Gender-specific associations of sleep duration with uncontrolled blood pressure in middle-aged patients

Zuo, Houjuan; Wang, Jinwen; Lin, Ye; Deng, Li-Qun; Jing, Su; Zhang, Juan

doi:10.3109/10641963.2014.995801

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…Results from the Whitehall II Cohort Study showed that compared with 7 hours of sleep, short duration of sleep (5 hours per night) was associated with a higher risk of hypertension among women with an inverse linear trend across decreasing hours of sleep while no association was detected in men 26. In a cross-sectional survey conducted among patients with hypertension in the hypertensive outpatient clinic of Anzhen Hospital and a community hospital in Beijing, China, researchers showed a modest association between short sleep duration and uncontrolled hypertension in middle-aged women but not in men 27. There may be two possible reasons that may explain the sex difference in the correlation between sleep duration and hypertension.…”

Section: Discussionmentioning

confidence: 97%

Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study

Guan

Zhang

et al. 2019

BMJ Open

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ObjectivesTo examine the relationship between sleep duration and hypertension of migrant workers aged 18–59 years in China.DesignPopulation-based cross-sectional study using a complex survey sampling design.ParticipantsThere were 43 655 subjects in our analysis, after excluding people with missing information for key exposure and outcome variables and abnormal values for sleep duration (≤2 or ≥17 hours).Primary outcome measureHypertension was defined as systolic blood pressure (BP) ≥140 mm Hg and/or diastolic BP ≥90 mm Hg, or self-reported history of hypertension diagnosis in hospitals at the township (community) level or above and use of hypertensive medicine in the last 2 weeks.ResultsOf 43 655 subjects, 15.6% (95% CI 15.1% to 16.1%) of migrant workers had hypertension. The prevalence of hypertension decreased with the increased sleep duration, both in males and females. Logistic regression models, using 7–8 hours sleep/day as the reference, showed a greater odds for hypertension among men and women who reported <6 hours of sleep after adjusting for sociodemographic characteristics, behavioural risk factors, body mass index, diabetes, stroke and myocardial infarction (men: OR 1.26; 95% CI 1.03 to 1.54, women: OR 1.55; 95% CI 1.13 to 2.06, pinteraction =0.096). Further stratified by age and migration time, it revealed that among adults less than 45 years old, those sleeping 9 or more hours had adjusted odds for hypertension of 0.82 (95% CI 0.72 to 0.93, pinteraction=0.020),while there was no evidence of an association between sleep duration and hypertension among adults aged 45–59 years. Among adults whose migration time was less than 4.5 years, those sleeping 9 or more hours had adjusted odds for hypertension of 0.80 (95% CI 0.68 to 0.94, pinteraction=0.097).ConclusionThe association between sleep duration and hypertension varies by age. Short sleep duration (<6 hours) is associated with an increased prevalence of hypertension in both genders.

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Section: Discussionmentioning

confidence: 97%

Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study

Guan

Zhang

et al. 2019

BMJ Open

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“…The current study showed that those with a short sleep duration had a higher risk of uncontrolled SBP. Zuo et al 21) reported that sleep for >7…”

Section: Discussionmentioning

confidence: 99%

Uncontrolled Blood Pressure in Hypertensive Patients with High Medication Adherence: A Korean Nationwide Population-Based Study

2020

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Background: Uncontrolled blood pressure (BP) is relatively common despite treatment with antihypertensive medication. This study aimed to investigate factors associated with uncontrolled systolic BP (SBP) and diastolic BP (DBP) separately in hypertensive patients with high medication adherence in Korea. Methods: This population-based cross-sectional study included 3,236 participants in the Korea National Health and Nutrition Examination Survey from 2013 to 2015. Hypertensive patients with high medication adherence were defined when they stated that they were taking antihypertensive medication daily. "Uncontrolled SBP and DBP" were defined as SBP ≥140 mm Hg and DBP ≥90 mm Hg, respectively. Data were analyzed using logistic regression to determine the association between uncontrolled SBP or DBP and various factors. Results: The prevalence of uncontrolled SBP and uncontrolled DBP was 23.3%, and 9.0%, respectively. In multivariate analysis, uncontrolled SBP was positively associated with older age, female sex, blue-collar occupation or no work (vs. white-collar), presence of a spouse, short sleep duration, frequent heavy alcohol drinking, longer hypertension duration, diabetes, stroke, and missing antihypertensive medication on the examination day, but negatively associated with high stress. Uncontrolled DBP was positively associated with frequent heavy alcohol drinking, but negatively associated with older age, blue-collar occupation or no work (vs. white-collar), and diabetes. Conclusion: After excluding low medication adherence, we identified various factors associated with uncontrolled SBP or DBP in Korean adults with treated hypertension. There were differences between factors associated with uncontrolled SBP or DBP. Separate analysis of SBP and DBP may help understand the factors involved in BP control.

