The association of actigraphy-assessed sleep duration with sleep blood pressure, nocturnal hypertension, and nondipping blood pressure: the coronary artery risk development in young adults (CARDIA) study

被引:10
作者
Abdalla, Marwah [1 ]
Sakhuja, Swati [2 ]
Akinyelure, Oluwasegun P. [2 ]
Thomas, S. Justin [3 ]
Schwartz, Joseph E. [1 ,4 ]
Lewis, Cora E. [2 ]
Shikany, James M. [5 ]
Lloyd-Jones, Donald [6 ]
Booth, John N. [2 ,7 ]
Shimbo, Daichi [1 ]
Hall, Martica H. [8 ]
Muntner, Paul [2 ]
机构
[1] Columbia Univ, Irving Med Ctr, Dept Med, New York, NY 10032 USA
[2] Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL USA
[3] Univ Alabama Birmingham, Dept Psychiat & Behav Neurobiol, Birmingham, AL 35294 USA
[4] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
[5] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA
[6] Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA
[7] CTI Clin Trials & Consulting Serv Inc, Covington, KY USA
[8] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
关键词
nocturnal hypertension; nondipping blood pressure; sleep duration; SCIENTIFIC STATEMENT; LONG-SLEEP; RACE; CORTISOL; SOCIETY; HEALTH; SAMPLE; INDEX; MASS;
D O I
10.1097/HJH.0000000000002956
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Objective: Nocturnal hypertension and nondipping systolic blood pressure (SBP) are associated with increased cardiovascular disease (CVD) risk. Short and long sleep duration (SSD and LSD) are also associated with increased CVD risk and may be risk factors for nocturnal hypertension and nondipping SBP. We examined the association between SSD and LSD with sleep BP, nocturnal hypertension, and nondipping SBP among 647 white and African American Coronary Artery Risk Development in Young Adults (CARDIA) study participants who completed 24-h ambulatory BP monitoring, wrist actigraphy, and sleep diaries in 2015-2016. Methods: The times when participants were asleep and awake were determined from actigraphy complemented by sleep diaries. Nocturnal hypertension was defined as sleep BP >= 120/70 mmHg and nondipping SBP as mean sleep-to-awake SBP ratio >0.90. Sleep duration was categorized as SSD (<6 h), normal sleep duration (NSD: 6-8.9 h), and LSD (>= 9 h). Results: The prevalence of SSD and LSD were 13.9 and 21.1%, respectively. Compared to participants with NSD, participants with LSD had higher mean sleep SBP (2.1 mmHg, 95% confidence interval [CI] 0.2, 4.1 mmHg) and diastolic BP (1.7 mmHg, 95% CI 0.5, 3.0 mmHg). Participants with LSD had a higher prevalence of nocturnal hypertension (prevalence ratio [PR]: 1.26, 95% CI 1.03-1.54) and nondipping SBP (PR 1.33, 95% CI 1.03-1.72) compared to participants with NSD. There was no evidence of an association between SSD and sleep SBP or DBP, nocturnal hypertension, or nondipping SBP. Conclusions: These findings suggest that LSD may be associated with nocturnal hypertension and nondipping SBP.
引用
收藏
页码:2478 / 2487
页数:10
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