Is impaired sleep quality responsible for a nondipping pattern even in normotensive individuals?
Abstract
OBJECTIVE: We aimed to evaluate the relationship between sleep quality and a dipping-nondipping pattern in normotensive individuals. MATERIALS AND METHODS: Our study was carried out on 100 normotensive individuals; 50 of these individuals had a dipping pattern and 50 had a nondipping pattern, and were chosen from among patients in whom ambulatory blood pressure monitoring was applied before for any reason. All study participants underwent the Pittsburgh Sleep Quality Index survey to evaluate sleep disturbances. RESULTS: The overall scores and all the components of the Pittsburgh Sleep Quality Index scores were significantly higher in the nondipper normotensive group compared with the dipper normotensive group. CONCLUSION: In conclusion, the nondipping blood pressure pattern appears to be associated with poor sleep quality not only in hypertensive patients but also in normotensive healthy individuals. When evaluating patients with poor sleep quality, the possibility that they may have a nondipping pattern even if they are normotensive should be kept in mind.
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Non-dipping in blood pressure is associated with cardiovascular disease risk and has been associated with poor sleep.
“Non-dipping in BP is associated with CVD risk [63] and has been associated with poor sleep [64].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [64]
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Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis
Lo, K. K.-H., Woo, B., Wong, M. M. H., & Tam, W. (2018) · Journal of Clinical Hypertension · doi:10.1111/jch.13220 · Cited by 266 · see citing works
Rangaraj, V. R., & Knutson, K. L. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2015.02.535 · Cited by 120 · see citing works
“Non-dipping in BP is associated with CVD risk [63] and has been associated with poor sleep [64].”
BackgroundAssociation of Self-Reported Sleep and Hypertension in Non-Insomniac Elderly Subjects
Sforza, E. A., Martin, M. S., Barthélemy, J., & Roche, F. (2014) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4026 · Cited by 32 · see citing works
“8-11 In an epidemiological study on a population ranging in age from 40-100 years, Gottlieb et al. found that self-reported habitual sleep duration of less than 7 to 8 h per night was associated with an increased prevalence of HT, particularly in subjects sleeping less than 6 h per night.”
Lopez‐Sublet, M., Girerd, N., Bozec, E., Machu, J., Ferreira, J. P., Zannad, F. M., Mourad, J., & Rossignol, P. (2019) · American Journal of Hypertension · doi:10.1093/ajh/hpz020 · Cited by 23 · see citing works
Forshaw, P. E., Correia, A. T. L., Roden, L. C., Lambert, E. V., & Rae, D. E. (2022) · Blood Pressure Monitoring · doi:10.1097/mbp.0000000000000619 · Cited by 17 · see citing works
Оstroumova, Т. М., Parfenov, V. A., Ostroumova, O. D., & Кочетков, А. И. (2020) · Terapevticheskii arkhiv · doi:10.26442/00403660.2020.01.000319 · Cited by 16 · see citing works
Zhang, J., Wang, C., Gong, W., Ye, Z., Tang, Y., Zhao, W., Peng, H., & Lou, T. (2016) · Nephrology · doi:10.1111/nep.12839 · Cited by 14 · see citing works
“Recently, a small sample study demonstrated that poor sleep quality was associated with the nondipping BP pattern in normotensive individuals.(38) Our study investigated normotensive CKD patients and found that the occurrence of the nondipping BP pattern was very high (58.”
BackgroundSiemiński, M., Chwojnicki, K., & Partinen, M. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.07.025 · Cited by 13 · see citing works
Sherwood, A., Smith, P. J., Hinderliter, A. L., Georgiades, A., & Blumenthal, J. A. (2016) · American Heart Journal · doi:10.1016/j.ahj.2016.10.011 · Cited by 13 · see citing works
Yüksel, M., Yıldız, A., Demir, M., Bilik, M. Z., Özaydoğdu, N., Aktan, A., Işık, F., Demir, S., Yazgan, Ü. C., & Toprak, N. (2014) · Clinical and investigative medicine · doi:10.25011/cim.v37i6.22240 · Cited by 8 · see citing works
Sleep and blood pressure variability: A systematic literature review
Kim, Y., Mattos, M. K., Howie‐Esquivel, J., Davis, E. M., & Logan, J. G. (2024) · Heart & Lung · doi:10.1016/j.hrtlng.2024.08.016 · Cited by 8 · see citing works
Patients with a Higher Number of Periodic Limb Movements Have Higher Nocturnal Blood Pressure
Krzyżaniak, K., Partinen, E., Partinen, M., & Siemiński, M. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11102829 · Cited by 6 · see citing works
“Low quality of sleep and any sleep disturbances may lead to significant increases in nocturnal BP values, as was shown in previous studies [5,6].”
ResultKani, A. S., Sünbül, M., Kani, H. T., et al. (2015) · Sleep and Biological Rhythms · doi:10.1007/s41105-015-0001-2 · Cited by 4 · see citing works
“Poor sleep quality is associated with a non-dipping pattern even in normotensive people [33] and hypertensive patients [34].”
BackgroundPeriodic Limb Movements in Sleep and Blood Pressure
Siemiński, M. (2018) · American Journal of Hypertension · doi:10.1093/ajh/hpy132
- Authors
- Ulu, S. M., Ulu, S., Ulasli, S. S., Yaman, G., Ahsen, A., Ozkececi, G., & Yuksel, Ş.
- Affiliations
- Afyon Kocatepe University (TR)
- Corresponding author
- Ulu, Sena M.
- ORCID
- Ulu, Sena M.
- Venue
- Blood Pressure Monitoring
- Published
- 2013-08
- Volume
- 18
- Issue
- 4
- Pages
- 183-187
- ISSN
- 1359-5237 (ISSN-L)
- OpenAlex
- W2319470821
- Cited by
- 14
- References
- 0
- Citations by year
- 2024: 1 · 2022: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2016: 3 · 2015: 2 · 2014: 2
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Blood Pressure Monitoring (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep quality, circadian blood pressure variation, normotensive subjects, Pittsburgh Sleep Quality Index, sleep disorders, ambulatory blood pressure monitoring
- MeSH terms
- Adult, Blood Pressure, Female, Humans, Hypertension, Male, Middle Aged, Sleep, Sleep Wake Disorders, Blood Pressure Monitoring, Ambulatory
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