Original Research: Quality of Sleep among Hypertensive Patients in a Semi-Urban Nigerian Community: A Prospective Study

Alebiosu, Olutayo Christopher; Ogunsemi, Olawale; Familoni, OB; Adebayo, Philip; Ayodele, Olugbenga Edward

doi:10.3810/pgm.2009.01.1969

Cited by 28 publications

(33 citation statements)

References 32 publications

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“…16,17 Nevertheless, the existing body of evidence is not entirely consistent, as insignificant associations between poor sleep and blood pressure (BP) have been found across different study regions, such as the American continent 18,19 and Africa. 20 This observation indicates that the relationship between sleep quality and hypertension may vary across continents. In addition, several studies have revealed that patients with hypertension have higher global PSQI scores (indicative of poorer sleep quality) than patients with normotension.…”

Section: Introductionmentioning

confidence: 99%

“…Poor sleep has also been associated with significantly higher levels of systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) in Asian and European studies . Nevertheless, the existing body of evidence is not entirely consistent, as insignificant associations between poor sleep and blood pressure (BP) have been found across different study regions, such as the American continent and Africa . This observation indicates that the relationship between sleep quality and hypertension may vary across continents.…”

Section: Introductionmentioning

confidence: 99%

“…This observation indicates that the relationship between sleep quality and hypertension may vary across continents. In addition, several studies have revealed that patients with hypertension have higher global PSQI scores (indicative of poorer sleep quality) than patients with normotension …”

Section: Introductionmentioning

confidence: 99%

“…In addition, several studies have revealed that patients with hypertension have higher global PSQI scores (indicative of poorer sleep quality) than patients with normotension. 14,20 Apart from its association with BP, poor sleep quality may be associated with the dipping pattern of BP. For a healthy patient, there is at least a 10% reduction in nocturnal BP as compared with daytime BP; such a patient is characterized as a "dipper."…”

Section: Introductionmentioning

confidence: 99%

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Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Woo

Wong

et al. 2018

J of Clinical Hypertension

152

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Sleep quality is an important aspect of sleep, but no meta-analysis has elucidated its relationship with blood pressure (BP) and hypertension. A meta-analysis was conducted in October 2016 using multiple databases, including Embase and Medline.Studies that assessed subjective sleep quality and BP or hypertension were included.Upon full-text evaluation, 29 articles from 45 041 patients were selected, of which 22 articles were included in the meta-analysis and seven were presented narratively. Poor sleep quality was significantly associated with a greater likelihood of hypertension (odds ratio, 1.48; P value = .01). Poor sleepers had higher average systolic BP (mean difference = 4.37, P value = .09) and diastolic BP (mean difference = 1.25, P value = .32) than normal sleepers without statistical significance. Patients with hypertension had significantly worse sleep quality scores (mean difference = 1.51, P value < .01), while BP dippers had significantly better scores (mean difference = −1.67, P value < .01).The findings highlight the relationship between sleep quality and hypertension. global PSQI scores (indicative of poorer sleep quality) than patients with normotension. 14,20 Apart from its association with BP, poor sleep quality may be associated with the dipping pattern of BP. For a healthy patient, there is at least a 10% reduction in nocturnal BP as compared with daytime BP; such a patient is characterized as a "dipper."21 "Nondippers" demonstrate an increased activity in the sympathetic nervous system and a decreased activity in the parasympathetic nervous system, which probably explains the higher nocturnal BP. 22 Nondipping BP is associated with higher risk for cardiorenal organ damage such as left ventricular hypertrophy and cerebrovascular diseases. 23 Poor sleep quality may be associated with nondipping patterns through their disruption of the circadian rhythm. 24This association is supported by previous research reporting higher PSQI global scores for nondippers than dippers. 25,26 However, no metaanalysis has been conducted to summarize these findings.Current evidence suggests a potential association between poor subjective sleep quality and hypertension, but it has not been verified through a systematic approach. The primary aims of the present systematic review and meta-analysis are to summarize current evidence and to determine whether poor subjective sleep quality is associated with elevated BP. The secondary aim is to examine whether the associations differ by geographic regions. | METHODS | Search strategyMultiple databases were used for the present review, namely Medline Search terms included a combination of synonyms of "sleep quality," 9 "hypertension," 3 and "blood pressure" 3 as adapted from relevant review articles. 3,9 All articles with English abstracts were assessed. | Study inclusion criteria• Primary studies with a cross-sectional, prospective, or retrospective design• Studies that examined sleep quality with a self-reported questionnaire• Studies that defined hypertension with cri...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Woo

Wong

et al. 2018

J of Clinical Hypertension

152

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“…The apparently high prevalence in this study may be attributed to lower health-related quality of life, low socio-economic status and concomitant poor medical conditions, and to snoring which is common among hypertensive subjects in South Western Nigeria [26]. In addition, it could also results from Obstructive sleep apnea (OSA) was high in Nigeria [27].…”

Section: Discussionmentioning

confidence: 83%

Association between Subjective Sleep Quality, Hypertension, Depression and Body Mass Index in a Nigerian Family Practice Setting

Ro¹,

Issa²,

Gt³

et al. 2014

J Sleep Disorders Ther

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Objectives: Poor subjective sleep quality in primary care has not been widely studied in Nigeria; hence this study was aimed to evaluate the subjective sleep quality and to find the association with blood pressure, depression and body mass index.Methodology: Pittsburg Sleep Quality Index (PSQI) questionnaire was administered. Good sleep quality was defined as PSQI less than 5. The level of depression was assessed using the Patient Health Questionnaires (PHQ-9). Results:The sample consisted of 400 subjects in the age group 18-70years. The overall mean age did 48.0 + 13.2 years, with the age group 41-50years constitute 29.5% of the studied subjects. Whilst 240 (60%) had normal blood pressure, 29(7.5%) had stage 1 and 43 (10.8%) had stage 2 hypertension. One hundred and thirty eight (34.5%) had normal weight, while 108 (27.0%) were obese. Overall sleep quality was very good, fairly good, fairly bad, and very bad in, 30.8%, 33.2%, 19.5%, and 16.5% of the respondents respectively. The prevalence of poor sleep quality was 44.0%. There was strong statistical association between poor sleep quality, blood pressure (p-value 0.002), depression (p-value 0.000) and body mass index (p-value 0.05). Conclusion:A substantial proportion of the subjects had poor sleep quality associated with high blood pressure, increased body mass index and depression.

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Behavioral Medicine and Sleep: Concepts, Measures, and Methods

Hall

2010

Handbook of Behavioral Medicine

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Original Research: Quality of Sleep among Hypertensive Patients in a Semi-Urban Nigerian Community: A Prospective Study

Cited by 28 publications

References 32 publications

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Association between Subjective Sleep Quality, Hypertension, Depression and Body Mass Index in a Nigerian Family Practice Setting

Behavioral Medicine and Sleep: Concepts, Measures, and Methods

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