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

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

Download Full-text

Mid upper arm circumference as an alternative measure to assess the nutritional status of adolescents: a study in India based on NFHS-4 data

Journal of Biosocial Science ◽

10.1017/s0021932021000298 ◽

2021 ◽

pp. 1-12

Author(s):

Aparna Roy ◽

T. V. Sekher

Keyword(s):

Nutritional Status ◽

Sensitivity And Specificity ◽

Measurement Data ◽

Anthropometric Measurement ◽

Alternative Measure ◽

Upper Arm ◽

Male Adolescents ◽

Arm Circumference ◽

Mid Upper Arm Circumference ◽

The Relationship

Abstract Use of body mass index (BMI) to assess the nutritional status of adolescents requires many resources, especially for country-level assessment. This study aimed to determine the relationship between BMI and mid upper arm circumference (MUAC) among adolescent males and females in India and to examine whether MUAC effectively represents the nutritional status of adolescents. The study utilized anthropometric measurement data collected by India’s National Family Health Survey-4 (2015–16). The weighted sample for analysis included 91,315 female and 14,893 male adolescents. The BMI and MUAC measurements showed a positive correlation in both female and male adolescents. Using BMI-for-age Z-score classifications, 12.7% of the adolescents were undernourished. Using MUAC (in cm) as per NACS (Nutrition Assessment, Counselling, and Support) guidelines and Mramba et al. (2017) classified 22.9% and 3.7% of the adolescents as undernourished respectively. Finally, using the MUAC-for-age Z-score classification, 98.4% of adolescents were determined to be normal and 1.7% undernourished. Sensitivity and specificity tests of the MUAC cut-offs, in comparison with BMI cut-offs, showed that all three MUAC cut-off classifications had high specificity (NACS cut-off: 81.3%; Mramba et al. cut-off (cm): 97.7%; Mramba et al. cut-off (Z-score): 99.1%). The NACS cut-off had moderately high sensitivity (52.2%) but the Mramba et al. cut-offs had low sensitivity (13.3% for the centimetre cut-off and 6.6% for the Z-score cut-off). Sensitivity and specificity tests proved the relationship between BMI and MUAC, and that MUAC represents adolescent nutritional status with considerable efficiency. With further research, it may be established that MUAC is a better and promising measure of adolescent nutrition, having the advantage of needing fewer resources for data collection. The MUAC has the potential to offer a simple and low-resource alternative to BMI to assess nutritional status among adolescents in poor countries.

Download Full-text

Relationship between Sleep and Hypertension: Findings from the NHANES (2007–2014)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157867 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7867

Author(s):

Chunnan Li ◽

Shaomei Shang

Keyword(s):

Blood Pressure ◽

Sleep Disorder ◽

Sleep Duration ◽

Sleep Pattern ◽

Poor Sleep ◽

Sleep Patterns ◽

Short Sleep Duration ◽

Logistic Regression Models ◽

Increased Risk ◽

Definition Of

Background: To evaluate the association of sleep factors (sleep duration, self-reported trouble sleeping, diagnosed sleep disorder) and combined sleep behaviors with the risk of hypertension. Methods: We analyzed 12,166 adults aged 30–79 years who participated in the 2007–2014 National Health and Nutrition Examination Survey. Sleep duration, self-reported trouble sleeping and sleep disorders were collected using a standardized questionnaire. We included three sleep factors (sleep duration, self-reported trouble sleeping and sleep disorder) to generate an overall sleep score, ranging from 0 to 3. We then defined the sleep pattern as “healthy sleep pattern” (overall sleep score = 3), “intermediate sleep pattern” (overall sleep score = 2), and “poor sleep pattern” (0 ≤ overall sleep score ≤ 1) based on the overall sleep score. The definition of hypertension was based on self-reported antihypertensive medication use or biological measurement (systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg). We used weighted logistic regression models to investigate the associations between sleep and hypertension. Results: The overall prevalence of hypertension was 37.8%. A short sleep duration (OR = 1.20, 95% CI: 1.08 to 1.33, p = 0.001), self-reported trouble sleeping (OR = 1.45, 95% CI: 1.28 to 1.65, p < 0.001) and sleep disorder (OR = 1.33, 95% CI: 1.07 to 1.66, p = 0.012) were related to the risk of hypertension. Poor sleep patterns were closely correlated with the risk of hypertension (OR = 1.90, 95% CI: 1.62 to 2.24). Conclusions: Participants with poor sleep patterns were associated with an increased risk for hypertension.

