Associations Between Sleep Disorders, Sleep Duration, Quality of Sleep, and Hypertension: Results From the National Health and Nutrition Examination Survey, 2005 to 2008: Sleep-Related Problems and Hypertension
Open accessAbstract
Sleep is a contributing factor to optimal health and vitality. However, to date, no national study has evaluated the simultaneous relationship between sleep disorders, quality, and duration with hypertension. Using data from National Health and Nutrition Examination Survey (NHANES) (2005 to 2008), hypertension was defined by current use of antihypertensive medication or systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg. Self-reported sleep disorders and duration were categorized from a single household interview question, and sleep quality was determined from several questions on sleeping habits. The prevalence of hypertension was 30.2% and 7.5%, and 33.0% and 52.1% reported having sleep disorders, short sleep, and poor sleep, respectively. After adjustment for demographic characteristics and comorbidities, having sleep disorders only was not significantly associated with hypertension (odds ratio [OR], 1.65; 95% confidence interval [CI], 0.73-3.77). However, this association was modified by sleep duration: significant associations were observed among adults with concurrent sleep disorders and short sleep (OR, 2.30; 95% CI, 1.49-3.56) and with sleep disorders, short sleep, and poor sleep (OR, 1.84; 95% CI, 1.13-2.98). These findings indicate an association between a combination of sleep problems and hypertension, but prospective studies are needed to understand the complex interplay between them.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is good evidence that 5 to 7 hours of sleep and over 30 minutes of MVPA per day are associated with better health outcomes.
“For example, there is good evidence that 5 to 7 hours of sleep [1], and over 30 minutes of MVPA per day [2,3] are associated with better health outcomes.”
The models' fit to the data was in line with previous reports, with moderate amount of variance explained for systolic blood pressure (R2 adj = 0.21), HDL (R2 adj = 0.22), CRP (R2 adj = 0.26), plasma glucose (R2 adj = 0.33), insulin (R2 adj = 0.40) and HOMA (R2 adj = 0.42).
“The models’ fit to the data was in line with previous reports [1,6,10,14–17], with moderate amount of variance explained for systolic blood pressure (R2 adj = 0.21), HDL (R2 adj = 0.22), CRP (R2 adj = 0.26), plasma glucose (R2 adj = 0.33), insulin (R2 adj = 0.40) and HOMA (R2 adj = 0.42).”
Cites
Heart Disease and Stroke Statistics—2010 Update: A Report From the American Heart Association
WRITING GROUP MEMBERS, Lloyd-Jones, D., Adams, R. J., Brown, T. M., Carnethon, M., Dai, S., De Simone, G., Ferguson, T. B., Ford, E., Furie, K., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.192667 · Cited by 5,700 · see citing works
Self-Reported and Measured Sleep Duration: How Similar Are They?
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Liu, K., & Rathouz, P. J. (2008) · Epidemiology · doi:10.1097/ede.0b013e318187a7b0 · Cited by 1,565 · see citing works
Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F., Pickering, T. G., Rundle, A. G., Zammit, G. K., & Malaspina, D. (2006) · Hypertension · doi:10.1161/01.hyp.0000217362.34748.e0 · Cited by 1,284 · see citing works
Shamsuzzaman, A., Gersh, B. J., & Somers, V. K. (2003) · JAMA · doi:10.1001/jama.290.14.1906 · Cited by 1,179 · see citing works
Association of usual sleep duration with hypertension: the Sleep Heart Health Study
Gottlieb, D. J., Redline, S., Nieto, F. J., Baldwin, C. M., Newman, A. B., Resnick, H. E., & Punjabi, N. M. (2006) · Sleep · doi:10.1093/sleep/29.8.1009 · Cited by 947 · see citing works
