Relationship of quality and duration of sleep with arterial hypertension in a Colombian population
Abstract
Introduction. Alterations in the quality and duration of sleep are risk factors for the development of arterial hypertension in Eastern countries. However, in Latin America there are few studies researching this association.
Objective. To analyze the association between the quality and duration of sleep and the rate of arterial hypertension in a Colombian population.
Materials and methods. An observational, longitudinal, prospective and analytical study nested in the INEFAC population-based cohort, was conducted with participants over 18 years of age from Bucaramanga (Colombia). Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Sleep duration was assessed using standardized questions. Multivariate analysis was performed with logistic regression models adjusted for possible confounding variables.
Results. A total of 1,306 non-hypertensive participants with a mean age of 40 ± 12 years were included. In this population, 92.8% had one or more sleep issues. 45.15% slept 6 hours or less and 28.6% slept 8 hours or more. Multivariate analysis showed a higher risk of hypertension in participants with diabetes (OR = 5.27; 95% CI: 2.27-12.26), obesity (OR = 2.81; 95% CI: 1.11-7.13), active smoking (OR = 2.02; 95% CI: 1.01-4.04) and higher socioeconomic level (OR = 4.94; 95% CI: 1.59-15.38 for level 4), but no higher risk was found in participants with poor sleep quality or short sleep duration.
Conclusions. No association was found between the duration or quality of sleep and the rate of arterial hypertension in the Colombian population. More studies are required in this population to reach definitive conclusions.
Downloads
References
Organización Mundial de la Salud. Enfermedades no transmisibles. Fecha de consulta: 16 de octubre de 2022. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases
Gorostidi M, Gijón T, de la Sierra A, Rodilla E, Rubio E, Vinyoles E, et al. Guía práctica sobre el diagnóstico y tratamiento de la hipertensión arterial en España, 2022. Sociedad Española de Hipertensión-Liga Española para la Lucha contra la Hipertensión Arterial (SEHLELHA). Hipertensión y Riesgo Vascular. 2022;39:174-94. https://doi.org/10.1016/j.hipert.2022.09.002
Organización Mundial de la salud. Hipertensión. Fecha de consulta: 16 de octubre de 2022. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/hypertension
Cuenta de Alto Costo, Ministerio de Salud y Protección Social. Día mundial de la hipertensión arterial 2022. Fecha de consulta: 16 de octubre de 2022. Disponible en: https://cuentadealtocosto.org/site/general/dia-mundial-de-la-hipertension-arterial-2022/
Hristova K, Shiue I, Pella D, Singh RB, Chaves H, Basu TK, et al. Prevention strategies for cardiovascular diseases and diabetes mellitus in developing countries: World Conference of Clinical Nutrition 2013. Nutrition. 2014;30:1085-99. https://doi.org/10.1016/j.nut.2013.12.013
Makarem N, Alcántara C, Williams N, Bello NA, Abdalla M. Effect of sleep disturbances on blood pressure. Hypertension. 2021;77:1036-46. https://doi.org/10.1161/HYPERTENSIONAHA.120.14479
Basta M, Chrousos GP, Vela A, Vgontzas AN. Chronic insomnia and stress system. Sleep Med Clin. 2007;2:279-91. https://doi.org/10.1016/j.jsmc.2007.04.002
Parra EG, Noroña DR, Vega V. Factores de riesgo psicosociales y calidad del sueño en docentes en una unidad educativa. Rev Scientific. 2022;7:56-77. https://doi.org/10.29394/Scientific.issn.2542-2987.2022.7.24.3.56-77
Morínigo ND, Godoy GA, González R, Morel M, Dolores J. Carga horaria laboral y calidad del sueño en médicos residentes del Hospital de Clínicas. Rev Virtual Soc Parag Med Int. 2016;3:95-100. https://doi.org/10.18004/rvspmi/2312-3893/2016.03(02)95-100
