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Sleep duration and 24-hour ambulatory blood pressure in adults not on antihypertensive medications.
- Source :
-
Journal of clinical hypertension (Greenwich, Conn.) [J Clin Hypertens (Greenwich)] 2018 Dec; Vol. 20 (12), pp. 1712-1720. Date of Electronic Publication: 2018 Oct 30. - Publication Year :
- 2018
-
Abstract
- Short sleep duration has been widely linked to increased cardiovascular morbidity and mortality. We performed a post hoc analysis of 24-hour ambulatory blood pressure monitoring (ABPM) in the Lifestyle Modification in Blood Pressure Lowering Study (LIMBS) and Penn Icelandic Sleep Apnea (PISA) Study. The 24-hour mean systolic blood pressure (BP) was 12.7 mm Hg higher in LIMBS (P < 0.001; n = 66) and 4.7 mm Hg higher in PISA (P = 0.005; n = 153) among participants with shorter sleep duration (less than 7 hours) compared to those with longer sleep duration (at least 7 hours). In multivariable adjusted models, shorter sleep duration was strongly associated with higher systolic BP on 24-hour ABPM, independent of nocturnal BP and in-office BP. There was no effect modification by obstructive sleep apnea. Adults with shorter sleep duration may benefit from screening with 24-hour ABPM to promote earlier detection of hypertension and potentially mitigate their increased risk for future cardiovascular disease.<br /> (©2018 Wiley Periodicals, Inc.)
- Subjects :
- Adult
Blood Pressure physiology
Cardiovascular Diseases epidemiology
Cardiovascular Diseases mortality
Circadian Rhythm physiology
Cross-Sectional Studies
Early Diagnosis
Female
Humans
Hypertension diagnosis
Hypertension epidemiology
Hypertension physiopathology
Iceland epidemiology
Male
Middle Aged
Prevalence
Risk Reduction Behavior
Sleep Apnea, Obstructive complications
Blood Pressure Monitoring, Ambulatory methods
Cardiovascular Diseases physiopathology
Sleep Deprivation complications
Sleep Wake Disorders complications
Subjects
Details
- Language :
- English
- ISSN :
- 1751-7176
- Volume :
- 20
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of clinical hypertension (Greenwich, Conn.)
- Publication Type :
- Academic Journal
- Accession number :
- 30375723
- Full Text :
- https://doi.org/10.1111/jch.13416