Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing

Zhikang Yang,1– 3,&ast; Mulalibieke Heizhati,1– 3,&ast; Lin Wang,1– 3 Mei Li,1– 3 Fengyu Pan,1– 3 Zhongrong Wang,1– 3 Reyila Abudureyimu,1– 3 Jing Hong,1– 3 Ling Yao,1– 3 Wenbo Yang,1– 3 Shasha Liu,1– 3 Nanfang Li1– 3 1Hypertension Center, People’s Hospital of Xinjiang Uygur Autonomous Regio...

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Autores principales:	Yang Z, Heizhati M, Wang L, Li M, Pan F, Wang Z, Abudureyimu R, Hong J, Yao L, Yang W, Liu S, Li N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	sleep quality sleep disordered breathing blood pressure prevalent hypertension Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/20cbc465cdff45e1b8ab019fa2d544b6
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spelling	oai:doaj.org-article:20cbc465cdff45e1b8ab019fa2d544b62021-12-02T19:14:53ZSubjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing1179-1608https://doaj.org/article/20cbc465cdff45e1b8ab019fa2d544b62021-10-01T00:00:00Zhttps://www.dovepress.com/subjective-poor-sleep-quality-is-associated-with-higher-blood-pressure-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Zhikang Yang,1– 3,&ast; Mulalibieke Heizhati,1– 3,&ast; Lin Wang,1– 3 Mei Li,1– 3 Fengyu Pan,1– 3 Zhongrong Wang,1– 3 Reyila Abudureyimu,1– 3 Jing Hong,1– 3 Ling Yao,1– 3 Wenbo Yang,1– 3 Shasha Liu,1– 3 Nanfang Li1– 3 1Hypertension Center, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, People’s Republic of China; 2Xinjiang Hypertension Institute, Urumqi, Xinjiang, People’s Republic of China; 3National Health Committee Key Laboratory of Hypertension Clinical Research, Urumqi, Xinjiang, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Nanfang Li Email Lnanfang2016@sina.comObjective: To explore the relationship of subjective sleep quality with blood pressure (BP) and hypertension by considering the influence of sleep disordered breathing (SDB) and age in the general population.Methods: We evaluated sleep quality using the Pittsburgh sleep quality index (PSQI) and SDB using NoSAS score and measured BP in randomly selected adults in China in 2019. Sleep quality is categorized into four groups as very good, fairly good, fairly bad and very bad. SDB is defined as NoSAS score ≥ 8. Hypertension is defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, and/or use of antihypertensive medicine within previous 2 weeks. Multi-variable linear and logistic regression analyses were used to assess the association of global PSQI score and sleep quality with BP and prevalent hypertension.Results: In the 33,341 participants (53.4% women, median age: 48 years), prevalence of hypertension significantly increased from very good to very bad sleepers in total (34.3 vs 42.6 vs 50.3 vs 58.5%), SDB (61.2 vs 68.3 vs 73.3 vs 75.5%) and non-SDB participants (26.8 vs 33.1 vs 40.1 vs 50.9%). In multiple linear regression, PSQI global score showed significant positive association with BP levels in total, SDB and non-SDB participants, consistent in sensitivity analysis by excluding participants who were taking antihypertensives, and in participants aged < 60 years in age-stratified analysis. In multivariable logistic regression, odds ratio for presence of hypertension significantly increased from very good to very bad sleepers in total (1 vs 1.08 vs 1.22 vs 1.48), SDB (1 vs 1.17 vs 1.35 vs 1.28) and non-SDB participants (1 vs 1.05 vs 1.14 vs 1.53), consistent in participants aged < 60 years.Conclusion: Poor subjective sleep quality is significantly associated with higher BP and prevalent hypertension, independent of SDB in the young- and middle-aged general population, indicating potential of improving sleep quality to lower BP and optimize hypertension management at population level.Keywords: sleep quality, sleep disordered breathing, blood pressure, prevalent hypertensionYang ZHeizhati MWang LLi MPan FWang ZAbudureyimu RHong JYao LYang WLiu SLi NDove Medical Pressarticlesleep qualitysleep disordered breathingblood pressureprevalent hypertensionPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 1759-1770 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep quality sleep disordered breathing blood pressure prevalent hypertension Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep quality sleep disordered breathing blood pressure prevalent hypertension Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Yang Z Heizhati M Wang L Li M Pan F Wang Z Abudureyimu R Hong J Yao L Yang W Liu S Li N Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