Silva AF, De Marchi RDC, Eckeli AL, Sousa A, Cruz AM, Cruz ML. Calidad de sueño, variables personales, laborales y estilo de vida de enfermeros de hospital. Rev Latino-Am Enfermagem. 2022;30:e35-8. https://doi.org/10.1590/1518-8345.5756.3576
Hidalgo P, Lobelo R. Epidemiología mundial, latinoamericana y colombiana y mortalidad del síndrome de apnea-hipopnea obstructiva del sueño (SAHOS). Rev Fac Med. 2017;65:17-20. http://doi.org/10.15446/revfacmed.v65n1Sup.59565
Ruiz AJ, Rondón MA, Hidalgo P, Cañón M, Otero L, Panqueva OP, et al. Prevalence of sleep complaints in Colombia at different altitudes. Sleep Sci. 2016;9:100-5. https://doi.org/10.1016/j.slsci.2016.05.008
Lo K, Woo B, Wong M, Tam W. Subjective sleep quality, blood pressure, and hypertension: A meta-analysis. J Clin Hypertens (Greenwich). 2018;20:592-605. https://doi.org/10.1111/jch.13220
Li H, Ren Y, Wu Y, Zhao X. Correlation between sleep duration and hypertension: A doseresponse meta-analysis. J Hum Hypertens. 2019;33:218-28. https://doi.org/10.1038/s41371-018-0135-1
Bautista LE, Oróstegui M, Vera LM, Prada GE, Orozco LC, Herrán OF. Prevalence and impact of cardiovascular risk factors in Bucaramanga, Colombia: Results from the Countrywide Integrated Noncommunicable Disease Intervention Programme (CINDI/CARMEN) baseline survey. Eur J Cardiovasc Prev Rehabil. 2006;13:769-75. https://doi.org/10.1097/01.hjr.0000219113.40662.dd
Liu RQ, Qian Z, Trevathan E, Chang JJ, Zelicoff A, Hao YT, et al. Poorsleep quality associated with high risk of hypertension and elevated blood pressure in China: Results from a large population-based study. Hypertens Res. 2016;39:54-9. https://doi.org/10.1038/hr.2015.98
Escobar F, Eslava J. Validación colombiana del índice de calidad de sueño de Pittsburgh. Rev Neurol. 2005;4:150-5. https://doi.org/10.33588/rn.4003.2004320
Vargas JE, Vásquez SM, Villar JC, Herrera VM. Relación entre los atributos del sueño y el cambio en la presión arterial. Análisis de la cohorte CHICAMOCHA. Rev Colomb Cardiol. 2019;26:198-204. https://doi.org/10.1016/j.rccar.2018.09.005
Quadra MR, Santos LPD, Schäfer AA, Meller FO. Influence of sleep and chrononutrition on hypertension and diabetes: A population-based study. Cad Saúde Pública. 2022;38:e00291021. https://doi.org/0.1590/0102-311XPT291021
Asociación Americana de Psiquiatría. Guía de consulta de los criterios diagnósticos del DSM-5. 5a edición. Washington, D.C: American Psychiatric Publishing; 2014. p. 438.
21. Chellappa SL, Schröder C, Cajochen C. Chronobiology, excessive daytime sleepiness and depression: Is there a link? Sleep Med. 2009;10:505-14. https://doi.org/10.1016/j.sleep.2008.05.010
22. Zhang D, Zhang Z, Li H, Ding K. Excessive daytime sleepiness in depression and obstructive sleep apnea: More than just an overlapping symptom. Front Psychiatry. 2021;12:710435. https://doi.org/10.3389/fpsyt.2021.710435
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s updated sleep duration recommendations: Final report. Sleep Health. 2015;1:233-43. https://doi.org/10.1016/j.sleh.2015.10.004
Urrea JK. Hipertensión arterial en la mujer. Rev Colomb Cardiol. 2018;25:13-20. https://doi.org/10.1016/j.rccar.2017.12.003
Thomas SJ, Calhoun D. Sleep, insomnia, and hypertension: Current findings and future directions. J Am Soc Hypertens. 2017;11:122-9. https://doi.org/10.1016/j.jash.2016.11.008
Grandner M, Mullington JM, Hashmi SD, Redeker NS, Watson NF, Morgenthaler TI. Sleep duration and hypertension: Analysis of > 700,000 adults by age and sex. J Clin Sleep Med. 2018;14:1031-9. https://doi.org/10.5664/jcsm.7176
Sforza E, Martin MS, Barthelemy JC, Roche F. Association of self-reported sleep and hypertension in non-insomniac elderly subjects. J Clin Sleep Med. 2014;10:965-71. https://doi.org/10.5664/jcsm.4026
Thomas SJ, Booth 3rd JN, Jaeger BC, Hubbard D, Sakhuja S, Abdalla M. Association of sleep characteristics with nocturnal hypertension and nondipping blood pressure in the CARDIA Study. J Am Heart Assoc. 2020;9:e015062. https://doi.org/10.1161/JAHA.119.015062
