Mild sleep restriction increases 24-hour ambulatory blood pressure in premenopausal women with no indication of mediation by psychological effects

St‐Onge, Marie‐Pierre; Campbell, Ayanna; Aggarwal, Brooke; Taylor, Jasmine L.; Spruill, Tanya M.; RoyChoudhury, Arindam

doi:10.1016/j.ahj.2020.02.006

Cited by 18 publications

(17 citation statements)

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“…(14 men and 14 women) TSD induced similar increases in SAP, DAP and MAP in men and women St-Onge et al. (2020) [ 17 ] Randomized study comparing the usual sleep and reduced by 1.5 h a night for 6 weeks. Healthy women between 20 and 79 years old Higher scores assessed by the Berlin questionnaire were associated with higher PAD.…”

Section: Resultsmentioning

confidence: 99%

“…Psychological and hemodynamic aspects result in increased levels of wakefulness SBP and DBP and MBP in SD conditions, but without significant differences in these parameters during sleep. Thus, the results point to an inverse correlation between total sleep time and BP measurements during wakefulness [ 17 ]. On psychological stress evaluation, even though total sleep deprivation reveals increased SAP immediately before mental stress testing (P < 0,005), no significant differences in BP reactivity was observed [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…With a similar design, St-Onge et al. [ 17 ] performed weekly and only daytime measurements. Such study conditions did not consider the nocturnal pressure characteristics, conditioning a result with only daytime data.…”

Section: Discussionmentioning

confidence: 99%

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The association between sleep deprivation and arterial pressure variations: a systematic literature review

et al. 2022

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Objectives Arterial hypertension is a cardiovascular disease defined as a sustained high blood pressure, constituting an important risk factor for the development of heart diseases, such as coronary heart disease and heart failure. At the same time, pathophysiological pathways underlying sleeping deprivation provides biological plausibility for a causation connection between sleep deprivation and acute or chronic blood pressure elevation, such as the mechanism behind blood pressure dipping at night, which strongly relies on reduced sympathetic activity provided by sleep, besides empirical and clinical evidence suggesting that sleep disorders incidence is correlate with posterior development of arterial hypertension. The aim of this study was to systematically review published studies analyzing the possible relationship between sleep deprivation and variations in blood pressure during nighttime and daytime. Methods The research was carried out in the second semester of 2020 following the PRISMA model and using the LILACS, MEDLINE and COCHRANE (CENTRAL) databases. The keywords used were associated using the Boolean method. Only trials and studies in humans unrelated to sleep apnea were included, in an attempt to answer the question proposed. Duplications and articles outside the topic were excluded. Results After the selection processes, fourteen studies were left, which were classified, depending on the findings, in four categories: 1) blood pressure differences only in sleep deprivation's night; 2) blood pressure differences only in the following day after sleep deprivation's night; 3) blood pressure differences in both nights and 4) those that found no blood pressure differences. Conclusion It was found an increase in blood pressure on the night of sleep deprivation, suggesting a possible causality with an acute increase in blood pressure depending on the population studied. In general, sleep deprivation is acutely associated with blood pressure elevation or acute elevation of markers that suggest the role of compensatory mechanisms, such as increased natriuresis and increased parasympathetic activity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The association between sleep deprivation and arterial pressure variations: a systematic literature review

et al. 2022

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“…Furthermore, Li et al (2019) reported that those who slept for less than 7 h per day had a higher risk of hypertension than individuals who slept 7–8 h per day in a large‐scale study (19,407 adults aged 18–79 years). Additionally, in females with sleep duration reduced by 1.5 h/night (sleep approximately 6.17 h/night) for 6 weeks, DBP and MAP were higher than those in females with usual sleep duration (St‐Onge et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Effects of sleep deprivation and 4‐7‐8 breathing control on heart rate variability, blood pressure, blood glucose, and endothelial function in healthy young adults

