Exploring the Best Sleep Duration for Undergraduates from the Perspective of TCM Constitution by Using Restricted Cubic Spline Model

doi:10.12114/j.issn.1007-9572.2022.0401

Chinese General Practice ›› 2023, Vol. 26 ›› Issue (06): 718-724.DOI: 10.12114/j.issn.1007-9572.2022.0401

Special Issue: 中医最新文章合集；睡眠问题专题研究

• Population Health Research • Previous Articles Next Articles

Exploring the Best Sleep Duration for Undergraduates from the Perspective of TCM Constitution by Using Restricted Cubic Spline Model

1. School of Management, Beijing University of Chinese Medicine, Beijing 102488, China
2. School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China

Received:2022-05-06 Revised:2022-09-20 Published:2023-02-20 Online:2022-10-27
Contact: ZHU Yanbo
About author:
MA F H, ZHU Y B, LIU W Q, et al. Exploring the best sleep duration for undergraduates from the perspective of TCM constitution by using restricted cubic spline model[J]. Chinese General Practice, 2023, 26 (6) : 718-724, 733.

基于限制性立方样条模型从中医体质角度探讨大学生最佳睡眠时长的研究

1．102488　北京市，北京中医药大学管理学院
2．102488　北京市，北京中医药大学中医学院

通讯作者: 朱燕波
作者简介:
马方晖，朱燕波，刘雯琼，等.基于限制性立方样条模型从中医体质角度探讨大学生最佳睡眠时长的研究[J].中国全科医学，2023，26（6）：718-724，733. [www.chinagp.net] 作者贡献：马方晖、朱燕波进行文章的构思设计，撰写论文，对论文进行修订；朱燕波组织数据录入和核查；马方晖进行统计学处理，对结果进行分析和解释；马方晖、朱燕波、刘雯琼、吴新瑞、张千、赵心源、李玉琼、龙利群、陈皮皮对论文进行讨论修改；朱燕波负责文章的质量控制及审校、对文章整体负责，监督管理。
基金资助:
北京中医药大学重点攻关项目(2020-JYB-ZDGG-073); 北京中医药大学成果转化专项课题(2019-XJ-CGZH-018); 科技部基础性工作专项(2013FY114400-5)

Abstract

Abstract:

Background

Sleep duration of the undergraduates are closely related to their health, but there is no conclusion about the best sleep duration for undergraduates. And there is a lack of research about the dose-response relationship between sleep duration and Traditional Chinese Medicine (TCM) constitution.

Objective

To explore the relationship between sleep duration and TCM constitution for undergraduates, and to provide reference for their health education about sleep duration.

Methods

This study used a combination of purposeful sampling and snowball sampling methods to conduct on-site questionnaire survey on students from 143 universities including Beijing University of Chinese Medicine, Harbin Institute of Technology (Weihai), Peking University, Northwestern Polytechnical University from January to June 2019. We used the Constitution in Chinese Medicine Questionnaire of 41-item (CCMQ-41) to assess the TCM constitution of undergraduates, and used a self-designed questionnaire to measure socio-demographic information and lifestyle behaviors. This study used the restricted cubic spline fitting multiple linear regression model to analyze the dose-response relationship between sleep duration and TCM constitution with taking sleep duration as the independent variable and TCM constitution score as the dependent variable, and controlling for related confounding variables.

Results

This study collected 1 003 valid questionnaires. The response rate was 98.2%. Pearson correlation analysis showed that the sleep duration was negatively correlated with the score of qi depression (r=-0.067, P=0.034). After controlling for confounders, multiple linear regression analysis showed that there was no linear relationship between sleep duration and TCM constitution scores (P>0.05). The dose-response relationship analysis showed that the highest point of gentleness score and the lowest point of biased constitutions score (except specific diathesis) had a sleep duration of about 8 h. When the sleep duration was >8.5 h, the gentleness score showed a tendency to decrease, and the scores of qi deficiency and qi depression had a tendency to increase (P<0.05) .

