Association between blood pressure and parameters related to sleep disorders in Tabari cohort population
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Background: Insomnia and other sleep disorders can cause an increase in blood pressure, thereby resulting in premature death. Regarding this, the present study was conducted to investigate the relationship between hypertension and parameters related to sleep disorders in Tabari cohort population. Methods: In this cross-sectional study, the data from the enrollment phase of the Tabari cohort study were adopted. Tabari cohort is a part of the PERSIAN (Prospective Epidemiological Research Studies in Iran) cohort study. Data analysis was performed using descriptive and inferential statistics. Results: Out of 10,255 patients enrolled in the Tabari cohort, 2,281 patients (22.2%) had hypertension. According to the results of univariable logistic regression test, the odds ratio of high blood pressure in patients with insomnia and hypersomnia is 1.22 (95% confidence interval [CI], 1.06-1.40) and 1.22 (95% CI, 1.01-1.47) times higher than normal sleep. This odds ratio was not significant after adjusting the effect of sex, age, body mass index, waist circumference, area residence, high-density lipoprotein cholesterol, triglyceride, and total cholesterol variables with multivariable logistic regression. Frequency of routine hypnotic medication usage (14.6% vs. 5.7%, P < 0.001), involuntary napping (25.3% vs. 19%, P < 0.001), and leg restlessness during sleep (14.8% vs. 11.7%, P < 0.001) was higher in hypertensive individuals than in nonhypertensive cases. Conclusions: This study showed that sleep disorders prevalence are higher in hypertensive patients than nonhypertensive patients. Also, routine use of hypnotics was significantly higher medication in patients with hypertension compared to that in the nonhypertensive patients.
Abstract
Background: Insomnia and other sleep disorders can cause an increase in blood pressure, thereby resulting in premature death. Regarding this, the present study was conducted to investigate the relationship between hypertension and parameters related to sleep disorders in Tabari cohort population. Methods: In this cross-sectional study, the data from the enrollment phase of the Tabari cohort study were adopted. Tabari cohort is a part of the PERSIAN (Prospective Epidemiological Research Studies in Iran) cohort study. Data analysis was performed using descriptive and inferential statistics. Results: Out of 10,255 patients enrolled in the Tabari cohort, 2,281 patients (22.2%) had hypertension. According to the results of univariable logistic regression test, the odds ratio of high blood pressure in patients with insomnia and hypersomnia is 1.22 (95% confidence interval [CI], 1.06-1.40) and 1.22 (95% CI, 1.01-1.47) times higher than normal sleep. This odds ratio was not significant after adjusting the effect of sex, age, body mass index, waist circumference, area residence, high-density lipoprotein cholesterol, triglyceride, and total cholesterol variables with multivariable logistic regression. Frequency of routine hypnotic medication usage (14.6% vs. 5.7%, P < 0.001), involuntary napping (25.3% vs. 19%, P < 0.001), and leg restlessness during sleep (14.8% vs. 11.7%, P < 0.001) was higher in hypertensive individuals than in nonhypertensive cases. Conclusions: This study showed that sleep disorders prevalence are higher in hypertensive patients than nonhypertensive patients. Also, routine use of hypnotics was significantly higher medication in patients with hypertension compared to that in the nonhypertensive patients.