Download Full-text

Objective short sleep duration and its effect on 24-hour blood pressure

International Journal of Cardiology Hypertension ◽

10.1016/j.ijchy.2020.100073 ◽

2021 ◽

Vol 8 ◽

pp. 100073

Author(s):

Vitor M. Paixão-Dias

Keyword(s):

Blood Pressure ◽

Sleep Duration ◽

Short Sleep Duration ◽

Short Sleep

Download Full-text

Relationship of Fiber Intake, Stress Level, Physical Activity with Blood Pressure of Pre Elderly and Elderly in Lubang Buaya and Kampung Tengah

Indonesian Journal of Nutritional Science ◽

10.52023/ijns.v1i1.2461 ◽

2021 ◽

Vol 1 (1) ◽

pp. 1

Author(s):

Eti Cahya Fitrianti ◽

Sintha Fransiske Simanungkalit

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Stress Level ◽

Blood Pressure Measurement ◽

Bivariate Analysis ◽

P Value ◽

Fiber Intake ◽

Chi Square ◽

Stress Levels ◽

Chi Square Test

High blood pressure is defined as systolic blood pressure that is equal to or above 140 mm Hg or diastolic blood pressure equal to or above 90 mm Hg (JNC VIII, 2013). In 2018, the prevalence of hypertension in Indonesia is based on the characteristics of the age 45-75 years and above with an average of 58.33% (Riskesdas, 2018). The aimed of this study was to determine of fiber intake, stress levels, and physical activity with blood pressure in pre elderly and elderly at RW 03 Lubang Buaya and RW 09 Kampung Tengah, East Jakarta. This research method is observational with cross sectional approach followed by 80 respondents with simple random sampling technique Data collection was taken, namely blood pressure measurement using a Sphygmomanometer, fiber intake using the Food Recall form 2 x 24 hours (Weekend and Weekday), stress levels with the DASS-14 questionnaire, and physical activity with the Baecke questionnaire. Data processing was analyzed by univariate and bivariate using Chi-Square test. The results of bivariate analysis with chi-square test showed a significant relationship between fiber intake (p value = 0.007), stress level (p value = 0,000), and physical activity (p value = 0.022) with blood pressure. There is a relationship between fiber intake, stress level, and physical activity with blood pressure in the elderly and elderly in Lubang Buaya and Kampung Tengah.

Download Full-text

HUBUNGAN ASUPAN ENERGI, STRES KERJA, AKTIFITAS FISIK, DAN DURASI WAKTU TIDUR DENGAN IMT PADA MANAJER MADYA DINAS PEMERINTAH KOTA SURABAYA

Amerta Nutrition ◽

10.20473/amnt.v3i1.2019.40-45 ◽

2019 ◽

Vol 3 (1) ◽

pp. 40

Author(s):

Annisa Risqi Wulandari ◽

Dhenok Widari ◽

Lailatul Muniroh

Keyword(s):