Conclusion

Considering the health status of TCM constitutions, the best daily sleep duration for undergraduates is about 8 h. The sleep duration should be restricted to be less than 8.5 h to prevent the possibility of biased constitution.

Key words: TCM constitution, Sleep, Best sleep duration, Undergraduates, Health status

摘要：

背景

睡眠时长与大学生健康密切相关，但关于大学生最佳睡眠时长尚无定论，同时缺乏睡眠时长与中医体质的量效关系研究。

目的

探究大学生睡眠时长与中医体质的关系，为大学生睡眠时长的健康教育提供参考。

方法

2019年1—6月，采用立意抽样结合滚雪球抽样法对北京中医药大学、哈尔滨工业大学（威海）、北京大学、西北工业大学等143所高校在读生进行现场问卷调查。采用中医体质量表-41条目简短版（CCMQ-41）评估大学生中医体质状况，自行设计的一般情况调查表测查大学生的社会人口学信息和生活行为方式。以睡眠时长为自变量，中医体质得分为因变量，控制相关混杂变量，采用限制性立方样条模型拟合多元线性回归模型分析睡眠时长与中医体质状况的剂量-反应关系。

结果

本次调查共收集有效问卷1 003份，有效回收率为98.2%。Pearson相关分析结果显示，睡眠时长与气郁质得分呈负相关（r=-0.067，P=0.034）。控制混杂因素后的多元线性回归分析结果显示，睡眠时长与9种中医体质得分之间不存在线性相关关系（P>0.05）。剂量-反应关系结果显示，平和质得分最高点、偏颇体质得分（特禀质除外）最低点的睡眠时长约为8 h；当睡眠时长>8.5 h时，平和质得分呈现降低趋势，气虚质、气郁质得分有增加趋势（P值均<0.05）。

结论

综合考虑体质整体健康状况，大学生每日最佳睡眠时长约为8 h；同时应控制睡眠时长不大于8.5 h，以防增加偏颇体质发生的可能。

关键词: 中医体质, 睡眠, 最佳睡眠时长, 大学生, 健康状况

MA Fanghui,ZHU Yanbo,LIU Wenqiong, et al. Exploring the Best Sleep Duration for Undergraduates from the Perspective of TCM Constitution by Using Restricted Cubic Spline Model[J]. Chinese General Practice, 2023, 26(06): 718-724. DOI: 10.12114/j.issn.1007-9572.2022.0401.
马方晖,朱燕波,刘雯琼等. 基于限制性立方样条模型从中医体质角度探讨大学生最佳睡眠时长的研究[J]. 中国全科医学, 2023, 26(06): 718-724. DOI: 10.12114/j.issn.1007-9572.2022.0401.

