Sleep maintenance difficulties in insomnia are associated with increased incidence of hypertension

Cheng, Philip; Pillai, Vivek; Mengel, Heather; Roth, Thomas; Drake, Christopher L.

doi:10.1016/j.sleh.2014.11.004

Cited by 15 publications

(8 citation statements)

References 30 publications

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“…In our study, regularly reporting waking up during the night (i.e., 16–30 times a month), feeling unrested during the day, feeling overly sleepy during the day, and trouble falling asleep were moderately associated with the MHO phenotype [ 43 ]. However, some chronic conditions, for example, diabetes, hypertension, obesity (the clinical diagnosis), and depression, are also associated with fragmented sleep, insomnia, and excessive daytime sleepiness [ 44 , 45 ]. Therefore, further research in this area is needed to better understand the relationship between various sleep quality factors and cardiometabolic health amongst those living with obesity/higher bodyweight.…”

Section: Discussionmentioning

confidence: 99%

Association between Sleep Habits and Metabolically Healthy Obesity in Adults: A Cross-Sectional Study

et al. 2017

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Higher body mass index (BMI) increases the risk of cardiometabolic diseases, but nearly a third of the people living with obesity (BMI: ≥30 kg/m2) are metabolically healthy (MHO). Extreme sleep durations and poor sleep quality are associated with higher bodyweight and cardiometabolic dysfunction, but the full extent to which sleep habits may help differentiate those with MHO versus metabolically abnormal obesity (MAO) is not yet known. Data from the U.S. National Health and Nutritional Examination Survey 2005–08 was used (BMI: ≥30 kg/m2; ≥20 y; N = 1,777). The absence of metabolic syndrome was used to define MHO. Those with MHO tended to be younger, female, Non-Hispanic Black, never smokers, more physically active, and with less physician diagnosed sleep disorders than MAO. Neither sleep duration nor overall sleep quality was related to MHO in crude or multivariable adjusted analyses; however, reporting “almost always” to having trouble falling asleep (OR (95% CI): 0.40 (0.20–0.78)), waking up during the night (0.38 (0.17–0.85)), feeling unrested during the day (0.35 (0.18–0.70)), and feeling overly sleepy during the day (0.35 (0.17–0.75)) was related to lower odds of MHO. Selected sleep quality factors, but not sleep quantity or overall sleep quality, are associated with the MHO phenotype.

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Section: Discussionmentioning

confidence: 99%

Association between Sleep Habits and Metabolically Healthy Obesity in Adults: A Cross-Sectional Study

et al. 2017

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“…The current study focuses on SMI defined as when individuals experience wakefulness during the night or early morning before their intended waking time and have difficulty falling back to sleep (Waters et al, 1993). The construct of SMI has been widely used in previous studies which suggest sleep maintenance difficulty increases the risk for mental disorders (Meeker et al, 2019), hypertension (Cheng et al, 2015), and greater healthcare utilization (Bolge et al, 2010). It remains unclear what aspects of their role and context contribute to SMI among dementia caregivers.…”

Section: Sleep Disturbance and Family Caregivers Of Pwdmentioning

confidence: 99%

Association between Role Overload and Sleep Disturbance among Dementia Caregivers: The Impact of Social Support and Social Engagement

2020

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Objective: To explore the association between role overload (RO) and sleep maintenance insomnia (SMI), and the moderation effects of social support and social engagement (SE). Methods: We report a cross-sectional study using data drawn from the 2015 National Health and Aging Trends Study and National Study of Caregiving. We used multiple regression and controlled for demographics and potential confounders. Results: Nearly 45% of caregivers reported suffering from SMI during “some” and “more” nights within the past month with one half reporting “almost” or “every” night. RO was found positively associated with the risk of SMI. Instrumental support moderated the effect of RO on SMI overall, although moderation was limited to a subsample of adult children caregivers. Discussion: The sleep quality of dementia caregivers may be affected by RO, particularly for adult children caregivers. Increasing instrumental support may be beneficial to caregiver's sleep quality.

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“…However, the most likely effect of these measurement errors would be to draw the observed associations toward null. Despite these limitations, the prospective study design, objectively measured sleep parameters from an average of 15 days and blood pressure measured at baseline and follow‐up were major strengths compared with the previous prospective studies that used self‐reported sleep parameters (Cheng, Pillai, Mengel, Roth, & Drake, 2015; Lin et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Associations of objectively measured sleep characteristics and incident hypertension among police officers: The role of obesity

Claudia

Bhandari

et al. 2020

Journal of Sleep Research

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Sleep is essential to maintaining good physical and mental health. The literature on sleep physiology shows that non-rapid and rapid eye movement alternate cyclically during sleep and that each stage is associated with distinct brain activities and physiological changes, such as blood pressure and heart rate fluctuation (Colten & Altevogt, 2006). Previous studies have suggested that sleep disorders (such as difficulty initiating and maintaining sleep)

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Sleep maintenance difficulties in insomnia are associated with increased incidence of hypertension

Cited by 15 publications

References 30 publications

Association between Sleep Habits and Metabolically Healthy Obesity in Adults: A Cross-Sectional Study

Association between Sleep Habits and Metabolically Healthy Obesity in Adults: A Cross-Sectional Study

Association between Role Overload and Sleep Disturbance among Dementia Caregivers: The Impact of Social Support and Social Engagement

Associations of objectively measured sleep characteristics and incident hypertension among police officers: The role of obesity

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