Poor sleep is responsible for the impaired nocturnal blood pressure dipping in elderly hypertensive: A cross-sectional study of elderly

Zhao, Shaopan; Fu, Shihui; Ren, Jiefeng; Luo, Li

doi:10.1080/10641963.2017.1411495

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…Regarding the components of sleep quality, participants gave the highest mean score to sleep latency (duration needed to initiate sleep), which is consistent with the findings reported by Chen, Clark, Tsai, and Lin (2010) in heart failure patients, where hypertension was the major comorbid in their study. However, in Zhao, Fu, Ren, and Luo (2018) study, subjective sleep quality score had the highest score in different groups of blood pressure rhythm among Chinese patients with hypertension. A common sleep problem, insomnia, which has symptom of trouble initiating sleep (poor latency of sleep), through the mediation of hypertension is associated with an increased risk of cardiovascular diseases (Sofi et al, 2014).…”

Section: Discussionmentioning

confidence: 66%

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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Poor quality of sleep may increase burden of hypertensive patients and worsen quality of life. Recognition of individuals’ sleep quality and its related factors might benefit the outcome of hypertension management. The purpose of this study was to investigate the association between depression and sleep quality among hypertensive patients in rural community. A cross-sectional, correlational study design was performed with 149 accidental samples at two public health care areas. Instruments included Depression Anxiety Stress Scale 42 and Pittsburgh Sleep Quality Index. Almost 78% of participants experienced mild to moderate depression and 98.7% of poor sleepers were identified. Significant determinants of sleep quality were exercises and type 2 diabetes mellitus (DM). Depression was associated to sleep quality but was not identified as a determinant. This study suggests future interventions should be directed to increase regular exercises and controlling co-existing disease particularly type 2 DM should be developed to improve sleep quality. Keywords: Depression, hypertension, sleep quality. Abstrak Kualitas tidur yang buruk dapat memperberat beban pasien hipertensi dan menurunkan kualitas hidup. Mengidentifikasi kualitas tidur individu dan faktor-faktor yang terkait dengannya dapat membantu meningkatkan hasil dari manajemen penyakit hipertensi. Penelitian ini bertujuan untuk menginvestigasi asosiasi depresi dan kualitas tidur pada pasien hipertensi di daerah pedesaan. Desain penelitian menggunakan pendekatan potong lintang dan deskriptif korelasi dengan 149 sampel insidental pada wilayah kerja dua pusat kesehatan masyarakat. Kuesioner yang digunakan yaitu DASS-42 dan PSQI. Hampir 78% partisipan menderita depresi ringan hingga sedang dan presentase kualitas tidur buruk sebanyak 98.7%. Faktor determinan yang signifikan adalah olahraga dan DM tipe 2. Depresi berhubungan secara signifikan dengan kualitas tidur, tetapi tidak teridentifikasi sebagai faktor determinan. Penelitian ini merekomendasikan dilakukannya intervensi untuk meningkatkan kegiatan olahraga yang regular dan pengontrolan penyakit komorbiditas terutama DM tipe 2 untuk meningkatkan kualitas tidur. Kata Kunci: Depresi, hipertensi, kualitas tidur.

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Section: Discussionmentioning

confidence: 66%

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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“…The finding was in line with the studies done in Indonesia 35.6% [ 39 ], South Asia 34–41% [ 40 ], Italy 38.2% [ 12 ], and Jimma, Ethiopia 35.5% [ 11 ]. On the other hand, it was lower than the study done in the US 52.1% [ 41 ], China 57.1% [ 9 , 42 – 45 ], Brazil 55% [ 21 ], Turkey 63.3% [ 46 ], Nigeria 43.2% [ 10 , 47 ]. The discrepancy could be attributed to study design, study setting, sampling method, data collection tool, and/or procedures.…”

Section: Discussionmentioning

confidence: 79%

Sleep quality and associated factors among adult hypertensive patients attending a chronic follow up care clinic in northwest Amhara regional state referral hospitals, Northwest Ethiopia