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Section: Sleep and Cardiometabolic Risk Factorsmentioning

confidence: 99%

“…More-recent studies in this area have been conducted primarily within Asian populations and have reported conflicting results. [22][23][24][25][26] In a cross-sectional analysis within the China Health and Retirement Longitudinal Study, compared with the reference group ( ‡ 7 h/night and <8 h/night), the groups who had <6 h/night and ‡6 h/night and <7 h/night had a 68%-69% higher risk of hypertension (OR: 1.68; 95% CI: 1.17-2.42 and OR: 1.69; 95% CI: 1.11-2.59, respectively) in middle-age men but not women. 24 Similarly in a crosssectional study of Korean women, null associations were reported between sleep duration and BP.…”

Section: Sleep and Cardiometabolic Risk Factorsmentioning

confidence: 99%

“…22 Similarly in 2 Chinese studies, short sleep duration was associated with higher SBP and DBP and risk of hypertension in females only. 25,26 These associations were particularly strong among early middle-age females (ages [35][36][37][38][39][40][41][42][43][44] in whom sleep duration <6 h/night vs. 7-8 h/night increased risk of hypertension by 77% (OR: 1.77; 95% CI: 1.02-2.78). 25 Finally, the most recent prospective cohort study, conducted in British men and women, ages 50 or older, showed that both men (OR: 1.73; 95% CI: 1.08-2.76) and women (OR: 1.44; 95% CI: 1.00-2.07) with short sleep (£ 5 h) were at increased risk of incident hypertension, but associations were stronger among men.…”

Section: Sleep and Cardiometabolic Risk Factorsmentioning

confidence: 99%

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Gender Differences in Associations between Insufficient Sleep and Cardiovascular Disease Risk Factors and Endpoints: A Contemporary Review

MakaremNour

AggarwalBrooke

2017

Gender and the Genome

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Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States for both men and women. The increasing appreciation of the gender differences in behavioral and physiologic interconnectedness of cardiometabolic risk factors has led to a growing literature evaluating relationships between sleep-an integral part of overall health and a source of physiological resilience-in relation to CVD and its risk factors in male and female cohorts. This article reviews the published research related to gender differences in the role of insufficient sleep in the etiology of CVD. Evidence on gender differences in the associations between sleep and other behavioral risk factors for CVD, namely diet and physical activity, is in the nascent stages of characterization but suggests that insufficient sleep may have a more pronounced detrimental impact on the diets of women. The literature on gender differences in the role of insufficient sleep in inflammation, dyslipidemia, glycemic control and insulin sensitivity, and obesity is inconclusive. Inadequate sleep duration is associated with elevated blood pressure, weight gain, hypertension, and obesity in both men and women, but associations may be stronger among women. Moreover, gender differences may vary by age group. Inflammation resulting from inadequate sleep may also be more pronounced among women. Inconsistent results were observed in studies on dyslipidemia with results ranging from null to detrimental associations in men and from detrimental to protective associations in women. Short sleep is also associated with poor glycemic control among men, with evidence of potential gender differences in associations with insulin sensitivity. Finally, insufficient sleep is convincingly associated with CVD etiology, but women appear to be more vulnerable to the effects of poor sleep on CVD risk and mortality. In conclusion, emerging data demonstrate that heterogeneity exists between men and women in how sleep duration influences behavioral and cardiometabolic risk factors in addition to CVD risk and mortality, but additional research is warranted to clarify associations and disentangle underlying mechanisms. In an era of genomics and personalized medicine, studying gender differences in the role of sleep in the risk for cardiometabolic disease is crucial for identifying innovative targets and tailoring public health interventions to focus on the most vulnerable population groups.

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Gender-specific associations of sleep duration with uncontrolled blood pressure in middle-aged patients

Abstract: Modest associations between short sleep duration and uncontrolled hypertension were seen in middle-aged women but not in men in the hypertensive population.

Cited by 7 publications

References 18 publications

Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study

Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study

Uncontrolled Blood Pressure in Hypertensive Patients with High Medication Adherence: A Korean Nationwide Population-Based Study

Gender Differences in Associations between Insufficient Sleep and Cardiovascular Disease Risk Factors and Endpoints: A Contemporary Review

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