Association between sleep disorders and morning blood pressure in hypertensive patients

Sleep disorders are known to increase the risk of hypertension, yet few studies have investigated the relation between sleep disorders and morning blood pressure (BP). This study aimed to determine, whether the morning BP is associated with sleep quality and sleep-disordered breathing. A total of 14...

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Main Authors: Xinran Li, Jiangbo Li, Kai Liu, Shenzhen Gong, Rufeng Shi, Pei Pan, Yujie Yang, Xiaoping Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2018-05-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2017.1377217
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author Xinran Li
Jiangbo Li
Kai Liu
Shenzhen Gong
Rufeng Shi
Pei Pan
Yujie Yang
Xiaoping Chen
author_facet Xinran Li
Jiangbo Li
Kai Liu
Shenzhen Gong
Rufeng Shi
Pei Pan
Yujie Yang
Xiaoping Chen
author_sort Xinran Li
collection DOAJ
description Sleep disorders are known to increase the risk of hypertension, yet few studies have investigated the relation between sleep disorders and morning blood pressure (BP). This study aimed to determine, whether the morning BP is associated with sleep quality and sleep-disordered breathing. A total of 144 hypertensive patients were included in this cross-sectional study. Each subject underwent anthropometric measurements, biochemical testing, 24-h ambulatory BP monitoring, and polysomnography (PSG). Sleep quality and sleep-disordered breathing were determined by PSG parameters of sleep architecture and sleep respiratory. There were no significant differences between subjects with and without morning hypertension in the parameters of sleep architecture and sleep respiratory. In multiple regression analysis, morning BP was independently associated with night-time BP and morning BP surge, but not with the parameters of sleep architecture and sleep respiratory. Further analysis showed that both night-time BP and morning BP surge were independently associated with the sleep respiratory parameters. In conclusion, sleep-disordered breathing might indirectly affect the morning BP by elevated night-time BP, yet neither poor sleep quality nor sleep-disordered breathing was major determinants of elevated morning BP in hypertensive patients.
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spelling doaj.art-e5d8bf9dac46415a849d371a04ef4ce12023-09-19T15:19:26ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062018-05-0140433734310.1080/10641963.2017.13772171377217Association between sleep disorders and morning blood pressure in hypertensive patientsXinran Li0Jiangbo Li1Kai Liu2Shenzhen Gong3Rufeng Shi4Pei Pan5Yujie Yang6Xiaoping Chen7Sichuan UniversitySichuan UniversitySichuan UniversitySichuan UniversitySichuan UniversitySichuan UniversitySichuan UniversitySichuan UniversitySleep disorders are known to increase the risk of hypertension, yet few studies have investigated the relation between sleep disorders and morning blood pressure (BP). This study aimed to determine, whether the morning BP is associated with sleep quality and sleep-disordered breathing. A total of 144 hypertensive patients were included in this cross-sectional study. Each subject underwent anthropometric measurements, biochemical testing, 24-h ambulatory BP monitoring, and polysomnography (PSG). Sleep quality and sleep-disordered breathing were determined by PSG parameters of sleep architecture and sleep respiratory. There were no significant differences between subjects with and without morning hypertension in the parameters of sleep architecture and sleep respiratory. In multiple regression analysis, morning BP was independently associated with night-time BP and morning BP surge, but not with the parameters of sleep architecture and sleep respiratory. Further analysis showed that both night-time BP and morning BP surge were independently associated with the sleep respiratory parameters. In conclusion, sleep-disordered breathing might indirectly affect the morning BP by elevated night-time BP, yet neither poor sleep quality nor sleep-disordered breathing was major determinants of elevated morning BP in hypertensive patients.http://dx.doi.org/10.1080/10641963.2017.1377217polysomnographymorning blood pressurenight-time blood pressuresleep qualitysleep architecturesleep-disordered breathing
spellingShingle Xinran Li
Jiangbo Li
Kai Liu
Shenzhen Gong
Rufeng Shi
Pei Pan
Yujie Yang
Xiaoping Chen
Association between sleep disorders and morning blood pressure in hypertensive patients
Clinical and Experimental Hypertension
polysomnography
morning blood pressure
night-time blood pressure
sleep quality
sleep architecture
sleep-disordered breathing
title Association between sleep disorders and morning blood pressure in hypertensive patients
title_full Association between sleep disorders and morning blood pressure in hypertensive patients
title_fullStr Association between sleep disorders and morning blood pressure in hypertensive patients
title_full_unstemmed Association between sleep disorders and morning blood pressure in hypertensive patients
title_short Association between sleep disorders and morning blood pressure in hypertensive patients
title_sort association between sleep disorders and morning blood pressure in hypertensive patients
topic polysomnography
morning blood pressure
night-time blood pressure
sleep quality
sleep architecture
sleep-disordered breathing
url http://dx.doi.org/10.1080/10641963.2017.1377217
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