute shrinkage and selection operator (Lasso) and multiple logistic regression were performed to identify risk factors of disease. Incidence of stroke, and its subtypes, was significantly associated with snorting/gasping, snoring, sleep duration, and daytime napping. Snorting/gasping was identified as an important risk factor in the Lasso logistic regression model (Lasso' β = 0.84), and the result was proven to be robust. This study showed the association between stroke and sleep habits in the southern Chinese population and might help in better detecting important sleep-related factors for stroke risk.
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Affiliation(s)
- Ye Wen
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Fu-Hua Pi
- Department of Sports, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Pi Guo
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Wen-Ya Dong
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Yu-Qing Xie
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Xiang-Yu Wang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Fang-Fang Xia
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Shao-Jie Pang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Yan-Chun Wu
- Department of neurology, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Yuan-Yuan Wang
- Department of neurology, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Qing-Ying Zhang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China
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