Reduced sleep efficiency, measured using an objective device, was related to an increased prevalence of home hypertension in Japanese adults

Abstract Few studies have reported the relationship between reduced sleep efficiency and the prevalence of hypertension independent of sleep duration in Japan. This study aimed to evaluate whether reduced sleep efficiency, measured using an objective device for >1 week, was related to an increased prevalence of hypertension independent of sleep duration in the general Japanese population. We conducted a cross-sectional study of 904 participants aged ≥20 years who lived in Miyagi Prefecture, Japan. Sleep efficiency was measured using a contactless biomotion sleep sensor for 10 continuous days. The participants were classified into two groups according to their sleep efficiency: reduced (<90%) or not reduced (≥90%). Hypertension was defined as morning home blood pressure ≥135/85 mmHg or self-reported treatment for hypertension. Multivariable logistic regression models were used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) to assess the relationship between sleep efficiency and hypertension adjusted for potential confounders. The results showed that two hundred and ninety-four individuals (32.5%) had reduced sleep efficiency, and 331 (36.6%) had hypertension. Individuals with reduced sleep efficiency had a higher body mass index and shorter sleep duration. In the multivariable analysis, reduced sleep efficiency was significantly related to an increased prevalence of hypertension (OR, 1.62; 95% CI, 1.15–2.28). In conclusion, reduced sleep efficiency was significantly related to an increased prevalence of hypertension in Japanese adults. Improvements in sleep efficiency may be important to reduce blood pressure in Japanese adults.

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Home-Measured Blood Pressure Is Associated with Handgrip Strength in Patients with Type 2 Diabetes: The KAMOGAWA-HBP Study

Journal of Clinical Medicine ◽

10.3390/jcm10091913 ◽

2021 ◽

Vol 10 (9) ◽

pp. 1913

Author(s):

Tomonori Kimura ◽

Emi Ushigome ◽

Yoshitaka Hashimoto ◽

Naoko Nakanishi ◽

Masahide Hamaguchi ◽

...

Keyword(s):

Blood Pressure ◽

Type 2 Diabetes ◽

Pulse Pressure ◽

Handgrip Strength ◽

Cross Sectional Study ◽

Home Blood Pressure ◽

Cross Sectional ◽

The Relationship ◽

At Home

The association between blood pressure measured at home and handgrip strength in patients with diabetes has not been investigated. Therefore, in this study, we aimed to assess this association among patients with type 2 diabetes. In this cross-sectional study, 157 patients with type 2 diabetes underwent muscle tests and morning and evening blood-pressure measurements at home in triplicate for 14 consecutive days throughout the study period. Univariate and multivariate regression analyses were conducted to analyze the relationship between home blood-pressure parameters and handgrip strength. The average age and hemoglobin A1c of the patients were 70.5 years and 7.1%, respectively. Morning diastolic blood pressure of [β (95% confidence interval; CI): 0.20 (0.03, 0.37)] was associated with handgrip strength in men, while morning systolic blood pressure of [−0.09 (−0.15, −0.04)], morning pulse pressure of [−0.14 (−0.21, −0.08)], and evening pulse pressure of [−0.12 (−0.19, −0.04)] were associated with handgrip strength in women. Home-measured blood pressure was associated with handgrip strength. Sex differences were found in the relationship between home blood-pressure parameters and handgrip strength.

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The Relationship Between Blood Pressure and Sleep Duration in Turkish Children: A Cross-Sectional Study

Journal of Clinical Research in Pediatric Endocrinology ◽

10.4274/jcrpe.4557 ◽

2018 ◽

Vol 10 (1) ◽

pp. 51-58 ◽

Cited By ~ 9

Author(s):

Cengiz Bal ◽

Ahmet Öztürk ◽

Betül Çiçek ◽

Ahmet Özdemir ◽

Gökmen Zararsız ◽

...

Keyword(s):

Blood Pressure ◽

Sleep Duration ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Turkish Children ◽

The Relationship

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Cross-Sectional Analysis of the Relationship Between Home Blood Pressure and Indoor Temperature in Winter

Hypertension ◽

10.1161/hypertensionaha.119.12914 ◽

2019 ◽

Vol 74 (4) ◽

pp. 756-766 ◽

Cited By ~ 7

Author(s):

Wataru Umishio ◽

Toshiharu Ikaga ◽

Kazuomi Kario ◽

Yoshihisa Fujino ◽

Tanji Hoshi ◽

...

Keyword(s):

Blood Pressure ◽

Home Blood Pressure ◽

Indoor Temperature ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Sectional Analysis ◽

The Relationship

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Cross-sectional study of the association between day-to-day home blood pressure variability and visceral fat area measured using the dual impedance method

PLoS ONE ◽

10.1371/journal.pone.0206945 ◽

2018 ◽

Vol 13 (11) ◽

pp. e0206945 ◽

Cited By ~ 1

Author(s):

Junko Kuwabara ◽

Koichiro Kuwahara ◽

Yoshihiro Kuwabara ◽

Shinji Yasuno ◽

Yasuaki Nakagawa ◽

...