description	Zhikang Yang,1– 3,&ast; Mulalibieke Heizhati,1– 3,&ast; Lin Wang,1– 3 Mei Li,1– 3 Fengyu Pan,1– 3 Zhongrong Wang,1– 3 Reyila Abudureyimu,1– 3 Jing Hong,1– 3 Ling Yao,1– 3 Wenbo Yang,1– 3 Shasha Liu,1– 3 Nanfang Li1– 3 1Hypertension Center, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, People’s Republic of China; 2Xinjiang Hypertension Institute, Urumqi, Xinjiang, People’s Republic of China; 3National Health Committee Key Laboratory of Hypertension Clinical Research, Urumqi, Xinjiang, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Nanfang Li Email Lnanfang2016@sina.comObjective: To explore the relationship of subjective sleep quality with blood pressure (BP) and hypertension by considering the influence of sleep disordered breathing (SDB) and age in the general population.Methods: We evaluated sleep quality using the Pittsburgh sleep quality index (PSQI) and SDB using NoSAS score and measured BP in randomly selected adults in China in 2019. Sleep quality is categorized into four groups as very good, fairly good, fairly bad and very bad. SDB is defined as NoSAS score ≥ 8. Hypertension is defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, and/or use of antihypertensive medicine within previous 2 weeks. Multi-variable linear and logistic regression analyses were used to assess the association of global PSQI score and sleep quality with BP and prevalent hypertension.Results: In the 33,341 participants (53.4% women, median age: 48 years), prevalence of hypertension significantly increased from very good to very bad sleepers in total (34.3 vs 42.6 vs 50.3 vs 58.5%), SDB (61.2 vs 68.3 vs 73.3 vs 75.5%) and non-SDB participants (26.8 vs 33.1 vs 40.1 vs 50.9%). In multiple linear regression, PSQI global score showed significant positive association with BP levels in total, SDB and non-SDB participants, consistent in sensitivity analysis by excluding participants who were taking antihypertensives, and in participants aged < 60 years in age-stratified analysis. In multivariable logistic regression, odds ratio for presence of hypertension significantly increased from very good to very bad sleepers in total (1 vs 1.08 vs 1.22 vs 1.48), SDB (1 vs 1.17 vs 1.35 vs 1.28) and non-SDB participants (1 vs 1.05 vs 1.14 vs 1.53), consistent in participants aged < 60 years.Conclusion: Poor subjective sleep quality is significantly associated with higher BP and prevalent hypertension, independent of SDB in the young- and middle-aged general population, indicating potential of improving sleep quality to lower BP and optimize hypertension management at population level.Keywords: sleep quality, sleep disordered breathing, blood pressure, prevalent hypertension
format	article
author	Yang Z Heizhati M Wang L Li M Pan F Wang Z Abudureyimu R Hong J Yao L Yang W Liu S Li N
author_facet	Yang Z Heizhati M Wang L Li M Pan F Wang Z Abudureyimu R Hong J Yao L Yang W Liu S Li N
author_sort	Yang Z
title	Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
title_short	Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
title_full	Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
title_fullStr	Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
title_full_unstemmed	Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing
title_sort	subjective poor sleep quality is associated with higher blood pressure and prevalent hypertension in general population independent of sleep disordered breathing
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/20cbc465cdff45e1b8ab019fa2d544b6
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Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing

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