Physical Activity ◽

Nutritional Status ◽

Job Stress ◽

Energy Intake ◽

Sleep Duration ◽

Overweight And Obesity ◽

Activity Level ◽

Middle Manager ◽

Anthropometric Measurement ◽

Cluster Sampling

Background: Prevalence of overweight and obesity in adult has increased each year in Indonesia. Middle managers were groups at risk for overweight because their job characteristics such as low physical activity and risk of experiencing job stress. Economy support in middle manager was one of supporting factor which affect to higher amount of energy intake. Overweight in adult can affect on their health status and work productivityObjectives: The purpose of this study was to analyze the correlation between energy intake, job stress, physical activity and sleep duration with BMI in middle manager.Methods: This was an observational study with cross sectional design. 49 Middle Manager in Surabaya’s Government Agency were selected using cluster sampling. Nutritional status data were collected using anthropometric measurement, energy intake using SQ-FFQ, job stress using OSI-R questionnaire, physical activity and sleep duration data using activity recall. Data were analyzed by Pearson product moment test.Results: This study showed that most of respondents has normal nutritional status (61.2%), adequate energy intake (47%), moderate level job stress (69.4%), low (46.9%) and moderate (46.9%) physical activity level, and lack of sleep duration (59.2%). There were correlation between energy intake (p=0.001) and sleep duration (p=0.006) with BMI. Job stress (p=0.227) and phyisical activity (p=0.148) had no correlation with BMI.Conclusions: higher energy intake and lower sleep duration would increase BMI.ABSTRAKLatar Belakang: Prevalensi status gizi lebih pada penduduk dewasa semakin meningkat di Indonesia. Manajer madya merupakan kelompok yang berisiko mengalami kegemukan karena jenis pekerjaan kantor yang ringan serta rentan mengalami stres kerja. Dukungan ekonomi juga menjadi salah satu faktor pendukung besarnya asupan energi dibandingkan energi yang dikeluarkan untuk beraktifitas. Masalah gizi lebih pada penduduk dewasa dapat memengaruhi status kesehatan dan produktifitas kerja seseorang.Tujuan: Tujuan penelitian ini adalah untuk menganalisis hubungan antara asupan energi, stres kerja, aktifitas fisik dan durasi waktu tidur dengan Indeks Massa Tubuh (IMT) pada Manajer Madya.Metode: Penelitian ini adalah observasional dengan desain penelitian potong lintang. Sebanyak 49 manajer madya di Dinas Pemerintah Kota Surabaya dipilih menggunakan metode cluster sampling. Pengumpulan data menggunakan pengukuran antropometri untuk IMT, SQ-FFQ untuk asupan energi, kuesioner OSI-R untuk stres kerja serta recall aktifitas fisik untuk data aktifitas fisik dan durasi waktu tidur. Analisis data menggunakan uji korelasi pearson product moment.Hasil: Penelitian menunjukkan bahwa sebagian besar responden memiliki status gizi normal (61,2%), kecukupan energi tergolong baik (47%), stres kerja tingkat sedang (69,4%), aktifitas fisik ringan (46,9%) dan sedang (46,9%) serta durasi tidur yang kurang (59,2%). Terdapat hubungan antara asupan energi (p=0,001) dan durasi waktu tidur (0,006) dengan IMT. Stres kerja (p=0,227) dan aktifitas fisik (p=0,148) tidak berhubungan dengan IMT.Kesimpulan: Semakin tinggi asupan energi dan semakin singkat durasi waktu tidur maka akan semakin tinggi IMT pada manajer madya.

Download Full-text

Shuteye Time Compared With Bedtime: Misclassification of Sleep in Adolescent Females

Journal for the Measurement of Physical Behaviour ◽

10.1123/jmpb.2020-0042 ◽

2021 ◽

pp. 1-6

Author(s):

Jillian J. Haszard ◽

Tessa Scott ◽

Claire Smith ◽

Meredith C. Peddie

Keyword(s):

Sleep Duration ◽

Sedentary Time ◽

Vegetable Intake ◽

Healthy Lifestyle ◽

Self Report ◽

Short Sleep Duration ◽

Physical Activity Guidelines ◽

Substantial Error ◽

The Relationship ◽

Sedentary Activities

Short sleep duration is associated with poorer outcomes for adolescents; however, sleep duration is often assessed (either by questionnaire or device) using self-reported bedtime (i.e., the time a person goes to bed). With sedentary activities, such as screen time, being common presleep in-bed behaviors, the use of “bedtime” may introduce error to the estimates of sleep duration. It has been proposed that self-reported “shuteye time” (i.e., the time a person starts trying to go to sleep) is used instead of bedtime. This study aimed to compare the bedtimes and shuteye times of a sample of 15- to 18-year-old female adolescents recruited from 13 high schools across New Zealand. The influence on sleep duration estimates and associations with healthy lifestyle habits was also examined. Sleep data were collected from 136 participants using actigraphy and self-report. On average, 52 min (95% confidence interval [43, 60] min) of sedentary time was misclassified as sleep when bedtime was used instead of shuteye time with actigraph data. Mean bedtimes on weekdays and weekends were 9:56 p.m. (SD = 58 min) and 10:40 p.m. (SD = 77 min), respectively. The relationship between bedtime and shuteye time was not linear—indicating that bedtime cannot be used as a proxy for shuteye time. Earlier shuteye times were more strongly associated with meeting fruit and vegetable intake and sleep and physical activity guidelines than earlier bedtimes. Using bedtime instead of shuteye time to estimate sleep duration may introduce substantial error to estimates of both sleep and sedentary time.

Download Full-text

Abstract P545: Insufficient Sleep and Nitric Oxide-Mediated Endothelium-Dependent Vasodilation in Adults With Elevated Blood Pressure

Circulation ◽

10.1161/circ.141.suppl_1.p545 ◽

2020 ◽

Vol 141 (Suppl_1) ◽

Author(s):

Kelly A Stockelman ◽

Anthony R Bain ◽

Dana M Withrow ◽

Tracey A Larson ◽

Elizabeth M Boland ◽

...