Figures/Tables 3

References 60

[1]	WEAVER M D, SLETTEN T L, FOSTER R G，et al. Adverse impact of polyphasic sleep patterns in humans：report of the National Sleep Foundation sleep timing and variability consensus panel[J]. Sleep Health，2021，7(3):293-302. DOI：10.1016/j.sleh.2021.02.009.
[2]	LI J, CAO D, HUANG Y，et al. Sleep duration and health outcomes：an umbrella review[J]. Sleep Breath，2022，26(3):1479-1501. DOI：10.1007/s11325-021-02458-1.
[3]	LIU W J, ZHANG R, TAN A R，et al. Long sleep duration predicts a higher risk of obesity in adults：a meta-analysis of prospective cohort studies[J]. J Public Health （Oxf），2019，41(2):e158-168. DOI：10.1093/pubmed/fdy135.
[4]	ITANI O, JIKE M, WATANABE N，et al. Short sleep duration and health outcomes：a systematic review，meta-analysis，and meta-regression[J]. Sleep Med，2017，32:246-256. DOI：10.1016/j.sleep.2016.08.006.
[5]	KRITTANAWONG C, TUNHASIRIWET A, WANG Z，et al. Association between short and long sleep durations and cardiovascular outcomes：a systematic review and meta-analysis[J]. Eur Heart J Acute Cardiovasc Care，2019，8(8):762-770. DOI：10.1177/2048872617741733.
[6]	JIKE M, ITANI O, WATANABE N，et al. Long sleep duration and health outcomes：a systematic review，meta-analysis and meta-regression[J]. Sleep Med Rev，2018，39:25-36. DOI：10.1016/j.smrv.2017.06.011.
[7]	GUO X F, ZHENG L Q, WANG J，et al. Epidemiological evidence for the link between sleep duration and high blood pressure：a systematic review and meta-analysis[J]. Sleep Med，2013，14(4):324-332. DOI：10.1016/j.sleep.2012.12.001.
[8]	LI Y J, CAI S F, LING Y X，et al. Association between total sleep time and all cancer mortality：non-linear dose-response meta-analysis of cohort studies[J]. Sleep Med，2019，60:211-218. DOI：10.1016/j.sleep.2019.03.026.
[9]	VGONTZAS A N, LIAO D P, BIXLER E O，et al. Insomnia with objective short sleep duration is associated with a high risk for hypertension[J]. Sleep，2009，32(4):491-497. DOI：10.1093/sleep/32.4.491.
[10]	STOCK A A, LEE S, NAHMOD N G，et al. Effects of sleep extension on sleep duration，sleepiness，and blood pressure in college students[J]. Sleep Health，2020，6(1):32-39. DOI：10.1016/j.sleh.2019.10.003.
[11]	QUICK V, BYRD-BREDBENNER C, BROWN O，et al. Relationships among sleep duration，weight-related behaviors，and BMI in college students[J]. Journal of the Academy of Nutrition and Dietetics，2013，113(9):A78. DOI：10.1016/j.jand.2013.06.270.
[12]	HICKS R A, KILCOURSE J. Habitual sleep duration and the incidence of headaches in college students[J]. Bulletin of the Psychonomic Society，2013，21(2):119. DOI：10.3758/BF03329971.
[13]	BISHT R, WALIA L, AGRAWAL B. An analytical study of sleep duration，BMI and blood pressure reactivity among medical college students[J]. Indian Journal of Public Health Research & Development，2019，10(10):142. DOI：10.5958/0976-5506.2019.02785.2.