Insomnia with Objective Short Sleep Duration is Associated with a High Risk for Hypertension
Vgontzas, A. N., Liao, D., Bixler, E. O., Chrousos, G. P., & Vela-Bueno, A. (2009) · Sleep · doi:10.1093/sleep/32.4.491 · Cited by 748 · see citing works
Obstructive Sleep Apnea and Cardiovascular Disease
Parish, J. M., & Somers, V. K. (2004) · Mayo Clinic Proceedings · doi:10.4065/79.8.1036 · Cited by 619 · see citing works
Obesity, Sleep Apnea, and Hypertension
Wolk, R., Shamsuzzaman, A. S. M., & Somers, V. K. (2003) · Hypertension · doi:10.1161/01.hyp.0000101686.98973.a3 · Cited by 532 · see citing works
Strine, T. W., & Chapman, D. P. (2004) · Sleep Medicine · doi:10.1016/j.sleep.2004.06.003 · Cited by 531 · see citing works
Cappuccio, F. P., Stranges, S., Kandala, N.-B., Miller, M. A., Taggart, F. M., Kumari, M., Ferrie, J. E., Shipley, M. J., Brunner, E. J., & Marmot, M. G. (2007) · Hypertension · doi:10.1161/hypertensionaha.107.095471 · Cited by 512 · see citing works
Association of restless legs syndrome and cardiovascular disease in the Sleep Heart Health Study
Winkelman, J. W., Shahar, E., Sharief, I., & Gottlieb, D. J. (2007) · Neurology · doi:10.1212/01.wnl.0000287072.93277.c9 · Cited by 413 · see citing works
Association Between Sleep and Blood Pressure in Midlife: The CARDIA Sleep Study
Knutson, K. L., Van Cauter, E., Rathouz, P. J., Yan, L. L., Hulley, S. B., Liu, K., & Lauderdale, D. S. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.119 · Cited by 403 · see citing works
Stranges, S., Dorn, J. M., Shipley, M. J., Kandala, N.-B., Trevisan, M., Miller, M. A., Donahue, R. P., Hovey, K. M., Ferrie, J. E., Marmot, M. G., et al. (2008) · American Journal of Epidemiology · doi:10.1093/aje/kwn337 · Cited by 344 · see citing works
Sleep Quality and Elevated Blood Pressure in Adolescents
Javaheri, S., Storfer‐Isser, A., ROSEN, C. L., & Redline, S. S. (2008) · Circulation · doi:10.1161/circulationaha.108.766410 · Cited by 310 · see citing works
Epidemiological evidence for the links between sleep, circadian rhythms and metabolism
Gangwisch, J. E. (2009) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00663.x · Cited by 263 · see citing works
The Prevalence, Cost Implications, and Management of Sleep Disorders: An Overview
Hossain, J. L., & Shapiro, C. M. (2002) · Sleep And Breathing · doi:10.1007/s11325-002-0085-1 · Cited by 243 · see citing works
The prevalence, cost implications, and management of sleep disorders: an overview
Hossain, J. L., & Shapiro, C. M. (2002) · Sleep And Breathing · doi:10.1055/s-2002-32322 · Cited by 195 · see citing works
Perceived Insufficient Rest or Sleep Among Adults – United States, 2008
Nolan, B. (2010) · Yearbook of Neurology and Neurosurgery · doi:10.1016/s0513-5117(09)79157-4 · Cited by 146 · see citing works
Sleep duration and hypertension are not associated in the elderly
van den Berg, J. F., Tulen, J. H. M., Neven, A. K., Hofman, A., Miedema, H. M. E., Witteman, J. C. M., & Tiemeier, H. (2007) · Hypertension · doi:10.1161/hypertensionaha.107.092585 · Cited by 117 · see citing works
Pickering, T. G. (1996) · Current Opinion in Nephrology & Hypertension · doi:10.1097/00041552-199603000-00017 · Cited by 100 · see citing works
Sleep's quality disorders in patients with hypertension and type 2 diabetes mellitus
Fiorentini, A., Valente, R., Perciaccante, A., & Tubani, L. (2006) · International Journal of Cardiology · doi:10.1016/j.ijcard.2006.07.213 · Cited by 82 · see citing works
Perceived Insufficient Rest or Sleep Among Adults--United States, 2008
(2009) · PsycEXTRA Dataset · doi:10.1037/e552162010-003 · Cited by 76 · see citing works
Sleep Apnea, Hypertension, and the Effects of Continuous Positive Airway Pressure
