Poor-quality sleep score is an independent predictor of nondipping hypertension

Erden, İsmail; Erden, Emine Çakcak; Özhan, Hakan; Başar, Cengiz; Aydın, Mesut; Dumlu, Talha; Alemdar, Recai

doi:10.1097/mbp.0b013e32833a23a0

Cited by 35 publications

(31 citation statements)

References 25 publications

(29 reference statements)

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“…19,26,36 Nevertheless, several studies reported that there was an association between non-dipper status, which was defined as blood pressure drop less than 10% during sleep, and sleep quality using the PSQI. 8,9,37,38 The present results demonstrate that eGFR as a continuous variable was not a significant determinant for sleep quality in our study cohort (OR: 1.006 per 1 mL/min difference in eGFR, 95% CI: 0.98-1.03, p: 0.63). This finding was supported by a previous report in CKD patients.…”

Section: Discussionmentioning

confidence: 56%

“…1 Although, the determinants of the disease are well-defined in the general population, a lack of evidence supporting the correlates in CKD patients necessitates further investigations in that area. [4][5][6][7][8][9] Furthermore, most of the data are from the dialysis population, and identifiers of poor sleep quality in non-dialysis CKD patients also require more research. 10,11 We hypothesize that sleeping problems correlate with the degree of kidney dysfunction, presence of diabetes mellitus and hypertension, and these conditions might affect quality of life in CKD patients.…”

Section: Introductionmentioning

confidence: 99%

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Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design

et al. 2015

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Purpose: Since sympathovagal imbalance influences clinical phenomena, such as hypertension, diabetes mellitus, chronic kidney disease (CKD) and sleeping problems, there should be correlations between these conditions. We hypothesized that sleep quality would be correlated with estimated glomerular filtration rate (eGFR), blood pressure and the presence of diabetes. Methods: We included 303 CKD patients in this study. We employed the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI) and Short Form 36 Quality of Life Health Survey Questions (SF-36) to screen sleeping disturbances, depression and quality of life, respectively. A chart review was performed for the patients' demographics, diagnoses and certain laboratory parameters-including blood glucose, hemoglobin, albumin, calcium, phosphate, parathyroid hormone and eGFR. Multivariate logistic regression models were employed to estimate odds ratios with 95% confidence intervals. Results: We included 303 patients in this cross-sectional study. A total of 101 patients were on dialysis. In the univariate models, gender, calcium and mental component summary scores (MCS) reached a significant level of 0.1, and those covariates were included in the multivariate analysis. The reduced models included gender and MCS categories. Female gender increases the risk for poor sleep quality. In our report, evidence suggests MCS domain scores are inversely related to the risk for impaired sleep. Conclusion: Our results indicated a high burden of sleep disturbances in kidney patients. In addition, female gender and having low MCS scores may influence sleep quality in kidney patients.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design

et al. 2015

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“…Several previous reports using ambulatory blood pressure monitoring indicated that blood pressure and dipping status were associated with impaired sleep. [31][32][33] We only measured blood pressure on one occasion, which might make it difficult to identify any possible correlation between sleep and blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Sleep apnea in patients with chronic kidney disease: a single center experience

et al. 2014

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“…Some studies revealed associations between poor sleep quality and impaired circadian BP rhythm [79,134].…”

Section: Stress Status and Sleep Qualitymentioning

confidence: 99%

The current state of knowledge about the dipping and non-dipping hypertension

Dubielski

Zamojski

Wiechecki

et al. 2016

Arterial Hypertension

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Ambulatory blood pressure monitoring provides information about the day-night blood pressure profile, which can be divided into dipping and non-dipping pattern. Non-dipping hypertension is recently thought to have increased cardiovascular risk and outcomes than dipping hypertension. The dipping pattern is explained by physiological changes in circadian rhythm, while the pathomechanism of non-dipping hypertension is not fully understood. Is it considered to be a result of many factors, such as: sympathetic nervous system overactivation, which can be accompanied by impaired parasympathetic nervous system response, obesity, concurrent diabetes mellitus and metabolic syndrome. Moreover abnormalities of hormones levels such as melatonin, catecholamines, thyroid and parathyroid hormones are connected to occurrence of non-dipping hypertension. Other widely discussed problem is obstructive sleep apnoea and its influence on circadian rhythm changes. Also dysfunction in activity of renin-angiotensin-aldosterone axis is thought to cause non-dipping pattern. There are some studies that indicate on role of inappropriate sodium intake in mentioned pathology. The chronic kidney disease and relationship with non-dipping hypertension will be also described. The last considered factor is influence of age on the development of non-dipping hypertension. key words: circadian blood pressure profile, blood pressure regulation, chronobiology, nocturnal hypertension, non-dipping pathomechanism

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Poor-quality sleep score is an independent predictor of nondipping hypertension

Abstract: We showed that poor sleep quality was related with a nondipping pattern, and furthermore, it was an independent predictor of nondipping in newly diagnosed stage 1 hypertensive patients.

Cited by 35 publications

References 25 publications

Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design

Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design

Sleep apnea in patients with chronic kidney disease: a single center experience

The current state of knowledge about the dipping and non-dipping hypertension

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