Keyword(s):

Blood Pressure ◽

Visceral Fat ◽

Blood Pressure Variability ◽

Cross Sectional Study ◽

Home Blood Pressure ◽

Impedance Method ◽

Sectional Study ◽

Visceral Fat Area ◽

Cross Sectional

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The relationship between ambulatory blood pressure variability and enlarged perivascular spaces: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2016-015719 ◽

2017 ◽

Vol 7 (8) ◽

pp. e015719 ◽

Cited By ~ 16

Author(s):

Shuna Yang ◽

Wei Qin ◽

Lei Yang ◽

Huimin Fan ◽

Yue Li ◽

...

Keyword(s):

Blood Pressure ◽

White Matter ◽

Ambulatory Blood Pressure ◽

Blood Pressure Variability ◽

Cross Sectional Study ◽

Perivascular Spaces ◽

Spearman Correlation ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

ObjectivesRecent studies reported that 24-hour ambulatory blood pressure variability (ABPV) was associated with lacunar infarction and white matter hyperintensities (WMH). However, the relationship between ABPV and enlarged perivascular spaces (EPVS) has not been investigated. Thus, our study aimed to investigate whether ABPV is associated with EPVS by 24-hour ambulatory blood pressure monitoring (ABPM).DesignWe conducted this study as a cross-sectional study.SettingsThe study was based on patients who presented for physical examinations in our hospital from May 2013 to June 2016.ParticipantsPatients with both brain MRI scans and 24-hour ABPM were included and patients with acute stroke, a history of severe stroke and some other severe diseases were excluded. A total of 573 Chinese patients were prospectively enrolled in this study.Primary and secondary outcome measuresEPVS in basal ganglia (BG) and white matter (WM) were identified on MRI and classified into three categories by the severity. WMH were scored by the Fazekas scale. Coefficient of variation (CV) and SD were considered as metrics of ABPV. Spearman correlation analysis and ordinal logistic regression analysis were used to assess the relationship between ABPV and EPVS.ResultsThere were statistical differences among the subgroups stratified by the severity of EPVS in BG in the following ABPV metrics: SD and CV of systolic blood pressure (SBP), CV of diastolic blood pressure (DBP) in 24 hours, daytime and nighttime and SD of DBP in nighttime. The above ABPV metrics were positively associated with the degree of EPVS. The association was unchanged after adjusting for confounders. Spearman correlation analysis showed ABPV was not related to the degree of EPVS in the WM.ConclusionABPV was independently associated with EPVS in BG after controlling for blood pressure, but not in the WM. Pathogenesis of EPVS in BG and WM might be different.

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The Relationship of Lifestyle with Hypertension Incidence in Antang Public Health Center of Makassar City

Health Sciences ◽

10.15342/hs.2020.254 ◽

2020 ◽

Vol 2020 ◽

Author(s):

Agussalim

Keyword(s):

Public Health ◽

Blood Pressure ◽

Health Center ◽

Health Workers ◽

Circulatory System ◽

Simple Random Sampling ◽

Bivariate Analysis ◽

Cross Sectional ◽

Public Health Center ◽

The Relationship

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.

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Association of accelerometer-derived sleep measures with lifetime psychiatric diagnoses: A cross-sectional study of 89,205 participants from the UK Biobank

PLoS Medicine ◽

10.1371/journal.pmed.1003782 ◽

2021 ◽

Vol 18 (10) ◽

pp. e1003782

Author(s):

Michael Wainberg ◽

Samuel E. Jones ◽

Lindsay Melhuish Beaupre ◽

Sean L. Hill ◽

Daniel Felsky ◽

...

Keyword(s):

Bipolar Disorder ◽

Sleep Duration ◽

Sleep Efficiency ◽

Risk Scores ◽

Psychiatric Diagnoses ◽

Uk Biobank ◽

Major Depressive ◽

Cross Sectional ◽

Polygenic Risk ◽

The Uk

Background Sleep problems are both symptoms of and modifiable risk factors for many psychiatric disorders. Wrist-worn accelerometers enable objective measurement of sleep at scale. Here, we aimed to examine the association of accelerometer-derived sleep measures with psychiatric diagnoses and polygenic risk scores in a large community-based cohort. Methods and findings In this post hoc cross-sectional analysis of the UK Biobank cohort, 10 interpretable sleep measures—bedtime, wake-up time, sleep duration, wake after sleep onset, sleep efficiency, number of awakenings, duration of longest sleep bout, number of naps, and variability in bedtime and sleep duration—were derived from 7-day accelerometry recordings across 89,205 participants (aged 43 to 79, 56% female, 97% self-reported white) taken between 2013 and 2015. These measures were examined for association with lifetime inpatient diagnoses of major depressive disorder, anxiety disorders, bipolar disorder/mania, and schizophrenia spectrum disorders from any time before the date of accelerometry, as well as polygenic risk scores for major depression, bipolar disorder, and schizophrenia. Covariates consisted of age and season at the time of the accelerometry recording, sex, Townsend deprivation index (an indicator of socioeconomic status), and the top 10 genotype principal components. We found that sleep pattern differences were ubiquitous across diagnoses: each diagnosis was associated with a median of 8.5 of the 10 accelerometer-derived sleep measures, with measures of sleep quality (for instance, sleep efficiency) generally more affected than mere sleep duration. Effect sizes were generally small: for instance, the largest magnitude effect size across the 4 diagnoses was β = −0.11 (95% confidence interval −0.13 to −0.10, p = 3 × 10−56, FDR = 6 × 10−55) for the association between lifetime inpatient major depressive disorder diagnosis and sleep efficiency. Associations largely replicated across ancestries and sexes, and accelerometry-derived measures were concordant with self-reported sleep properties. Limitations include the use of accelerometer-based sleep measurement and the time lag between psychiatric diagnoses and accelerometry. Conclusions In this study, we observed that sleep pattern differences are a transdiagnostic feature of individuals with lifetime mental illness, suggesting that they should be considered regardless of diagnosis. Accelerometry provides a scalable way to objectively measure sleep properties in psychiatric clinical research and practice, even across tens of thousands of individuals.

