Articlebronze2007

Sleep Duration and Hypertension Are Not Associated in the Elderly

Julia F. van den Berg · Joke H.M. Tulen · Arie Knuistingh Neven · Albert Hofman D · Henk Miedema · Jacqueline C.M. Witteman +1 more

117 citations0/0 files storedHypertension

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Abstract

Several large studies have shown that both short and long average sleep durations increase the risk of hypertension in adults. We investigated whether sleep duration is also associated with hypertension in the elderly. This cross-sectional study was conducted in 5058 participants of the population-based Rotterdam Study, aged 58 to 98 years. Blood pressure was measured at the research center. Hypertension was defined as a systolic blood pressure of >or=160 mm Hg and/or a diastolic blood pressure of >or=100 mm Hg or current use of antihypertensive medication. In all of the participants, sleep duration was assessed by self-report. In a subsample of 975 subjects, it was additionally measured with actigraphy, a validated method that infers wakefulness and sleep from the presence or absence of limb movement. After adjustment for age and gender and additionally for body mass index, smoking, depressive symptoms, sleep medication use, diabetes mellitus, myocardial infarction, and stroke, none of the odds ratios (varying from 0.54; 95% CI: 0.27 to 1.08; to 1.19; 95% CI: 0.89 to 1.58) reflected a significant association between sleep duration and hypertension, whether measured by self-report or actigraphy. This study strongly suggests that sleep duration is not associated with hypertension in the elderly.

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References

1977The CES-D Scale 2003The Role of Actigraphy in the Study of Sleep and Circadian Rhythms 2006Short Sleep Duration as a Risk Factor for Hypertension 2001Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients 2006Association of Usual Sleep Duration With Hypertension: The Sleep Heart Health Study 2004A Prospective Study of Sleep Duration and Mortality Risk in Women 2004Long sleep and mortality: rationale for sleep restriction

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2012Short sleep duration and increased risk of hypertension 2012Sleep Duration and Ambulatory Blood Pressure in Black and White Adolescents 2012Association of Insomnia and Short Sleep Duration With Atherosclerosis Risk in the Elderly 2012Short sleep duration associated with a higher prevalence of metabolic syndrome in an apparently healthy population 2008Long Sleep Duration is Associated With Serum Cholesterol in the Elderly: The Rotterdam Study 2014Assessment of Sleep in the National Social Life, Health, and Aging Project

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