The effect of Mid-Day Sleep on blood pressure levels in patients with arterial hypertension
Copyright © 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved..
STUDY OBJECTIVES: Lifestyle changes decrease blood pressure (BP) levels by 3-5 mmHg in hypertensive patients. We assessed the effect of mid-day sleep on BP levels in hypertensive patients.
METHODS: We prospectively studied two hundred and twelve hypertensive patients. Mid-day sleep duration, lifestyle habits, anthropometric characteristics, office BP, ambulatory BP monitoring, pulse wave velocity (PWV), augmentation index (AI) were recorded. A standard echocardiographic evaluation was performed.
RESULTS: 53.8% were females, mean age was 62.5±11.0 years and mean body mass index was 28.9±5.4kg/m2. Mean average 24h systolic and diastolic BP (SBP & DBP) was 129.9±13.2/76.7±7.9 mmHg respectively. The majority was non-smokers (70.3%) and did not have diabetes (74.7%). The mean midday sleep duration was 48.7±54.3 min. Average 24h SBP (127.6±12.9 mmHg vs 132.9±13.1 mmHg), average daytime SBP & DBP were lower in patients who sleep at midday, compared to those who do not (128.7±13/76.2±11.5 vs 134.5±13.4/79.5±10.4 mmHg) (p<0.005). The effect was not correlated to the dipping status. Midday sleep duration was negatively correlated with average 24h SBP & daytime SBP. In a linear regression model, for every 60 min of midday sleep, 24h average SBP decreases by 3 mmHg (p<0.001). There were no differences in the number of antihypertensive medications, PWV, AI or echocardiographic indices between study groups.
CONCLUSIONS: Mid-day sleep significantly decreases average 24h and daytime SBP/DBP in hypertensives. Its effect seems to be as potent as other well-established lifestyle changes and is independent of dipping status.
| Errataetall: |
CommentIn: Eur J Intern Med. 2021 Mar;85:116. - PMID 33358067 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:80 |
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| Enthalten in: |
European journal of internal medicine - 80(2020) vom: 27. Okt., Seite 86-90 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kallistratos, Manolis S [VerfasserIn] |
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| Links: |
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| Themen: |
Arterial hypertension |
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| Anmerkungen: |
Date Completed 15.02.2021 Date Revised 22.04.2021 published: Print-Electronic CommentIn: Eur J Intern Med. 2021 Mar;85:116. - PMID 33358067 Citation Status MEDLINE |
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| doi: |
10.1016/j.ejim.2020.05.030 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM310629977 |
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| 100 | 1 | |a Kallistratos, Manolis S |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The effect of Mid-Day Sleep on blood pressure levels in patients with arterial hypertension |
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| 500 | |a Date Revised 22.04.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Eur J Intern Med. 2021 Mar;85:116. - PMID 33358067 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a STUDY OBJECTIVES: Lifestyle changes decrease blood pressure (BP) levels by 3-5 mmHg in hypertensive patients. We assessed the effect of mid-day sleep on BP levels in hypertensive patients | ||
| 520 | |a METHODS: We prospectively studied two hundred and twelve hypertensive patients. Mid-day sleep duration, lifestyle habits, anthropometric characteristics, office BP, ambulatory BP monitoring, pulse wave velocity (PWV), augmentation index (AI) were recorded. A standard echocardiographic evaluation was performed | ||
| 520 | |a RESULTS: 53.8% were females, mean age was 62.5±11.0 years and mean body mass index was 28.9±5.4kg/m2. Mean average 24h systolic and diastolic BP (SBP & DBP) was 129.9±13.2/76.7±7.9 mmHg respectively. The majority was non-smokers (70.3%) and did not have diabetes (74.7%). The mean midday sleep duration was 48.7±54.3 min. Average 24h SBP (127.6±12.9 mmHg vs 132.9±13.1 mmHg), average daytime SBP & DBP were lower in patients who sleep at midday, compared to those who do not (128.7±13/76.2±11.5 vs 134.5±13.4/79.5±10.4 mmHg) (p<0.005). The effect was not correlated to the dipping status. Midday sleep duration was negatively correlated with average 24h SBP & daytime SBP. In a linear regression model, for every 60 min of midday sleep, 24h average SBP decreases by 3 mmHg (p<0.001). There were no differences in the number of antihypertensive medications, PWV, AI or echocardiographic indices between study groups | ||
| 520 | |a CONCLUSIONS: Mid-day sleep significantly decreases average 24h and daytime SBP/DBP in hypertensives. Its effect seems to be as potent as other well-established lifestyle changes and is independent of dipping status | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Mid-day sleep | |
| 650 | 4 | |a arterial hypertension | |
| 650 | 4 | |a lifestyle changes | |
| 700 | 1 | |a Poulimenos, Leonidas E |e verfasserin |4 aut | |
| 700 | 1 | |a Tsinivizov, Pavlos |e verfasserin |4 aut | |
| 700 | 1 | |a Varvarousis, Dimitris |e verfasserin |4 aut | |
| 700 | 1 | |a Kouremenos, Nikolaos |e verfasserin |4 aut | |
| 700 | 1 | |a Pittaras, Andreas |e verfasserin |4 aut | |
| 700 | 1 | |a Triantafyllis, Andreas S |e verfasserin |4 aut | |
| 700 | 1 | |a Manolis, Athanasios J |e verfasserin |4 aut | |
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