[14]	QUICK V, BYRD-BREDBENNER C, SHOFF S，et al. Relationships of sleep duration with weight-related behaviors of US college students[J]. Behav Sleep Med，2016，14(5):565-580. DOI：10.1080/15402002.2015.1065411.
[15]	SAYLOR J, JI X P, CALAMARO C J，et al. Does sleep duration，napping，and social jetlag predict hemoglobin A1c among college students with type 1 diabetes mellitus?[J]. Diabetes Res Clin Pract，2019，148:102-109. DOI：10.1016/j.diabres.2019.01.007.
[16]	ALBQOOR M A, SHAHEEN A M. Sleep quality，sleep latency，and sleep duration：a national comparative study of university students in Jordan[J]. Schlaf Atmung，2021，25(2):1147-1154. DOI：10.1007/s11325-020-02188-w.
[17]	TSOU M T, CHANG B C. Association of depression and excessive daytime sleepiness among sleep-deprived college freshmen in northern Taiwan[J]. Int J Environ Res Public Health，2019，16(17):E3148. DOI：10.3390/ijerph16173148.
[18]	GE Y J, XIN S M, LUAN D C，et al. Association of physical activity，sedentary time，and sleep duration on the health-related quality of life of college students in Northeast China[J]. Health Qual Life Outcomes，2019，17(1):124. DOI：10.1186/s12955-019-1194-x.
[19]	OKANO K, KACZMARZYK J R, DAVE N，et al. Sleep quality，duration，and consistency are associated with better academic performance in college students[J]. NPJ Sci Learn，2019，4:16. DOI：10.1038/s41539-019-0055-z.
[20]	VEDAA Ø, EREVIK E K, HYSING M，et al. Insomnia，sleep duration and academic performance：a national survey of Norwegian college and university students[J]. Sleep Med X，2019，1:100005. DOI：10.1016/j.sleepx.2019.100005.
[21]	白义松. 基于能量代谢的视角探讨运动干预对肥胖大学生体成分影响的研究[D]. 成都：西南交通大学，2015.
[22]	张玉秀. 江苏高校大学生睡眠方式和体质健康现状及其相关性的研究[J]. 南京体育学院学报（社会科学版），2006，20(3):15-18. DOI：10.15877/j.cnki.nsic.2006.03.004.
[23]	李敏，唐光政. 伴与不伴社交焦虑大学生睡眠状况比较[J]. 中国民康医学，2015，27(21):81-82,89. DOI：10.3969/j.issn.1672-0369.2015.21.044.
[24]	王琦. 中医体质学[M]. 北京：中国医药科技出版社，1995.
[25]	朱燕波，王琦，邓棋卫，等. 中医体质类型与高血压的相关性研究[J]. 中西医结合学报，2010，8(1):40-45. DOI：10.3736/jcim20100108.
[26]	胡凯旋，夏生林，范木耿，等. 老年脑卒中患者中医体质调查与分析[J]. 中医药导报，2018，24(7):27-28. DOI：10.13862/j.cnki.cn43-1446/r.2018.07.010.
[27]	李文东，孙书亭，吕树泉，等. 2型糖尿病体质辨识演变规律系统综述[J]. 实用中医内科杂志，2016，30(12):1-3. DOI：10.13729/j.issn.1671-7813.2016.12.01.
[28]	张楠，付奇，贾文美. 中医体质辨识在2型糖尿病患者健康管理中的应用[J]. 中西医结合心血管病电子杂志，2019，7(14):191,193. DOI：10.16282/j.cnki.cn11-9336/r.2019.14.158.
[29]	李容华，赵厶维，潘梅英. 中医体质辨识基础上的健康指导对COPD稳定期患者负性情绪和生活质量的影响[J]. 川北医学院学报，2019，34(6):797-800.
[30]	赵静. 中医体质辨识在社区高血压健康管理中的应用[J]. 中国社区医师，2018，34(1):167-168. DOI：10.3969/j.issn.1007-614x.2018.1.105.
[31]	严辉，朱燕波，李桐，等. 中医体质与睡眠质量的相关分析[J]. 天津中医药，2017，34(11):726-729. DOI：10.11656/j.issn.1672-1519.2017.11.03.
[32]	樊少仪，温俊茂，陈宗俊，等. 大学生睡眠质量与体质类型相关性的研究[J]. 重庆医学，2016，45(23):3249-3251. DOI：10.3969/j.issn.1671-8348.2016.23.028.
