Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers
ObjectiveThe study explores the prevalence of hypertension and evaluates the joint association of sleep quality and physical activity (PA) levels in influencing hypertension among the Kazakh agricultural workers in Xinjiang.MethodsIn this chronic disease study conducted in Xinjiang, participants wer...
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| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1618094/full |
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| author | Yu-Fei Chen Yu-Fei Chen Qian Zhao Xieyire Hamulati Liting Cai Xinyu Qiu Jiamule Maimaitiyiming Fen Liu Fen Liu Xiao-Mei Li Yi-Ning Yang |
| author_facet | Yu-Fei Chen Yu-Fei Chen Qian Zhao Xieyire Hamulati Liting Cai Xinyu Qiu Jiamule Maimaitiyiming Fen Liu Fen Liu Xiao-Mei Li Yi-Ning Yang |
| author_sort | Yu-Fei Chen |
| collection | DOAJ |
| description | ObjectiveThe study explores the prevalence of hypertension and evaluates the joint association of sleep quality and physical activity (PA) levels in influencing hypertension among the Kazakh agricultural workers in Xinjiang.MethodsIn this chronic disease study conducted in Xinjiang, participants were selected from Habahe County, a predominantly Kazakh region, between October and November 2023. Restricted cubic spline (RCS) analysis and multivariate logistic regression models were used to evaluate the associations between sleep quality, PA levels, and the prevalence of hypertension.ResultsIn this study of 2,872 participants, the median age was 49 (42–57) years. Among participants, 1,253 (43.63%) were male. The study resulting in a hypertension prevalence of 54.94%. RCS regression showed a linear association between sleep quality and hypertension prevalence in participants (P overall = 0.007, P nonlinear = 0.214), and the association between PA level and hypertension prevalence was also statistically significant (P overall = 0.022). As PA level increased, hypertension prevalence gradually declined but stabilized at higher level. In a multivariate regression analysis adjusting for potential confounders, poorer sleep quality was associated with an increased prevalence of hypertension (OR = 1.33, 95% CI: 1.07–1.65, P = 0.011; OR = 1.38, 95% CI: 1.12–1.69, P = 0.001), while the association between PA level and hypertension prevalence was not statistically significant (P > 0.05). Further analysis showed that in the moderate PA level group, good sleep quality was significantly associated with a lower prevalence of hypertension (OR = 0.71, 95% CI: 0.52–0.97, P = 0.031). However, in individuals with low (<6,000 METs × min/week) and high (>12,000 METs × min/week) PA levels, the association between sleep quality and hypertension prevalence was not been observed (P > 0.05).ConclusionThe current study showed that PA and sleep quality are associated with the prevalence of hypertension. Among individuals with moderate PA level, healthy sleep quality may have a protective effect against hypertension. |
| format | Article |
| id | doaj-art-303cbb9a70cf4acda7931829b2d0d6c5 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-303cbb9a70cf4acda7931829b2d0d6c52025-08-20T03:39:28ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-08-011210.3389/fcvm.2025.16180941618094Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workersYu-Fei Chen0Yu-Fei Chen1Qian Zhao2Xieyire Hamulati3Liting Cai4Xinyu Qiu5Jiamule Maimaitiyiming6Fen Liu7Fen Liu8Xiao-Mei Li9Yi-Ning Yang10Department of Coronary Heart Disease, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, ChinaSchool of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Coronary Heart Disease, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Coronary Heart Disease, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, ChinaSchool of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, ChinaSchool of Health Management, Xinjiang Medical University, Urumqi, Xinjiang, ChinaSchool of Health Management, Xinjiang Medical University, Urumqi, Xinjiang, ChinaSchool of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, ChinaXinjiang Key Laboratory of Cardiovascular Disease, Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Coronary Heart Disease, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Cardiology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaObjectiveThe study explores the prevalence of hypertension and evaluates the joint association of sleep quality and physical activity (PA) levels in influencing hypertension among the Kazakh agricultural workers in Xinjiang.MethodsIn this chronic disease study conducted in Xinjiang, participants were selected from Habahe County, a predominantly Kazakh region, between October and November 2023. Restricted cubic spline (RCS) analysis and multivariate logistic regression models were used to evaluate the associations between sleep quality, PA levels, and the prevalence of hypertension.ResultsIn this study of 2,872 participants, the median age was 49 (42–57) years. Among participants, 1,253 (43.63%) were male. The study resulting in a hypertension prevalence of 54.94%. RCS regression showed a linear association between sleep quality and hypertension prevalence in participants (P overall = 0.007, P nonlinear = 0.214), and the association between PA level and hypertension prevalence was also statistically significant (P overall = 0.022). As PA level increased, hypertension prevalence gradually declined but stabilized at higher level. In a multivariate regression analysis adjusting for potential confounders, poorer sleep quality was associated with an increased prevalence of hypertension (OR = 1.33, 95% CI: 1.07–1.65, P = 0.011; OR = 1.38, 95% CI: 1.12–1.69, P = 0.001), while the association between PA level and hypertension prevalence was not statistically significant (P > 0.05). Further analysis showed that in the moderate PA level group, good sleep quality was significantly associated with a lower prevalence of hypertension (OR = 0.71, 95% CI: 0.52–0.97, P = 0.031). However, in individuals with low (<6,000 METs × min/week) and high (>12,000 METs × min/week) PA levels, the association between sleep quality and hypertension prevalence was not been observed (P > 0.05).ConclusionThe current study showed that PA and sleep quality are associated with the prevalence of hypertension. Among individuals with moderate PA level, healthy sleep quality may have a protective effect against hypertension.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1618094/fullhypertensionassociationsleep qualityphysical activityagricultural workers |
| spellingShingle | Yu-Fei Chen Yu-Fei Chen Qian Zhao Xieyire Hamulati Liting Cai Xinyu Qiu Jiamule Maimaitiyiming Fen Liu Fen Liu Xiao-Mei Li Yi-Ning Yang Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers Frontiers in Cardiovascular Medicine hypertension association sleep quality physical activity agricultural workers |
| title | Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers |
| title_full | Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers |
| title_fullStr | Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers |
| title_full_unstemmed | Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers |
| title_short | Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers |
| title_sort | joint association of sleep quality and physical activity with hypertension a cross sectional population study in agricultural workers |
| topic | hypertension association sleep quality physical activity agricultural workers |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1618094/full |
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