참고문헌 (31)
- AshrafiH, "Review on sleep disorders and their management", Med J Tabriz Uni Med Sci Health Serv, 40, pp.95~105 (2018)
- Pavlova KM, "Sleep disorders", Am J Med, 132, pp.292~299 (2019)
- Aslani Y, "Sleep disorders in patients with congestive heart failure hospitalized in Hajar Hospital, Shahrekord, 2003", J Shahrekord Uni Med Sci, 9, pp.44~49 (2007)
- Jalali R, "The prevalence of sleep disorders among Iranian older adults: a systematic review and meta-analysis", Curr Psychol (2021)[DOI]
- Grandner MA, "Sleep, health, and society", Sleep Med Clin, 15, pp.319~340 (2020)
- Wolk R, "Sleep and cardiovascular disease", Curr Probl Cardiol, 30, pp.625~662 (2005)
- Namiranian N, "Assessment of physical activity and sleep disorders in non-medical students", J Isfahan Med Sch, 35, pp.1101~1106 (2017)
- Labbafinejad Y, "Prevalence of sleep disorders and its effects on the work ability in a dairy company", Iran Occup Health, 14, pp.93~102 (2017)
- Levenson JC, "Hypertension with unsatisfactory sleep health(HUSH) : study protocol for a randomized controlled trial", Trials, 18, pp.256~ (2017)
- Pepin JL, "Hypertension and sleep : overview of a tight relationship", Sleep Med Rev, 18, pp.509~519 (2014)
- Gaffari F, "Frequency of daytime sleepiness in hypertensive women", Avicenna J Nurs Midwifery Care(Sci J Hamadan Nurs Midwifery Fac), 19, pp.5~13 (2011)
- Matthews KA, "Sleep and risk for high blood pressure and hypertension in midlife women : the SWAN(Study of Women’s Health Across the Nation)sleep study", Sleep Med, 15, pp.203~208 (2014)
- Shivashankar R, "Associations of sleep duration and disturbances with hypertension in metropolitan cities of Delhi, Chennai, and Karachi in South Asia: cross-sectional analysis of the CARRS study", Sleep, 40, pp.zsx119~ (2017)
- Eghtesad S, "The PERSIAN cohort : providing the evidence needed for healthcare reform", Arch Iran Med, 20, pp.691~695 (2017)
- Poustchi H, "Prospective epidemiological research studies in Iran(the PERSIAN cohort study) : rationale, objectives, and design", Am J Epidemiol, 187, pp.647~655 (2018)
- Kheradmand M, "Tabari cohort profile and preliminary results in urban areas and mountainous regions of Mazandaran", Iran Arch Iran Med, 22, pp.279~285 (2019)
- Whelton PK, "2017 ACC", AHA, ABC, pp.ACPM, AGS[DOI]
- Cappuccio FP, "Sleep duration and all-cause mortality : a systematic review and meta-analysis of prospective studies", Sleep, 33, pp.585~592 (2010)
- Han B, "Sleep and hypertension", Sleep Breath, 24, pp.351~356 (2020)
- Bonnet MH, "Evidence for the pathophysiology of insomnia", Sleep, 32, pp.441~442 (2009)
- Lin CL, "Association between sleep disorders and hypertension in Taiwan : a nationwide population-based retrospective cohort study", J Hum Hypertens, 31, pp.220~224 (2017)
- Motivala SJ, "Sleep and inflammation : psychoneuroimmunology in the context of cardiovascular disease", Ann Behav Med, 42, pp.141~152 (2011)
- Zou D, "Association between short total sleep time and hypertension : the Skara sleep cohort", J Hypertens, 31, pp.345~351 (2013)
- Yadav D, "A prospective study of the association between total sleep duration and incident hypertension", J Clin Hypertens(Greenwich), 19, pp.550~557 (2017)
- Sun XM, "Short sleep duration is associated with increased risk of pre-hypertension and hypertension in Chinese early middle-aged females", Sleep Breath, 20, pp.1355~1362 (2016)
- Lu K, "Interaction of sleep duration and sleep quality on hypertension prevalence in adult Chinese males", J Epidemiol, 25, pp.415~422 (2015)
- Kiełbasa G, "Assessment of sleep disorders among patients with hypertension and coexisting metabolic syndrome", Adv Med Sci, 61, pp.261~268 (2016)
- Javaheri S, "Sleep quality and elevated blood pressure in adolescents", Circulation, 118, pp.1034~1040 (2008)
- Jackowska M, "Sleep and future cardiovascular risk : prospective analysis from the english longitudinal study of ageing", Sleep Med, 16, pp.768~774 (2015)
- Shen Y, "Association between restless legs syndrome and hypertension : a meta-analysis of nine population-based studies", Neurol Sci, 39, pp.235~242 (2018)
- Najafian J, "Association between sleep duration and metabolic syndrome in a population-based study : Isfahan healthy heart program", J Res Med Sci, 16, pp.801~806 (2011)