Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives
The present research aimed to investigate the influence of sleep bruxism (SB) intensity on blood pressure parameters in normotensive subjects by using an ambulatory blood pressure device. The study group included 65 normotensive individuals suspected of having SB. All participants underwent one-nigh...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/6/1304 |
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| author | Monika Michalek-Zrabkowska Mieszko Wieckiewicz Pawel Gac Joanna Smardz Rafal Poreba Anna Wojakowska Katarzyna Goslawska Grzegorz Mazur Helena Martynowicz |
| author_facet | Monika Michalek-Zrabkowska Mieszko Wieckiewicz Pawel Gac Joanna Smardz Rafal Poreba Anna Wojakowska Katarzyna Goslawska Grzegorz Mazur Helena Martynowicz |
| author_sort | Monika Michalek-Zrabkowska |
| collection | DOAJ |
| description | The present research aimed to investigate the influence of sleep bruxism (SB) intensity on blood pressure parameters in normotensive subjects by using an ambulatory blood pressure device. The study group included 65 normotensive individuals suspected of having SB. All participants underwent one-night video-polysomnography, and ambulatory blood pressure monitoring was performed the next day; 86.15% of them were diagnosed with SB. Statistical analysis included correlation and regression analysis. The obtained results showed that systolic blood pressure variability during sleep significantly increased in individuals with BEI > 4 (bruxism episodes index; episodes/hour) compared to those with BEI ≤ 4 (8.81 ± 3.36 versus 10.57 ± 3.39, <i>p</i> = 0.05). Multivariable regression analysis showed that systolic blood pressure variability at nighttime was also associated with the following independent risk factors: higher apnea-to-bruxism index, male gender, BEI > 4 episodes/hour, body mass index (BMI) ≥ 25 kg/m<sup>2</sup>, higher arousal index, and shorter total sleep time. In summary, sleep bruxism intensity was associated with increased systolic blood pressure variability during sleep. Coincidental apnea, male gender, severe sleep bruxism (SB intensity with BEI > 4/hour), excess weight and obesity, higher arousal index, and shorter sleep time seem to be the main determinants that influence blood pressure in normotensive sleep bruxers. |
| first_indexed | 2024-03-10T13:01:20Z |
| format | Article |
| id | doaj.art-cde15591f2f1453aad3e37fe266c3cce |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T13:01:20Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-cde15591f2f1453aad3e37fe266c3cce2023-11-21T11:31:39ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-01106130410.3390/jcm10061304Effect of Sleep Bruxism Intensity on Blood Pressure in NormotensivesMonika Michalek-Zrabkowska0Mieszko Wieckiewicz1Pawel Gac2Joanna Smardz3Rafal Poreba4Anna Wojakowska5Katarzyna Goslawska6Grzegorz Mazur7Helena Martynowicz8Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Experimental Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Hygiene, Wroclaw Medical University, 7 Mikulicza-Radeckiego St., 50-345 Wroclaw, PolandDepartment of Experimental Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandThe present research aimed to investigate the influence of sleep bruxism (SB) intensity on blood pressure parameters in normotensive subjects by using an ambulatory blood pressure device. The study group included 65 normotensive individuals suspected of having SB. All participants underwent one-night video-polysomnography, and ambulatory blood pressure monitoring was performed the next day; 86.15% of them were diagnosed with SB. Statistical analysis included correlation and regression analysis. The obtained results showed that systolic blood pressure variability during sleep significantly increased in individuals with BEI > 4 (bruxism episodes index; episodes/hour) compared to those with BEI ≤ 4 (8.81 ± 3.36 versus 10.57 ± 3.39, <i>p</i> = 0.05). Multivariable regression analysis showed that systolic blood pressure variability at nighttime was also associated with the following independent risk factors: higher apnea-to-bruxism index, male gender, BEI > 4 episodes/hour, body mass index (BMI) ≥ 25 kg/m<sup>2</sup>, higher arousal index, and shorter total sleep time. In summary, sleep bruxism intensity was associated with increased systolic blood pressure variability during sleep. Coincidental apnea, male gender, severe sleep bruxism (SB intensity with BEI > 4/hour), excess weight and obesity, higher arousal index, and shorter sleep time seem to be the main determinants that influence blood pressure in normotensive sleep bruxers.https://www.mdpi.com/2077-0383/10/6/1304sleep bruxismambulatory blood pressure monitoringpolysomnography |
| spellingShingle | Monika Michalek-Zrabkowska Mieszko Wieckiewicz Pawel Gac Joanna Smardz Rafal Poreba Anna Wojakowska Katarzyna Goslawska Grzegorz Mazur Helena Martynowicz Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives Journal of Clinical Medicine sleep bruxism ambulatory blood pressure monitoring polysomnography |
| title | Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives |
| title_full | Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives |
| title_fullStr | Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives |
| title_full_unstemmed | Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives |
| title_short | Effect of Sleep Bruxism Intensity on Blood Pressure in Normotensives |
| title_sort | effect of sleep bruxism intensity on blood pressure in normotensives |
| topic | sleep bruxism ambulatory blood pressure monitoring polysomnography |
| url | https://www.mdpi.com/2077-0383/10/6/1304 |
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