Objective short sleep duration and 24-hour blood pressure

被引:11
作者
Abdalla, Marwah [1 ]
Schwartz, Joseph E. [1 ,2 ]
Cornelius, Talea [1 ]
Chang, Bernard P. [3 ]
Alcantara, Carmela [4 ]
Shechter, Ari [1 ]
机构
[1] Columbia Univ, Dept Med, Irving Med Ctr, New York, NY 10032 USA
[2] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
[3] Columbia Univ, Dept Emergency Med, Irving Med Ctr, New York, NY 10032 USA
[4] Columbia Univ, Sch Social Work, New York, NY 10032 USA
来源
INTERNATIONAL JOURNAL CARDIOLOGY HYPERTENSION | 2020年 / 7卷
关键词
Sleep; Ambulatory blood pressure; Cardiovascular disease; Actigraphy; EUROPEAN-SOCIETY; IMPACT;
D O I
10.1016/j.ijchy.2020.100062
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background: Short sleep duration is a contributor to cardiovascular disease (CVD) events and mortality. Short sleep duration is associated with an increased risk of high clinic blood pressure (BP). BP measured outside the clinic using 24-h ambulatory blood pressure monitoring (ABPM) is a better predictor of an individual's CVD risk. We examined the association between objectively-assessed sleep duration and 24-h ambulatory blood pressure (ABP). Methods: A total of 893 working adults underwent sleep and ABPM. Participants were fitted with an ABPM device, and measures were taken at 28-30 min intervals. Objective sleep duration, and times of wakefulness and sleep during the 24-h ABPM period were derived from wrist-worn actigraphy. Linear regression, adjusted for age, sex, race/ethnicity, body mass index, smoking status, and diabetes were conducted on the relationship between sleep duration and the ABP measures. Results: Mean age of participants (final n = 729, 59.5% female, 11.9% Hispanic) was 45.2 +/- 10.4 y. Mean actigraphy-derived sleep duration was 6.8 +/- 1.2 h. Sleep duration <6 h was associated with a 1.73 mmHg higher 24-h systolic BP (p = 0.031) and 2.17 mmHg higher 24-h diastolic BP (p < 0.001). Shorter sleep duration was not associated with mean awake or asleep systolic BP (p = 0.89 and p = 0.92) or mean awake or asleep diastolic BP (p = 0.30 and p = 0.74). Conclusions: To our knowledge, this is the largest study conducted which assessed sleep duration objectively while measuring 24-h ABP. Shorter sleep duration is associated with higher 24-h BP and potentially cardiovascular risk.
引用
收藏
页数:4
相关论文
共 28 条
[1]   Acute and Chronic Effects of Sleep Duration on Blood Pressure [J].
Au, Chun Ting ;
Ho, Crover Kwok Wah ;
Wing, Yun Kwok ;
Lam, Hugh Simon ;
Li, Albert Martin .
PEDIATRICS, 2014, 133 (01) :E64-E72
[2]   Evaluating different criteria for defining a complete ambulatory blood pressure monitoring recording: data from the Jackson Heart Study [J].
Bromfield, Samantha G. ;
Booth, John N., III ;
Loop, Matthew S. ;
Schwartz, Joseph E. ;
Seals, Samantha R. ;
Thomas, Stephen J. ;
Min, Yuan-I ;
Ogedegbe, Gbenga ;
Shimbo, Daichi ;
Muntner, Paul .
BLOOD PRESSURE MONITORING, 2018, 23 (02) :103-111
[3]   Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies [J].
Cappuccio, Francesco P. ;
Cooper, Daniel ;
D'Elia, Lanfranco ;
Strazzullo, Pasquale ;
Miller, Michelle A. .
EUROPEAN HEART JOURNAL, 2011, 32 (12) :1484-1492
[4]   Sleep and Sleep Disorders in Older Adults [J].
Crowley, Kate .
NEUROPSYCHOLOGY REVIEW, 2011, 21 (01) :41-53
[5]   Associations Between Objective Sleep and Ambulatory Blood Pressure in a Community Sample [J].
Doyle, Caroline Y. ;
Ruiz, John M. ;
Taylor, Daniel J. ;
Smyth, Joshua W. ;
Flores, Melissa ;
Dietch, Jessica R. ;
Ahn, Chul ;
Allison, Matthew ;
Smith, Timothy W. ;
Uchino, Bert N. .
PSYCHOSOMATIC MEDICINE, 2019, 81 (06) :545-556
[6]   Effects of 24-h shift work in the emergency room on ambulatory blood pressure monitoring values of medical residents [J].
Fialho, Guilherme ;
Cavichio, Luciano ;
Povoa, Rui ;
Pimenta, Joao .
AMERICAN JOURNAL OF HYPERTENSION, 2006, 19 (10) :1005-1009
[7]   How are age-related differences in sleep quality associated with health outcomes? An epidemiological investigation in a UK cohort of 2406 adults [J].
Gadie, Andrew ;
Shafto, Meredith ;
Leng, Yue ;
Kievit, Rogier A. .
BMJ OPEN, 2017, 7 (07)
[8]   Differences Between Office and 24-Hour Blood Pressure Control in Hypertensive Patients With CKD: A 5,693-Patient Cross-sectional Analysis From Spain [J].
Gorostidi, Manuel ;
Sarafidis, Pantelis A. ;
de la Sierra, Alejandro ;
Segura, Julian ;
de la Cruz, Juan J. ;
Banegas, Jose R. ;
Ruilope, Luis M. .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2013, 62 (02) :285-294
[9]   Ambulatory blood pressure and mortality - A population-based study [J].
Hansen, TW ;
Jeppesen, J ;
Rasmussen, S ;
Ibsen, H ;
Torp-Pedersen, C .
HYPERTENSION, 2005, 45 (04) :499-504
[10]   The relation of work-related factors with ambulatory blood pressure and nocturnal blood pressure dipping among aging workers [J].
Karelius, Saana ;
Vahtera, Jussi ;
Pentti, Jaana ;
Lindroos, Annika S. ;
Jousilahti, Pekka ;
Heinonen, Olli J. ;
Stenholm, Sari ;
Niiranen, Teemu J. .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 2020, 93 (05) :563-570