2017
DOI: 10.1017/gheg.2017.10
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Association between sleep difficulties as well as duration and hypertension: is BMI a mediator?

Abstract: Sleep difficulties and short sleep duration have been associated with hypertension. Though body mass index (BMI) may be a mediator variable, the mediation effect has not been defined. We aimed to assess the association between sleep duration and sleep difficulties with hypertension, to determine if BMI is a mediator variable, and to quantify the mediation effect. We conducted a mediation analysis and calculated prevalence ratios with 95% confidence intervals. The exposure variables were sleep duration and slee… Show more

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Cited by 5 publications
(3 citation statements)
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“…Similar to our finding, results of a study in Peru confirmed the higher prevalence of HTN in obese than in normal weight individuals. [ 24 ] Furthermore, Nurdiantami et al . [ 25 ] found that the prevalence of HTN was positively related with increasing BMI.…”
Section: Discussionmentioning
confidence: 99%
“…Similar to our finding, results of a study in Peru confirmed the higher prevalence of HTN in obese than in normal weight individuals. [ 24 ] Furthermore, Nurdiantami et al . [ 25 ] found that the prevalence of HTN was positively related with increasing BMI.…”
Section: Discussionmentioning
confidence: 99%
“…S leep quality and quantity are associated with a number of cardiovascular disease (CVD) risk factors in adults, including metabolic syndrome (1), atherosclerosis (2,3), and hypertension (4). As a presumed consequence, a number of studies have found significant associations between sleep parameters and subclinical CVD (e.g., carotid intima-media thickness) in adults (for a review, see Ref.…”
Section: Introductionmentioning
confidence: 99%
“…BMI is used to define the medical standard of obesity in many countries since the mid-1980s, and this method of assessment is also used in statis-tics of the world health organization (13). Based on the evidences, increased BMI values increase the risk of cardiovascular diseases (hypertension, myocardial infarction, and pulmonary diseases, sleep apnea syndrome) (14)(15)(16). However, the basic critique of BMI as an indicator of child nutrition is that it does not directly measure the amount of fatty tissue.…”
Section: Introductionmentioning
confidence: 99%