Cited by 245Obstructive Sleep Apnea ResearchSleep and related disordersBlood Pressure and Hypertension Studies

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Hypertension and sleep: Overview of a tight relationship

Pepin, Jean-Louis, Borel, Anne-Laure, Tamisier, Renaud, Baguet, Jean-Philippe, Levy, Patrick, Dauvilliers, Yves·2014·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2014.03.003

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Abstract

Autonomic cardiovascular control changes across sleep stages. Thus, blood pressure (BP), heart rate and peripheral vascular resistance progressively decrease in non-rapid eye movement sleep. Any deterioration in sleep quality or quantity may be associated with an increase in nocturnal BP which could participate in the development or poor control of hypertension. In the present report, sleep problems/disorders, which impact either the quality or quantity of sleep, are reviewed for their interaction with BP regulation and their potential association with prevalent or incident hypertension. Obstructive sleep apnea syndrome, sleep duration/deprivation, insomnia, restless legs syndrome and narcolepsy are successively reviewed. Obstructive sleep apnea is clearly associated with the development of hypertension that is only slightly reduced by continuous positive airway pressure treatment. Shorter and longer sleep durations are associated with prevalent or incident hypertension but age, gender, environmental exposures and ethnic differences are clear confounders. Insomnia with objective short sleep duration, restless legs syndrome and narcolepsy may impact BP control, needing additional studies to establish their impact in the development of permanent hypertension. Addressing sleep disorders or sleep habits seems a relevant issue when considering the risk of developing hypertension or the control of pre-existent hypertension. Combined sleep problems may have potential synergistic deleterious effects.