[33]	鹿佳，朱燕波，史会梅，等. 睡眠时间与中医体质类型的关联性分析[J]. 中医杂志，2016，57(24):2089-2093. DOI：10.13288/j.11-2166/r.2016.24.006.
[34]	杨洁，朱继民，武松，等. 医学生中医体质与睡眠质量的相关性分析[J]. 安徽中医药大学学报，2019，38(6):16-20. DOI：10.3969/j.issn.2095-7246.2019.06.005.
[35]	王琳琳. 在校女大学生月经后期与中医体质及相关因素调查分析[D]. 哈尔滨：黑龙江中医药大学，2013.
[36]	陈雅丽. 高校女大学生偏头痛（缓解期）中医证候与体质分布的相关性分析[D]. 北京：北京中医药大学，2018.
[37]	荆文华，陈学顺，吴芸，等. 偏颇体质与大学生心理亚健康的相关性研究[J]. 中国民族民间医药，2018，27(20):4-6.
[38]	方必基，刘彩霞，尧健昌，等. 近二十年我国大学生睡眠质量研究结果的元分析[J]. 现代预防医学，2020，47(19):3553-3556.
[39]	葛殷健. 视屏时间、体力活动和睡眠时间对大学生生命质量和压力的影响[D]. 沈阳：中国医科大学，2020.
[40]	BYRD K, GELAYE B, TADESSEA M G，et al. Sleep disturbances and common mental disorders in college students[J]. Health Behav Policy Rev，2014，1(3):229-237. DOI：10.14485/HBPR.1.3.7.
[41]	DESQUILBET L, MARIOTTI F. Dose-response analyses using restricted cubic spline functions in public health research[J]. Stat Med，2010，29(9):1037-1057. DOI：10.1002/sim.3841.
[42]	朱燕波，虞晓含，王琦，等. 简短版中医体质量表的初步设置与考评[J]. 中国全科医学，2017，20(7):879-885. DOI：10.3969/j.issn.1007-9572.2017.07.023.
[43]	朱燕波，王琦，虞晓含，等. 中医体质量表-41条目简短版的结构效度和反应度评价[J]. 中国全科医学，2017，20(26):3282-3286. DOI：10.3969/j.issn.1007-9572.2017.07.y15.
[44]	朱燕波，史会梅，虞晓含. 不同条目版本的中医体质量表在健康人群中应用的性能比较[J]. 中国全科医学，2019，22(35):4381-4387. DOI：10.12114/j.issn.1007-9572.2018.00.320.
[45]	HIRSHKOWITZ M, WHITON K, ALBERT S M，et al. National Sleep Foundation's sleep time duration recommendations：methodology and results summary[J]. Sleep Health，2015，1(1):40-43. DOI：10.1016/j.sleh.2014.12.010.
[46]	党文珊. 太原市产妇中医体质及盆底肌肌力影响因素分析[D]. 太原：山西医科大学，2020.
[47]	曾维轲，张小芳，胡依娜，等. 湖南省老年人中医体质类型与睡眠质量相关性研究[J]. 中国中医药信息杂志，2018，25(11):23-26. DOI：10.3969/j.issn.1005-5304.2018.11.006.
[48]	范恩芳，潘琼，刘木松，等. 133例失眠症患者的中医体质调查分析[J]. 中医药信息，2016，33(1):98-100.
[49]	赵颖初. 基于中医睡眠养生理论的睡眠模式的文献研究及内视法对睡眠的影响[D]. 济南：山东中医药大学，2009.
[50]	何臣兰. 针刺配合刮痧刺络拔罐改善湿热体质嗜睡症的临床观察[D]. 广州：广州中医药大学，2011.
[51]	堵靖舒. 俞募拔罐配合针刺对岭南地区气郁化火型失眠的疗效观察[D]. 广州：广州中医药大学，2014.
[52]	周茜. 针刺调体治疗气郁体质失眠的疗效观察[D]. 广州：广州中医药大学，2010.
[53]	陈静，刘晓玲，张幼明. 俞募配穴刺络放血法调治气郁体质失眠临床观察[J]. 光明中医，2019，34(16):2517-2519. DOI：10.3969/j.issn.1003-8914.2019.16.036.
[54]	王庆军. 督灸联合柴胡舒肝丸治疗气郁质失眠临床观察[J]. 河南中医，2021，41(1):120-123. DOI：10.16367/j.issn.1003-5028.2021.01.0030.
[55]	邓艳华，周建扬，陈璐佳. 中药足浴联合西药治疗气郁体质失眠临床研究[J]. 新中医，2018，50(11):71-74. DOI：10.13457/j.cnki.jncm.2018.11.019.
[56]	陈程，刘春涛. 针刺联合足少阳胆经推拿对气郁质失眠患者睡眠质量及血清IL-6、5-HT、DA水平的影响[J]. 现代医学与健康研究电子杂志，2021，5(3):101-103.
[57]	赵镇雪，赵梦娟，赵春善. 睡眠时间与高血压发生风险的剂量反应Meta分析[J]. 现代预防医学，2021，48(13):2452-2456,2469.
[58]	许春杰，韩冬柏，刘晓宇，等. 基于剂量-反应关系的体力活动与血尿酸水平关系及性别差异研究[J]. 中国全科医学，2018，21(12):1432-1436. DOI：10.3969/j.issn.1007-9572.2018.00.080.
[59]	许敏锐，强德仁，石素逸，等. 老年人脉压和脉压指数与代谢综合征的相关性和剂量反应关系[J]. 中华老年医学杂志，2021，40(1):57-61. DOI：10.3760/cma.j.issn.0254-9026.2021.01.007.
[60]	马倩倩，何贤英，孙东旭，等. 中老年人睡眠时间与高血压患病关联强度剂量-反应关系分析[J]. 中国卫生统计，2020，37(4):568-572.