Keyword(s):

Oxidative Stress ◽

Nitric Oxide ◽

Blood Pressure ◽

Sleep Duration ◽

Elevated Blood Pressure ◽

Elevated Blood ◽

Short Sleep Duration ◽

Insufficient Sleep ◽

Short Sleep ◽

Normal Sleep

Elevated blood pressure (BP ≥130/80 mmHg) is associated with increased risk for myocardial infarction, heart failure, stroke and vascular disease. Insufficient nightly sleep (<7 h/night) has been linked not only to the etiology of elevated blood pressure but is a prevalent, often ignored, comorbidity. Indeed, short sleep duration is now considered to be a plausible risk factor for elevated blood pressure and a harbinger of increased cardiovascular risk. A high prevalence of insufficient nightly sleep has been reported in adults with elevated blood pressure. The influence of insufficient sleep on endothelial vasodilator function in adults with elevated blood pressure is unknown. We tested the hypotheses that chronic insufficient sleep is associated with diminished nitric oxide (NO)-mediated endothelium-dependent vasodilation in adults with elevated blood pressure. Moreover, the insufficient sleep-related reduction in endothelial vasodilator function is due, at least in part to increased oxidative stress. Thirty-five middle-aged and older adults with elevated blood pressure were studied: 15 with normal nightly sleep duration (11M/4F; age: 58±2 yr; BP: 136/82±1/2 mmHg; sleep: 7.6±0.2 h/night) and 20 with short nightly sleep duration (14M/6F; 58±1 yr; BP: 138/84±1/1 mmHg; sleep: 6.0±0.1 h/night). Forearm blood flow (FBF) responses to intra-arterial infusion of acetylcholine (ACh), in the absence and presence of the endothelial NO synthase inhibitor N G -monomethyl-L-arginine (L-NMMA) and the antioxidant vitamin C were determined by venous occlusion plethysmography. The FBF response to ACh was significantly lower (~20%) in the short sleep (from 3.8±0.2 to 11.0±0.6 ml/100 ml tissue/min) compared with the normal sleep duration group (from 4.2±0.2 to 13.6±0.6 ml/100 ml tissue/min). L-NMMA significantly reduced (~25%) the FBF response to ACh in the normal sleep but not the short sleep group. Vitamin C markedly increased (~35%; P<0.05) the vasodilator response to ACh in short sleepers only. In summary, habitual short sleep duration worsens NO-mediated endothelium-dependent vasodilation in adults with elevated blood pressure. Furthermore, the sleep-related diminishment in endothelial vasodilator function is due, in part, to increased oxidative stress.

Download Full-text

Relationship between sleep duration and hypertension in northeast China: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-023916 ◽

2019 ◽

Vol 9 (1) ◽

pp. e023916 ◽

Cited By ~ 5

Author(s):

Meng Li ◽

Shoumeng Yan ◽

Shan Jiang ◽

Xiaoyu Ma ◽

Tianyu Gao ◽

...

Keyword(s):

Blood Pressure ◽

Sleep Duration ◽

Northeast China ◽

Total Sample ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Sectional Study ◽

Short Sleep Duration ◽

Cross Sectional

ObjectivesPrevious studies have reported that sleep duration might increase the risk of hypertension. However, the results have been conflicting. We investigated whether sleep duration is independently associated with hypertension. We aimed to assess the relationship between sleep duration and hypertension in a population-based cross-sectional study.MethodsIn this study we used multistage stratified cluster sampling. A total of 19 407 adults aged 18–79 years were enrolled in the study. The participants were divided into three groups (<7 hours/day, 7–8 hours/day and >8 hours/day) according to self-reported sleep duration. Hypertension was defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or the use of anti-hypertensive medications. Univariate and multivariate logistic regressions were performed to determine the association between hypertension and sleep duration adjusted for sociodemographic, body mass index, and lifestyle covariates.ResultsThe overall prevalence of hypertension was 32.6%. Among participants aged 18–44 years, individuals sleeping less than 7 hours per day had a higher risk of hypertension (OR=1.24, 95% CI: 1.05 to 1.46), compared with those who slept 7–8 hours per day. There were no significant associations between sleep duration and hypertension in the total sample, among middle-aged adults (45–59 years) or older adults (60–79 years).ConclusionsOur study demonstrates that short sleep duration was significantly associated with hypertension among people aged 18–44 years in northeast China.

Download Full-text