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Bocoum, A.-M., Bailly, S., Joyeux‐Faure, M., Baillieul, S., Arbib, F., Kang, C.-L., Ngo, V., Boutouyrie, P., Tamisier, R., & Pépin, J. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.06.022 · Cited by 5
Self-citation
Optimism and Sleep in Aging Women: Bidirectional Relationships
Monroe, A. D., Judge, S. T., Bass, C., Crofford, L. J., & Segerstrom, S. C. (2024) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001281 · Cited by 4
“Optimism is re-lated to better cardiovascular functioning and lower risk of hypertension and cardiovascular disease (26,27), which commonly co-occur with sleep disorders like insomnia (28).”
Background
Análise de indicadores de saúde de pacientes com diabetes atendidos pelo Centro Hiperdia de Viçosa
de Lade, C. G., Marins, J. C. B., Lima, L. M., Reis, J. S., Reis, H. H. T., Caetano, I. T., & Amorim, P. R. D. S. (2016) · O Mundo da Saúde · doi:10.15343/0104-7809.20164003283292 · Cited by 4
Deprescribing antihypertensive drugs after starting OSA primary therapy?
Revol, B., Castelli, C., Messaoud, R. B., Coffy, A., Bailly, S., Jullian‐Desayes, I., Martinot, J., Martinot, P., Joyeux‐Faure, M., & Pépin, J. (2022) · SLEEP · doi:10.1093/sleep/zsac060 · Cited by 5
Cardiovascular Disease
Redeker, N. S. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813014-8.00005-6 · Cited by 4
Sleep—an Essential Component of Obesity Screening and Counseling: A Policy Analysis of the Affordable Care Act
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Scarcity and Mental Health—Multiple Mediators of Sleep Quality and Life Satisfaction
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Sleep Hypoxemia as a Predictor of Mortality in Patients with Sleep Apnea
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Association Between Sleep Apnea and Dry Eye Disease in the All-of-Us Program
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“OSA is known to induce chronic intermittent hypoxia, oxidative stress, and systemic inflammation [3,18].”
Multi-Task Learning for OSA Detection and Sleep Staging via Multi-Scale Modeling
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“…disorders have become an important public health problem that needs to be solved globally, and chronic insomnia and sleep deprivation are closely related to the elevated risk of various chronic diseases such as hypertension, diabetes, obesity, depression and cardiovascular diseases [2], [3], [4].”
Anti-inflammatory effects of immunotherapy in clinical treatment and its potential mechanism in alleviating sleeping disorders: A systematic bibliometric study
Wang, L., Chen, S., Li, J.-L., Dai, J., Qin, D., He, R., & Chen, G. (2025) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2025.2475601 · Cited by 3
Sleep Association With Borderline Diabetes Hypertension: A Cross-sectional Analysis
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Relationship Between Sleep and Hypertension: A Narrative Review
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Prevalence of hypertension and associated factors among healthcare workers: A cross-sectional study
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“However, sympathetic nerve activity to the vasculature has been reviewed to play an important role in the relationship between poor sleep and hypertension.(20) Previous studies have shown that, compared to day workers, shift workers are more vulnerable to develop cardiovascular disorders, such as hypertension due to a…”
Result
Sarcopenia Seems to Be Common in Older Patients With Restless Legs Syndrome
YILDIRIM, A. G., Kaya, D., Dost, F. S., Öntan, M. S., & Isik, A. T. (2024) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.13637 · Cited by 4
Obstructive Sleep Apnea and Hypertension
Yao, X., Li, M., Yao, L., & Shao, L. (2019) · Springer eBooks · doi:10.1007/978-981-15-0591-1_13 · Cited by 3
Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
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“0e association between sleep and hypertension has been investigated in several dimensions, including sleep duration, sleep quality, and insomnia symptoms such as difficulty maintaining sleep [8, 9].”
Background
The impact of healthy community environment and sleep quality on the physical health of older adults: evidence from CGSS2021
Wei, X., Dai, W., & Xie, Y. H. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1556043 · Cited by 2
“Poor sleep quality has been linked to elevated nighttime blood pressure, increased cardiovascular risk (Pepin et al., 2014; Kara and Tenekeci, 2017), impaired glucose regulation (Barone and Menna-Barreto, 2011), and a heightened incidence of falls among older adults (Min and Slattum, 2018).”
Changes in functional connectivity during sleep in patients with hypertension and obstructive sleep apnea
Orlova, A. A., Акимова, Н. С., Евгеньевна, К. Л., Zhuravlev, M. О., Евгеньевна, Р. А., & Kiselev, A. R. (2025) · The European Physical Journal Special Topics · doi:10.1140/epjs/s11734-025-02102-z · Cited by 2
“Studies showed that the intensity of slow-wave brain activity and the prevalence of sleep spindles in healthy volunteers played a protective role in developing hypertension over a 5-year period [8].”
A role of insomnia in the development of silent cerebral infarctions
Тихомирова, О. В., Кожевникова, В. В., Zybina, N. N., Startseva, O. N., & Bobko, O. V. (2018) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro20181180923 · Cited by 2
Association of short sleep duration with cardiometabolic risk factors in a population of rural Nigerian women: A cross-sectional study
Young, E. E., Nwatu, C. B., Onyenekwe, B. M., Ezike, C. H., Ugwu, E. T., & Obi, P. (2020) · International Journal of Medicine and Health Development · doi:10.4103/ijmh.ijmh_17_20 · Cited by 2
HUBUNGAN ANTARA KUALITAS DAN KUANTITAS TIDUR DENGAN TEKANAN DARAH MAHASISWA: LITERATURE REVIEW
Nailufar, N., Karim, D., & Nopriadi, N. (2022) · Jurnal Kesehatan Tambusai · doi:10.31004/jkt.v3i1.3561 · Cited by 2