et al. 2022

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Introduction Sleep plays an essential role in every individual’s life since it contributes greatly to their well-being and health. Poor sleep quality is one of the most common consequences of hypertension (HTN), which is a leading public health problem. In Ethiopia, it is the main health concern among hypertension patients. Thus, in the study area, there is limited information regarding the investigation of sleep quality among hypertension patients. Therefore, this study aimed to assess sleep quality and associated factors among adult hypertensive patients attending a chronic follow up care clinic in northwest Amhara regional state referral hospitals, Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted among adult HTN patients from March 15/2021 to May 15/2021 in Northwest Amhara Regional State Referral Hospitals. A systematic random sampling method was used to select the study participants. A face-to-face interviewer-administered questionnaire with chart review was used. The Pittsburgh Sleep Quality Index (PSQI) for assessing sleep quality was used in this study. A binary logistic regression was used to see the association between dependent and independent variables. Variables having a p-value < 0.05 with a 95% CI were considered statistically significant in the multivariable logistic regression analysis. Results In this study, 563 hypertensive patients were included, with a response rate of 96.9%. The overall prevalence of poor sleep quality was 37.7% (95% CI: 33.4%–41.6%). Female gender (AOR = 2.55, 95% CI: 1.55–4.18), age ≥ 65 years (AOR = 4.07, 95% CI: 2.07–7.97), overweight (BMI) ≥ 25 kg/m2 (AOR = 1.68, 95% CI: 1.06–2.65), WHO stage II hypertension (AOR = 1.78, 95% CI:1.01–3.12), poor physical activity (AOR = 2.39, 95% CI:1.41–4.05), participants who had depression (AOR = 2.03,95% CI:1.24–3.34) and participants who had anxiety (AOR = 1.89, 95% CI: 1.16–3.03) were factors associated with poor sleep quality. Conclusions In this study, more than one-third of the study participants had poor sleep quality. Female gender, age ≥ 65 years, overweight (BMI) ≥ 25 kg/m2, stage II hypertension, physical inactivity, depression, and anxiety were all associated with poor sleep quality. Managing depression and anxiety disorders, encouraging physical activity, and providing health education about weight loss are all necessary for HTN patients.

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“…21 In the study of Zhao et al who evaluated the sleep quality of 1,006 hypertensive patients over 65 years of age with PSQI, individuals with poor sleep quality were found to be more prone to RD BP rhythm. 22 In the study of Lyu et al evaluating 368 normotensive individuals between the ages of 30-60, it was found that clinical features of insomnia and poor sleep quality are associated with non-dipping BP. 18 In Lyu et al 's study using the Wisconsin Sleep Cohort, 18 polysomnography and ABPM readings of all participants were obtained at random intervals, every 15-20 minutes during wakefulness, and every 30 minutes during sleep.…”

Section: Discussionmentioning

confidence: 99%

“…Respondents are asked to rate, on a 4-point scale (0-3), their usual chances of dozing off or falling asleep while engaged in eight different activities. An ESS >10 points suggest the presence of excessive daytime sleepiness and results were evaluated in 5 groups [lower normal (0-5), higher normal (6-10), mild excessive (11)(12), moderate excessive (13)(14)(15), and severe excessive sleepiness (16)(17)(18)(19)(20)(21)(22)(23)(24)]. 12 ISI is a seven-item questionnaire designed as a short screening tool for insomnia.…”

Section: Methodsmentioning

confidence: 99%

Relationship of Non-Dipper and Reverse-Dipper Pattern with Sleep Quality in Normotensive Patients

Yalım

Yalım²

2020

J Sleep Med

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It has been observed in many different populations that circadian blood pressure (BP) patterns have a significant impact on cardiovascular (CV) results. Important predictors of CV morbidity and mortality are known as non-dipper (ND) and reverse-dipper (RD) BP pattern. RD and ND patterns are frequently encountered in many normotensive patients in daily practice. Methods: The purpose of this study is to evaluate the frequency and quality of sleep, especially in normotensive young individuals, by using sleep questionnaires and to evaluate their relationship with poor BP patterns. A total of 195 normotensive patients (68 dippers, 63 ND, and 65 RD) were enrolled into this cross-sectional study. The insomnia severity index (ISI), Epworth sleepiness scale (ESS), and Pittsburgh sleep quality index (PSQI) approved questionnaires were applied to evaluate the presence and severity of sleep disorders and to determine the patient's sleep quality. Results: When dipper and ND groups were compared, significant differences were observed in ISI, ESS, and PSQI (p<0.001). Then, the study patients were re-evaluated as dipper, ND, and RD groups and seen this significant difference continued (p<0.001). Also, the sleep time was significantly different between all groups of dipper (7.23±0.11 hours), ND (6.72±0.15 hours), and RD (5.79±0.11 hours) (p<0.001). In the correlation analysis, a significant inverse relationship was observed between sleep time and all survey results (p<0.05). Conclusions: RD and ND patterns are associated with sleep quality in healthy individuals. It is necessary to evaluate patients with RD and ND BP patterns in normotensive individuals in terms of sleep disorders in detail.

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Poor sleep is responsible for the impaired nocturnal blood pressure dipping in elderly hypertensive: A cross-sectional study of elderly

Abstract: In elderly patients with hypertension, poor sleep quality individuals were more prone to reverse dipper BP rhythm. Even adjusting for the effect of known risk factors of hypertension, poor sleep may contribute to attenuated BP dipping in elderly hypertensive.

Cited by 9 publications

References 26 publications

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Sleep quality and associated factors among adult hypertensive patients attending a chronic follow up care clinic in northwest Amhara regional state referral hospitals, Northwest Ethiopia

Relationship of Non-Dipper and Reverse-Dipper Pattern with Sleep Quality in Normotensive Patients

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