Bansil P, Kuklina EV, Merritt RK, Yoon PW. Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: Results from the National Health and Nutrition Examination Survey, 2005 to 2008. J Clin Hypertens. 2011;13:739-43. https://doi.org/10.1111/j.1751-7176.2011.00500.x
Montag SE, Knutson KL, Zee PC, Goldberger JJ, Ng J, Kim KA, et al. Association of sleep characteristics with cardiovascular and metabolic risk factors in a population sample: The Chicago Area Sleep Study. Sleep Health. 2017;3:107-12. https://doi.org/10.1016/j.sleh.2017.01.003
Bruno RM, Palagini L, Gemignani A, Virdis A, Di Giulio A, Ghiadoni L, et al. Poor sleep quality and resistant hypertension. Sleep Med. 2013;14:1157-63. https://doi.org/10.1016/j.sleep.2013.04.020
Aguirre AM, Maldonado S, Corres P, Gorostegi I, Aispuru GR, Mujika I. Actigraphy-based sleep analysis in sedentary and overweight/obese adults with primary hypertension: Data from the EXERDIET-HTA study. Sleep Breath. 2019;23:1265-73. https://doi.org/10.1007/s11325-019-01813-7
Waldman LT, Parthasarathy S, Villa KF, Bron M, Bujanover S, Brod M. Understanding the burden of illness of excessive daytime sleepiness associated with obstructive sleep apnea: A qualitative study. Health Qual Life Outcomes. 2020;18:128. https://doi.org/10.1186/s12955-020-01382-4
Some similar items:
- Jorge Hernán Montoya, Olga Lucía Morales, Four cases of Jarcho-Levin’s syndrome in the province of Antioquia, Colombia , Biomedica: Vol. 29 No. 1 (2009)
- Mario Francisco Guerrero, Elements for the effective evaluation of natural products with possible antihypertensive effects , Biomedica: Vol. 29 No. 4 (2009)
- Jefferson Antonio Buendía, Attitudes, knowledge and beliefs of patient about anti-hypertensive drugs , Biomedica: Vol. 32 No. 4 (2012)
- Carlos A. Isaza, Franciso J. Osorio, Giovanny Mesa, Juan C. Moncada, Patterns of antihypertensive agents use in 11,947 Colombian patients. , Biomedica: Vol. 22 No. 4 (2002)
- Juan Manuel Anaya, Mauricio Uribe, Adriana Pérez, Juan F. Sánchez, Luis F. Pinto, José F. Molina, María C. Londoño, Martha E. Cadavid, Gustavo Matute, Clinical and immunological factors associated with lupus nephritis in patients from northwestern Colombia. , Biomedica: Vol. 23 No. 3 (2003)
- Diana María Valencia, Carlos Andrés Naranjo, María Victoria Parra, María Antonieta Caro, Ana Victoria Valencia, Carlos José Jaramillo, Gabriel Bedoya, Association and interaction of AGT, AGTR1, ACE, ADRB2, DRD1, ADD1, ADD2, ATP2B1, TBXA2R and PTGS2 genes on the risk of hypertension in Antioquian population , Biomedica: Vol. 33 No. 4 (2013)
- Víctor Hugo Arboleda-Serna, Yuri Feito, Fredy Alonso Patiño-Villada, Astrid Viviana Vargas-Romero, Elkin Fernando Arango-Vélez, Effects of high-intensity interval training compared to moderate-intensity continuous training on maximal oxygen consumption and blood pressure in healthy men: A randomized controlled trial , Biomedica: Vol. 39 No. 3 (2019)
- Deivis Nicolás Guzmán-Tordecilla, Andrés Ignacio Vecino-Ortiz, Diego Lucumí, Graciela Mentz, Chronic stress as a mediator of the relationship between socioeconomic status and pharmacological adherence in hypertensive patients , Biomedica: Vol. 40 No. 2 (2020)
- Catalina Cáceres , Álvaro José Lora , Silvia Juliana Villabona , María Catalina Rocha , Paul Anthony Camacho, Adherence to pharmacological treatment in non-communicable chronic diseases in the Colombian population: Systematic review and meta-analysis , Biomedica: Vol. 43 No. Sp. 3 (2023): Enfermedades crónicas no transmisibles
- Juan Morales , Daniela Arturo , Miguel Folleco, Pheochromocytoma/paraganglioma type 5 syndrome as a cause of secondary hypertension in a Colombian patient: case report , Biomedica: Vol. 44 No. Sp. 1 (2024): Enfermedades crónicas no transmisibles
Copyright (c) 2024 Biomedica
This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