Sleep duration and possible cardiovascular risk
Викторович, А. М., Orlova, A. A., & Drapkina, O. M. (2022) · Russian Journal of Preventive Medicine · doi:10.17116/profmed20222507194 · Cited by 2
On the imperative of including 24-h and longitudinal multidimensional physiological phenotyping in rodent models of sleep apnea
Gaucher, J., Vial, G., Bouyon, S., Briançon‐Marjollet, A., Faury, G., Arnaud, C., Bailly, S., Tamisier, R., Kinouchi, K., Baldi, P., et al. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.01.017 · Cited by 2
Self-citation
Nonlinear associations of depression and sleep duration with cognitive impairment in older adults with hypertension: findings from a national survey
Fan, H., Sun, H., Feng, Y., Zhang, Q., Xing, H.-Q., Huang, Q.-H., Su, Z., Cheung, T. C. C., Ng, C. H., Xiang, Y., et al. (2025) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2025.1579560 · Cited by 2
“Both shorter and longer sleep duration are known to be risk factors of hypertension (Pepin et al., 2014; Grandner et al., 2018) and are common among older adults with hypertension, often adversely impacting the overall quality of life (Kie ł basa et al., 2016; Uchmanowicz et al., 2019).”
Palliative Medicine: The Importance of Sleep, Stress, and Behavior
Gatchel, R. J., & Jones, C. (2018) · Palliative Medicine & Care Open Access · doi:10.15226/2374-8362/5/2/00158 · Cited by 1
“adverse health conditions, including cardiovascular disease [26], obesity [27], Type 2 Diabetes [23], hypertension [28], and depression [29].”
Background
Efeito da (in)atividade física nas queixas de insônia, humor e qualidade de vida de pacientes com hipertensão arterial
Neves, A. W., Santana, M. G., Silva, K. H., & Passos, G. S. (2020) · Revista Brasileira de Educação Física e Esporte · doi:10.11606/1807-5509202000030385 · Cited by 2
Association Between Sleep Parameters and Postural Control: A Literature Review
Tanwar, T., & Veqar, Z. (2022) · Sleep Medicine Research · doi:10.17241/smr.2022.01235 · Cited by 2
Narcolepsy, Idiopathic Hypersomnia, and Dysautonomia
Barateau, L., & Dauvilliers, Y. A. (2021) · Springer eBooks · doi:10.1007/978-3-030-62263-3_17 · Cited by 2
Self-citation
Physical activity in older adults
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On Monitoring Brain Health from the Depths of Sleep: Feature Engineering and Machine Learning Insights for Digital Biomarker DevelopmentPreprint
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Studying the relationship between insomnia and sleep disorders with hypertension: a report from community-dwelling older adults living in Tehran, Iran
Ghasemi, S., Mohammadi, N. K., Bitaraf, A., Ayati, A., & Sharifi, F. (2024) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-024-01390-x · Cited by 1
“Table 4 provides the complete details of the analysis. of insomnia symptoms [ 22 , 24, 43] and short sleep duration [46, 47] are associated with high blood pressure.”
Research Progress of Sleep Disorders and Hypertension
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Bidirectional association between physical activity and sleep in healthy Japanese super-seniors: the Japan Healthy Aging Study (J-HAS)
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“…that individuals with higher BMI have an increased risk ofobstructivesleep apnoeaand insomnia 17 ,whichinturnhas been associated with poor control of hypertension due to increased nocturnal activity of the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis 18 .”
Association of 24‐Hour Ambulatory Blood Pressure During Pregnancy in Adolescents and Young Adults With Measures of Fetal Autonomic Nervous System Development
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Sleep disruption from inhalation of biomass smoke: a basis for coincident hypertension?
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“Disruptions in REM sleep are also likely to promote hypertension because, although sympathetic activity and blood pressure increase during this period, baroreflex control is much more effective at stemming blood pressure increases during REM compared to other periods [109].”
The role of sleep efficiency in 24-h blood pressure variability
Landvatter, J., Bress, A., Duffecy, J., Conroy, M. B., Simonsen, S. E., & Baron, K. G. (2025) · Journal of Hypertension · doi:10.1097/hjh.0000000000004222 · Cited by 1
Real-World Effectiveness of Monotherapy and Combination Therapy in Hypertension: A Cross-Sectional Study Using Ambulatory Blood Pressure Monitoring in a Tertiary Center
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Effects of Sleep Quality on Cardiovascular System, Anxiety, And Academic Performance in Medical and Dental Students in Peshawar, Pakistan
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Authors: Pepin, J.-L., Borel, A.-L., Tamisier, R., Baguet, J.-P., Levy, P., & Dauvilliers, Y.
Affiliations: Inserm (FR)
Centre Hospitalier Universitaire de Grenoble (FR)
ORCID: Borel, Anne-Laure
Tamisier, Renaud
Levy, Patrick
Dauvilliers, Yves
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2014-12
Volume: 18
Issue: 6
Pages: 509-519
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2014.03.003
OpenAlex: W2156027352
Cited by: 245
References: 110
Citations by year: 2026: 8 · 2025: 24 · 2024: 29 · 2023: 9 · 2022: 23 · 2021: 23 · 2020: 21 · 2019: 40 · 2018: 18 · 2017: 17 · 2016: 16 · 2015: 14 · 2014: 3
FWCI: 1.96
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords: hypertension, sleep disorders, blood pressure regulation, obstructive sleep apnea, sleep duration, sleep deprivation, insomnia, restless legs syndrome, narcolepsy, continuous positive airway pressure, autonomic cardiovascular control, nocturnal blood pressure, sleep quality
MeSH terms: Humans, Hypertension, Sleep Initiation and Maintenance Disorders, Narcolepsy, Restless Legs Syndrome, Sleep, Sleep Stages, Sleep Apnea, Obstructive, Nocturnal Myoclonus Syndrome

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Hypertension and sleep: Overview of a tight relationship

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