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HUBUNGAN INDEKSMASSA TUBUH DAN LINGKAR PINGGANG DENGAN TEKANAN DARAH LAKI-LAKI DEWASA

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v9i2.314 ◽

2018 ◽

Vol 9 (2) ◽

pp. 193-199

Author(s):

Tamariani Manullang

Keyword(s):

Blood Pressure ◽

Waist Circumference ◽

Systolic Blood Pressure ◽

Study Design ◽

Computer Software ◽

Adult Males ◽

Cross Sectional ◽

Relationship Of ◽

The Relationship

Prevalence of hypertension in adult males was highest in PuskesmasBasuki Rahmat (16.2%) as many as 648 cases of hypertension patients which hasincreased compared to 2012 by 12% in cases of hypertension totaled 482 patients((Dinkes Kota, 2013). This study aims to determine the relationship of body massindex (BMI) and waist circumference (WC) with systolic blood pressure (BP) in adultmales in Puskesmas Basuki Rahmat Bengkulu City in 2015. The study design wasdescriptive analytic with cross sectional approach. Study location was in PuskesmasBasuki Rahmat City of Bengkulu. Samples were selected using purposive samplingtotalling 68 people. Criterias sample were being adult males who occupied inPuskesmas Basuki Rahmat City of Bengkulu, aged ≥ 18 years, agreed to beinterviewed,and able to communicate actively. Data were obtained include BMI, WCand systolic BP adult males and processed using computer software with pearsoncorrelation analysis.The results showed that there was relationship between BMI andsystolic BP (p = 0.0005; r = 0.395); between WC and systolic BP (p = 0.004 and r =0.347) in adult males. This study concluded that there was relationship between BMIand WC with systolic BP in adult males in Puskesmas Basuki Rahmat Bengkulu Cityin 2015.

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The Relationship between Nutritional Status, Sleep Duration, Stress Level with Blood Pressure of Nurse Night Shift in the Hospital: Cohort Study

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v4i1.120 ◽

2019 ◽

Vol 4 (1) ◽

pp. 55

Author(s):

Salmawati Salmawati ◽

Ari Natalia Probandari ◽

Sapja Anantanyu

Keyword(s):

Blood Pressure ◽

At Risk ◽

Nutritional Status ◽

Sleep Duration ◽

Stress Level ◽

Night Shift ◽

Anthropometric Measurement ◽

Short Sleep Duration ◽

Stress Levels ◽

The Relationship

Objective: Hypertension as a cardiovascular disease occurs due to an uncontrolled increase in blood pressure. Night shift nurses with more overweight, short sleep duration, and excessive stress levels are at risk of increase blood pressure. This study aims to analyze how the relationship between obesity, nutritional status, sleep duration and stress level influence the blood pressure of the night shift nurses.Materials and methods: The subjects in this study were night shift nurses in four hospitals. The dependent variable was blood pressure and the independent variables were nutritional status, sleep duration, and stress levels. This study was an observational analysis with a perspective cohort design in which the subjects were 312 night shift nurses. Nutritional status were identified from Body Mass Index (BMI) through anthropometric measurement, sleep duration by looking at average hours of sleep during the night service, stress levels through the Perceived Stress Scale (PSS-10) questionnaire. Blood pressure was measured using a mercury sphygmomanometer. Data were analyzed by Chi-square test and Logistic Regression.Results and Discussion: There was a significant relationship between nutritional status, sleep duration, and stress levels with blood pressure. The results of the multivariate analysis showed that the shift nurses with overweight (obesity) nutritional status are at a risk of having disorder 1.97 times, the shift nurses with sleep duration < 6 hours are at risk of having disorder 3.78 times and shift nurses with intermediate stress level at risk of having disorder 2.08 times with enhancement blood pressure.Conclusion: There is a relationship between nutritional status, sleep duration and stress level with blood pressure. Sleep duration mostly influences the blood pressure.International Journal of Human and Health Sciences Vol. 04 No. 01 January’20 Page : 55-59

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