Sleep duration and hypertension are not associated in the elderly
Open accessAbstract
Several large studies have shown that both short and long average sleep durations increase the risk of hypertension in adults. We investigated whether sleep duration is also associated with hypertension in the elderly. This cross-sectional study was conducted in 5058 participants of the population-based Rotterdam Study, aged 58 to 98 years. Blood pressure was measured at the research center. Hypertension was defined as a systolic blood pressure of >or=160 mm Hg and/or a diastolic blood pressure of >or=100 mm Hg or current use of antihypertensive medication. In all of the participants, sleep duration was assessed by self-report. In a subsample of 975 subjects, it was additionally measured with actigraphy, a validated method that infers wakefulness and sleep from the presence or absence of limb movement. After adjustment for age and gender and additionally for body mass index, smoking, depressive symptoms, sleep medication use, diabetes mellitus, myocardial infarction, and stroke, none of the odds ratios (varying from 0.54; 95% CI: 0.27 to 1.08; to 1.19; 95% CI: 0.89 to 1.58) reflected a significant association between sleep duration and hypertension, whether measured by self-report or actigraphy. This study strongly suggests that sleep duration is not associated with hypertension in the elderly.
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Associations between sleep and blood pressure may be modified by age.
“which suggests that associations between sleep and blood pressure may be modified by age.”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [205]
Two studies among elderly adults found no association between habitual sleep duration and blood pressure.
“Two studies among elderly adults found no association between habitual sleep duration and blood pressure [205, 206]”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [205]
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References 13 · Cited by 117
- Authors
- van den Berg, J. F., Tulen, J. H. M., Neven, A. K., Hofman, A., Miedema, H. M. E., Witteman, J. C. M., & Tiemeier, H.
- Affiliations
- From the Departments of Epidemiology and Biostatistics (J.F.v.d.B., A.H., J.C.M.W., H.T.) and Psychiatry (J.H.M.T.), Erasmus MC, Rotterdam, The Netherlands; Department of Public Health and Primary Care (J.F.v.d.B., A.K.N.), Leiden University Medical Center, Leiden, The Netherlands; and TNO Environment, Health and Safety (H.M.E.M.), Netherlands Organisation for Applied Scientific Research TNO, Delft, The Netherlands.
- Netherlands Organisation for Applied Scientific Research (NL)
- Venue
- Hypertension
- Published
- 2007-09
- Volume
- 50
- Issue
- 3
- Pages
- 585-589
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2104811064
- Cited by
- 117
- References
- 13
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 1 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 12 · 2015: 7 · 2014: 6 · 2013: 7 · 2012: 11
- FWCI
- 8.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- TNO Repository (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- European Commission
- Erasmus Universiteit Rotterdam
- Erasmus Medisch Centrum
- 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 duration, older adults, blood pressure, actigraphy, self-reported sleep, short sleep duration, long sleep, Rotterdam Study
- MeSH terms
- Aged, Aged, 80 and over, Aging, Antihypertensive Agents, Cross-Sectional Studies, Extremities, Female, Humans, Hypertension, Male, Middle Aged, Movement, Surveys and Questionnaires, Sleep, Time Factors, Cohort Studies, Logistic Models
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