The relationship between insomnia symptoms and hypertension using United States population-level data

Vozoris, Nicholas T.

doi:10.1097/hjh.0b013e32835ed5d0

Cited by 38 publications

(29 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…duration lasting less than 5 h or less than 7 h is an environmental risk factor for HT in middle-aged subjects, the majority of studies performed in the insomniac elderly concluded that sleep duration is not associated with prevalent HT before or after adjustment for confounding variables. 8,15,23,[30][31][32] In 8,757 participants in the Arteriosclerosis Risk in Communities (ARIC) study aged 45 to 69 years, 29 the difficulty of falling asleep, sleep maintenance complaints, and tiredness reported at the final awakening were the most important factors predicting cardiovascular risk 6.3 years later, but they did not predict hypertension. In a recent paper on 12,643 participants with and without insomnia, 33 no association was observed between objective hypertension measures and sleep duration, suggesting the lack of a true relationship in older patients.…”

Section: Discussionmentioning

confidence: 99%

Section: Self-assessment Of Sleepmentioning

confidence: 99%

“…30,31 The PSQI questionnaire consists of 19 individual items that generate 7 component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and daytime dysfunction. According to previously published data, 30 participants were divided into 2 groups: good sleepers (GS) with a score < 5 and poor sleepers (PS) with a score ≥ 5. We analyzed sleep duration as a categorical variable, and 3 groups were defined based on reported sleep duration: short sleepers who slept < 6 h, normal sleepers who slept between ≥ 6 and < 8 h, and long sleepers who slept ≥ 8 h. The cutoff values for sleep duration were chosen based on previous studies showing that sleep duration < 6 h represented short sleep, 30 and that a sleep duration of approximately 7 h confers a low risk of HT.…”

Section: Self-assessment Of Sleepmentioning

confidence: 99%

See 2 more Smart Citations

Association of Self-Reported Sleep and Hypertension in Non-Insomniac Elderly Subjects

Sforza

Martin

Barthélemy

et al. 2014

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Objectives: Sleep duration and sleep quality play important roles in the development of hypertension (HT) in middle-aged subjects, with controversial data in elderly. In this study, we investigated the link between HT and self-reported sleep in non-insomniac elderly subjects. Methods: We examined 500 participants without insomnia complaints aged 72 ± 1 years. An extensive instrumental evaluation was carried out, including 24-h blood pressure (BP) monitoring and an assessment of nocturnal BP dipping. Sleep duration and quality were evaluated by the Pittsburgh Sleep Quality Index (PSQI). The subjects were stratifi ed into three groups according to sleep duration: short (< 6 h), normal (> 6h to < 8 h), and long (> 8 h) sleepers. A PSQI < 5 defi ned good sleepers (GS, n = 252), and a PSQI > 5 (n = 248) defi ned poor sleepers (PS). Results: PS represented 50% of the subjects, more frequently females. Compared to GS, PS did not differ in terms of HT, BP, barorefl ex sensitivity (BRS), and BP dipping. Short, normal, and long sleepers accounted for 28%, 42%, and 30% of subjects, with HT, BP values, BRS, and gender not differing between groups. No relationship was found between nocturnal BP values and self-reported sleep measures. Logistic regression analysis indicated that neither sleep duration nor sleep quality predicts the prevalence of HT, the body mass index being the only factor affecting this association. Clinical Trial Registration: ClinicalTrials.gov identifi ers NCT00759304 and NCT00766584 Conclusions: In a sample of non-insomniac elderly subjects, neither sleep duration nor sleep quality affected the prevalence of HT. These data argue against a relationship between selfreported sleep duration and quality and HT in elderly without insomnia. Keywords: hypertension, blood pressure, elderly, sleep duration, sleep quality, Pittsburgh Sleep Quality Index questionnaire Citation: Sforza E, Saint Martin M, Barthelemy JC, Roche F. Association of self-reported sleep and hypertension in non-insomniac elderly subjects. J Clin Sleep Med 2014;10(9):965-971.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Self-assessment Of Sleepmentioning

confidence: 99%

Section: Self-assessment Of Sleepmentioning

confidence: 99%

See 1 more Smart Citation

Association of Self-Reported Sleep and Hypertension in Non-Insomniac Elderly Subjects

Sforza

Martin

Barthélemy

et al. 2014

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…Notably, although many studies find that insomnia predicts increased incidence of hypertension, 4 some do not [6][7][8] One potential explanation may be the fact that the underlying mechanism of risk between insomnia and hypertension remains poorly understood, and studies may therefore find varying results based on differing variables used. Vgontzas et al 9 have argued that risk for hypertension may be conferred through decreased sleep duration, as well as in conjunction with insomnia, with an adjusted odds ratio estimated at 5.12, which is significantly higher than that for insomnia alone (range estimated between 1.05 and 2.24).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Its reliability and validity were previously evaluated (14). It contains 19 self-rating questions and evaluates seven domains of sleep including latency, duration, quality, efficiency, disturbances, use of medication for sleep, and day time dysfunction (15). A high score indicates multiple sleep complaints.…”

Section: Methodsmentioning

confidence: 99%

Correlation Between Sleep Quality and Blood Pressure Changes in Iranian Children

2015

View full text Add to dashboard Cite

Background: Hypertension has a growing trend all around the world among children. Evidences imply that inadequate sleep duration and its poor quality are related to hypertension. But there are only few studies to show this relationship in children. Objectives: The aim of this study was to investigate the correlation between sleep quality parameters and blood pressure (BP) changes in children. Patients and Methods: Eighty six patients aged 5-15 years old with the history of urinary tract infection were included in this study. They underwent 24-hour BP monitoring. In addition, the Pittsburg Sleep Quality index questionnaire was filled out and the data were compared with BP records. Results: After excluding duplicate cases and those with insufficient data, 76 children entered into study. Overall sleep quality was good in 48 and poor in 28 children. Mean diastolic BP load (P = 0.019), diastolic load awake-time (P = 0.045), mean systolic sleep-time (P = 0.022), non-dipper state (P = 0.009) were statistically different among groups. By dividing the children into two groups of good and poor sleeper, the parameters of BP were not different. In addition, there was no correlation between BP classifications and sleep latency, duration of sleep, sleep efficiency, sleep disturbance, day dysfunction due to sleepiness, and overall sleep quality score. Conclusions: Our study could not show any correlation between sleep quality and ambulatory BP monitoring parameters in children with abnormal BP.

show abstract

The relationship between insomnia symptoms and hypertension using United States population-level data

Abstract: Insomnia symptoms coupled with short sleep time may be positively related to hypertension, but the lack of association with objective hypertension measures suggests that there may be no true relationship present.

Cited by 38 publications

References 28 publications

Association of Self-Reported Sleep and Hypertension in Non-Insomniac Elderly Subjects

Association of Self-Reported Sleep and Hypertension in Non-Insomniac Elderly Subjects

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

Correlation Between Sleep Quality and Blood Pressure Changes in Iranian Children

Contact Info

Product

Resources

About