DHILLON, S., CHUNG, S., FARGHER, T., HUTERER, N., & SHAPIRO, C. (2005) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2004.11.031 · Cited by 74 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Chastin, S. F. M., Palarea-Albaladejo, J., Dontje, M. L., & Skelton, D. A. (2015) · PLOS ONE · doi:10.1371/journal.pone.0139984 · Cited by 1,034 · see citing works
Panel, C. C., Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., et al. (2015) · Sleep · doi:10.5665/sleep.4886 · Cited by 906 · see citing works
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568 · see citing works
Buman, M. P., Winkler, E. A. H., Kurka, J. M., Hekler, E. B., Baldwin, C. M., Owen, N., Ainsworth, B. E., Healy, G. N., & Gardiner, P. A. (2014) · American Journal of Epidemiology · doi:10.1093/aje/kwt292 · Cited by 427 · see citing works
Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X., Li, J., & Sun, Y. (2013) · Sleep Medicine · doi:10.1016/j.sleep.2012.12.001 · Cited by 327 · see citing works
Grandner, M. A., Chakravorty, S., Perlis, M. L., Oliver, L., & Gurubhagavatula, I. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2013.09.012 · Cited by 300 · see citing works
A Review of Evidence for the Link Between Sleep Duration and Hypertension
Gangwisch, J. E. (2014) · American Journal of Hypertension · doi:10.1093/ajh/hpu071 · Cited by 261 · see citing works
Sleep duration, cardiovascular disease, and proinflammatory biomarkers
Grandner, M., Sands-Lincoln, Pak, & Garland (2013) · Nature and Science of Sleep · doi:10.2147/nss.s31063 · Cited by 246 · see citing works
Hypertension and sleep: Overview of a tight relationship
Pepin, J.-L., Borel, A.-L., Tamisier, R., Baguet, J.-P., Levy, P., & Dauvilliers, Y. (2014) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.03.003 · Cited by 245 · see citing works
Sleep in America: role of racial/ethnic differences
Adenekan, B., Pandey, A., McKenzie, S., Zizi, F., Casimir, G. J., & Jean-Louis, G. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.07.002 · Cited by 197 · see citing works
Gender and the Association of Smoking with Sleep Quantity and Quality in American Adults
Mehari, A., Weir, N. A., & Gillum, R. F. (2014) · Women & Health · doi:10.1080/03630242.2013.858097 · Cited by 50 · see citing works
Liu, R., Liu, X., Zee, P. C., Hou, L., Zheng, Z., Wei, Y., & Du, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0092607 · Cited by 47 · see citing works
Olanrewaju GT, I. B. (2014) · Journal of Sleep Disorders & Therapy · doi:10.4172/2167-0277.1000157 · Cited by 21 · see citing works
- Authors
- Bansil, P., Kuklina, E. V., Merritt, R. K., & Yoon, P. W.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Bansil, Pooja
- Venue
- The Journal of Clinical Hypertension
- Publisher
- Wiley
- Published
- 2011-07-14
- Volume
- 13
- Issue
- 10
- Pages
- 739-743
- ISSN
- 1524-6175 (ISSN-L)
- PMC
- PMC8108844
- OpenAlex
- W1509765910
- Cited by
- 180
- References
- 23
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 13 · 2021: 15 · 2020: 9 · 2019: 18 · 2018: 15 · 2017: 16 · 2016: 13 · 2015: 16 · 2014: 13 · 2013: 13 · 2012: 6
- FWCI
- 13.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Hypertension (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- sleep disorders, sleep duration, sleep quality, hypertension, short sleep duration, poor sleep quality, comorbidities, NHANES
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Blood Pressure, Cross-Sectional Studies, Female, Health Status, Health Surveys, Humans, Hypertension, Male, Middle Aged, Nutrition Surveys, Quality of Life, Retrospective Studies, Risk Factors, Sleep, Sleep Wake Disorders, Time Factors, United States, Prevalence, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review