Abstract
BackgroundObesity, diabetes, and hypertension, as three of the most prevalent chronic diseases, remain a daunting health challenge. However, to our knowledge, no study has made a thorough examination of the association between the three chronic diseases and daytime napping, a widely accepted behavior in many countries. This is especially necessary among Tibetan populations, whose lifestyles and health outcomes may be unique, yet patterns of chronic diseases and napping are under-examined. Thus, we sought to explore the aforementioned association in the Tibetan population of China.MethodsA total of 2902 participants aged 45–79 in 2019 were included. Multivariate logistic regressions were conducted in 2020. The sex disparity was examined through interaction and stratified analyses.ResultsHypertension (40.7%) was more prevalent than obesity (20.2%) and diabetes (21.6%). Comparing to non-nappers, those who napped were more likely to have any conditions (OR = 1.30, 95% CI = 1.04–1.62 for 1–59 min/day group and OR = 1.40, 95% CI = 1.10–1.80 for ≥60 min/day group). Participants who had 1–59 min/day of napping were more likely to develop obesity (OR = 1.37, 95% CI = 1.07–1.75), and ≥ 60 min/day of napping was associated with diabetes (OR = 1.33, 95% CI = 1.01–1.74). The interactions between napping and sex were not statistically significant in the models.ConclusionsThe study revealed napping was unfavorably associated with obesity, diabetes, and any conditions in Tibetan people living on the Tibetan Plateau. Future interventions regarding the three chronic diseases may pay more attention to napping.Trial registrationNot applicable.
Highlights
Obesity, diabetes, and hypertension, as three of the most prevalent chronic diseases, remain a daunting health challenge
We examined the interactions by including a product term for napping and sex in the four multivariate models
As the proportion of obesity was slightly higher in women (21.4%) than in men (18.4%), and those of hypertension and diabetes were higher among men (44.0 and 22.8% respectively) than their female counterparts (38.6 and 20.8% respectively)
Summary
Diabetes, and hypertension, as three of the most prevalent chronic diseases, remain a daunting health challenge. To our knowledge, no study has made a thorough examination of the association between the three chronic diseases and daytime napping, a widely accepted behavior in many countries This is especially necessary among Tibetan populations, whose lifestyles and health outcomes may be unique, yet patterns of chronic diseases and napping are under-examined. Diabetes, and hypertension, as three of the most prevalent chronic diseases, predispose individuals to cardiovascular diseases (such as stroke and coronary heart disease) and remain a daunting health challenge [1]. According to the World Health Organization, 11% of men and 15% of women were obese in 2014 among adults aged 18 years or older [2] It has resulted in a large fraction of costs for healthcare system and for society [3]. The costs associated with diabetes and its consequences are enormous and projected to substantially increase by 2030 [6]
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