Vierra

Boonla

Prasertsri

2022

Physiological Reports

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This study investigated the effects of sleep deprivation on heart rate variability (HRV), blood pressure (BP), fasting blood glucose (FBG), and endothelial function as well as the immediate effects of 4‐7‐8 breathing control on HRV and BP. In total, 43 healthy participants aged 19–25 years were classified into two groups: Twenty two in the with sleep deprivation group and 21 in the without sleep deprivation (control) group. Resting heart rate (HR), BP, HRV, FBG, and endothelial function were examined. Subsequently, participants practiced 4‐7‐8 breathing control for six cycles/set for three sets interspersed between each set by 1‐min normal breathing. Thereafter, the HR, BP, and HRV were immediately examined. The HRV, HR, and BP variables and FBG were not significantly different between the two groups. However, endothelial function was significantly lower in the sleep deprivation group than that in the control group (p < 0.05). In response to 4‐7‐8 breathing control, low‐ and very‐low‐frequency powers significantly decreased (p < 0.05), whereas high‐frequency power significantly increased (p < 0.05) in the control group. Moreover, time domain, total power, and very‐low‐frequency power significantly decreased (p < 0.05) in the sleep deprivation group. Both groups had significantly decreased HR and systolic BP (p < 0.05). HRV, HR, and BP variables showed no significant differences between the groups. Healthy young adults with and without sleep deprivation may have similar HRV, BP, and FBG values. However, sleep deprivation may cause decreased endothelial function. Furthermore, 4‐7‐8 breathing control can help participants improve their HRV and BP, particularly in those without sleep deprivation.

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“…participants' mean (SD) age was 38.0 (4.3) (range,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] years and they were from a range of educational level and income backgrounds. Positive net worth was reported by 183 women (47.7%), neutral by 89 women (23.2%), and negative by 112 women (29.2%).…”

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Association of Net Worth and Ambulatory Blood Pressure in Early Middle-aged African American Women

et al. 2022

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IMPORTANCE Low socioeconomic status (SES) in the form of educational level and income has been linked to greater cardiovascular risk across cohorts; however, associations have been inconsistent for African American individuals. Net worth, a measure of overall assets, may be a more relevant metric, especially for African American women, because it captures longer-term financial stability and economic reserve. OBJECTIVE To examine whether net worth is associated with increased ambulatory blood pressure (ABP), a marker of cardiovascular disease (CVD) risk, independent of educational level and income, in young to middle-aged African American women. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional, community-based study conducted in the southeastern US was performed using 48-hour ambulatory BP monitoring. Participants included 384 African American women aged 30 to 46 years without clinical CVD recruited between December 16, 2016, and March 21, 2019; data analysis was performed from September 2020 to December 2021.EXPOSURES Self-reported net worth (total financial assets minus debts), self-reported educational level, and self-reported income. MAIN OUTCOMES AND MEASURESMean daytime and nighttime BP levels, assessed via 48-hour ABP monitoring and sustained hypertension (ABP daytime and clinic BP Ն130/80 mm Hg). RESULTSThe 384 African American women in this study represented a range of SES backgrounds; mean (SD) age was 38.0 (4.3) years. Excluding 66 women who were not receiving antihypertensive medications, in linear regression models adjusted for age, marital status, educational level, family income, and family size, women reporting a negative net worth (debt) had higher levels of daytime (β = 6.7; SE = 1.5; P < .001) and nighttime (β = 6.4; SE = 1.4; P < .001) systolic BP, compared with women reporting a positive net worth. Similar associations were observed with sustained hypertension: women reporting a negative net worth had 150% higher odds (odds ratio, 2.5; 95% CI, 1.3-4.7) of sustained hypertension than those reporting a positive net worth. Associations remained significant after additional adjustments for smoking, body mass index, psychosocial stress due to debt, and depressive symptoms and were similar, although attenuated, when women receiving antihypertensive medications were included and treatment was controlled for in all analyses. CONCLUSIONS AND RELEVANCEIn this cross-sectional study, having a negative net worth (ie, debt) was associated with elevated BP in African American women, independent of traditional indicators of SES. This finding suggests that limited assets or a lack of economic reserve may be associated with poor CVD outcomes in this at-risk group.

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Mild sleep restriction increases 24-hour ambulatory blood pressure in premenopausal women with no indication of mediation by psychological effects

Cited by 18 publications

References 50 publications

The association between sleep deprivation and arterial pressure variations: a systematic literature review

The association between sleep deprivation and arterial pressure variations: a systematic literature review

Effects of sleep deprivation and 4‐7‐8 breathing control on heart rate variability, blood pressure, blood glucose, and endothelial function in healthy young adults

Association of Net Worth and Ambulatory Blood Pressure in Early Middle-aged African American Women

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