项目	平和质	气虚质	阳虚质	阴虚质	痰湿质	湿热质	血瘀质	气郁质	特禀质
r值	0.035	-0.021	-0.033	-0.052	-0.042	-0.034	-0.049	-0.067	-0.030
P值	0.275	0.497	0.302	0.097	0.180	0.286	0.119	0.034	0.343

项目	平和质	气虚质	阳虚质	阴虚质	痰湿质	湿热质	血瘀质	气郁质	特禀质
r值	0.035	-0.021	-0.033	-0.052	-0.042	-0.034	-0.049	-0.067	-0.030
P值	0.275	0.497	0.302	0.097	0.180	0.286	0.119	0.034	0.343

因变量	β	SE	β'	t值	P值
平和质	0.319	0.515	0.019	0.618	0.537
气虚质	-0.159	0.518	-0.009	-0.306	0.760
阳虚质	-0.411	0.693	-0.018	-0.593	0.553
阴虚质	-0.706	0.552	-0.040	-1.278	0.202
痰湿质	-0.488	0.548	-0.027	-0.890	0.374
湿热质	-0.442	0.567	-0.024	-0.780	0.435
血瘀质	-0.522	0.555	-0.029	-0.941	0.347
气郁质	-0.996	0.553	-0.056	-1.801	0.072
特禀质	-0.432	0.573	-0.024	-0.755	0.451

因变量	β	SE	β'	t值	P值
平和质	0.319	0.515	0.019	0.618	0.537
气虚质	-0.159	0.518	-0.009	-0.306	0.760
阳虚质	-0.411	0.693	-0.018	-0.593	0.553
阴虚质	-0.706	0.552	-0.040	-1.278	0.202
痰湿质	-0.488	0.548	-0.027	-0.890	0.374
湿热质	-0.442	0.567	-0.024	-0.780	0.435
血瘀质	-0.522	0.555	-0.029	-0.941	0.347
气郁质	-0.996	0.553	-0.056	-1.801	0.072
特禀质	-0.432	0.573	-0.024	-0.755	0.451

Exploring the Best Sleep Duration for Undergraduates from the Perspective of TCM Constitution by Using Restricted Cubic Spline Model

