Article2011

Variability in home-measured blood pressure and heart rate

Jouni K. Johansson · Erkki Kronholm · Antti Jula

63 citations0/0 files storedJournal of Hypertension

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Abstract

OBJECTIVE: Both self-reported sleep disorders and higher variability in home blood pressure (BP) and home heart rate (HR) have been associated with increased cardiovascular mortality. The objective of our study was to assess the associations of the variability in home-measured BP and HR with self-reported insomnia and sleep duration. METHODS: We studied a representative sample of Finnish adult population with 1908 study participants aged 41-74 years. BP/HR measurements were performed on 7 consecutive days. The variability in home-measured BP/HR was defined as the standard deviation of morning - evening, day-by-day and first - second measurements. Self-reported insomnia and sleep duration questionnaires were used to classify participants with sleep disorders. RESULTS: Results from Finn-home study show that morning - evening, day-by-day (morning and evening) and first - second home BP variability variables were significantly higher in participants with persistent insomnia than in those without insomnia. Morning - evening, day-by-day, morning day-by-day and first - second measurements of home HR variability variables were significantly higher in participants with persistent insomnia than in those without insomnia. Systolic morning - evening, day-by-day and morning day-by-day variables of home BP variability were significantly higher in long sleepers and systolic morning day-by-day, diastolic day-by-day and diastolic first - second measurement of home BP variability variables were higher in short sleepers than in the reference group. Insomnia combined with short sleep duration further increases home BP/HR variability. CONCLUSION: As self-reported sleep disorders are associated with greater variability in home BP/HR and both have cardiovascular prognostic value, we encourage physicians to evaluate these easily obtainable measurements in clinical practice to help identify patients at risk.

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References

2010Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies 2006Short Sleep Duration as a Risk Factor for Hypertension 2009Sleep duration and mortality: a systematic review and meta‐analysis 2006Association of Usual Sleep Duration With Hypertension: The Sleep Heart Health Study 2009Hyperarousal and insomnia: State of the science 2004A Prospective Study of Sleep Duration and Mortality Risk in Women 2002Sleep complaints predict coronary artery disease mortality in males: a 12‐year follow‐up study of a middle‐aged Swedish population 2010Insomnia with Short Sleep Duration and Mortality: The Penn State Cohort

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