基于限制性立方样条模型从中医体质角度探讨大学生最佳睡眠时长的研究

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 60

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	LIANG Xuan, NA Feiyang, QIN Mengyao, YANG Hui, GUO Li, GUO Qi, REN Lei, CHEN De, LIU Donghai, ZHANG Rongfang. Clinical Characteristics and Influencing Factors of Bronchial Asthma Combined with Obstructive Sleep Apnea-hypopnea Syndrome in Children [J]. Chinese General Practice, 2023, 26(33): 4225-4230.
[2]	YU Xinlian, DAI Xinyue, ZHAO Xicun, XU Ying. Chain Mediating Effects of Stressful Life Events and the Time Taken to Fall Asleep in the Relationship between Yin-deficiency Constitution and Depressed Mood in Junior High School Students [J]. Chinese General Practice, 2023, 26(33): 4159-4166.
[3]	QU Hui, LI Huan, TANG Ruohan, DU Yuzheng, ZHAO Qi. Outcome Indicators Analysis of Randomized Controlled Trials of Acupuncture for Obstructive Sleep Apnea Hypopnea Syndrome in the Past Decade [J]. Chinese General Practice, 2023, 26(30): 3734-3739.
[4]	WEN Wen, ZHANG Kainan, CHEN Yulan, LI Yu, ZHANG Xiangyang. Correlation of Metabolic Indexes as Predictors with Obstructive Sleep Apnea [J]. Chinese General Practice, 2023, 26(30): 3740-3747.
[5]	HU Jiayu, REN Lijue, JIN Huanhuan, SUN Tingting, JIN Meina, ZHOU Xueli, WEI Cuiying. The Level of Adipokine Metrnl and Its Relationship with Inflammation and Insulin Resistance in Patients with Obstructive Sleep Apnea Syndrome [J]. Chinese General Practice, 2023, 26(30): 3748-3752.
[6]	ZHU Lin, GUO Yankui, GAO Chen, CHEN Xuezhi, WANG Fashuai. Efficacy of Western Medicine, Chinese Patent Medicine and Their Combination on Post-stroke Insomnia: a Network Meta-analysis [J]. Chinese General Practice, 2023, 26(30): 3823-3832.
[7]	DENG Jingjing, LI Xia, XUE Qian, DENG Lihua, WANG Jingtong. The Efficacy of Continuous Airway Positive Pressure Ventilation on OSA Complicated with GERD: an Observational Study [J]. Chinese General Practice, 2023, 26(30): 3753-3758.
[8]	WEI Mengyu, WANG Jiajia, ZHANG Yingying, LI Chunyang, LI Jiansheng. Research Status of Patient-reported Outcome Assessment Tools for Obstructive Sleep Apnea [J]. Chinese General Practice, 2023, 26(30): 3725-3733.
[9]	XU Zhe, ZHANG Jinxia, ZHANG Xiuhong, XIE Kaihong. Relationship between Sleep Duration and All-cause Mortality in Middle-aged and Older Adults [J]. Chinese General Practice, 2023, 26(28): 3507-3512.
[10]	TIAN Meng, SONG Yulei, ZHANG Xueqing, MA Yunyun, LIANG Xiao, SHI Jiarui, YIN Haiyan, LUO Dan, XU Guihua, BAI Yamei. Latent Profile Analysis of Sleep Subtypes in Older Adults with Subjective Cognitive Decline and Its Influencing Factors [J]. Chinese General Practice, 2023, 26(26): 3297-3302.
[11]	QIAO Hui, XIE Yongxin, XIAO Wenwen, GAO Baokai, CHEN Kexin. Progress and Effectiveness of the Health Status and Equity of Health Service Utilization of Rural Residents in Ningxia During 10 Years after the New Healthcare Reform [J]. Chinese General Practice, 2023, 26(22): 2726-2733.
[12]	DING Xiaoyun, JIN Juzhen, YANG Jin, ZHOU Jing, HU Jin, MENG Yue, LIANG Xiaoxian, GAI Yun, WANG Junhua, WANG Ziyun. The Mediating Effect of Waist Circumference and Fasting Plasma Glucose on the Association between Obstructive Sleep Apnea Syndrome and Arterial Stiffness in a Population Aged 40-65 Years [J]. Chinese General Practice, 2023, 26(21): 2597-2602.
[13]	FEI Min, LEI Si, XU Yan, YE Yun, ZHUO Hui, ZHANG Hui, LUO Yingquan. Association of Obstructive Sleep Apnea-hypopnea Syndrome with Blood Pressure Variability and Heart Rate Variability in Patients with Hypertension [J]. Chinese General Practice, 2023, 26(20): 2459-2468.
[14]	WANG Jingyu, HONG Shenda, HAN Fang, LIU Guoli. A Review of Recent Advances in Screening for Obstructive Sleep Apnea during Pregnancy [J]. Chinese General Practice, 2023, 26(20): 2555-2558.
[15]	HAN Tingting, CUI Xiaochuan, HAN Fang. How to Synergize the Development of General Practice and Sleep Medicine [J]. Chinese General Practice, 2023, 26(20): 2447-2451.