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Longitudinal sleep characteristics and hypertension status: results from the Wisconsin Sleep Cohort Study
Journal article   Open access   Peer reviewed

Longitudinal sleep characteristics and hypertension status: results from the Wisconsin Sleep Cohort Study

Chooza Moon, Erika W. Hagen, Heather M. Johnson, Roger L. Brown and Paul E. Peppard
Journal of hypertension, Vol.39(4), pp.683-691
04/01/2021
DOI: 10.1097/HJH.0000000000002692
PMCID: PMC10773172
PMID: 33186322
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC10773172/pdf/nihms-1949419.pdfView
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Abstract

Aims: Sleep characteristics such as short sleep duration or sleep-disordered breathing are established predictors of hypertension. However, few studies have used in-lab polysomnography with a longitudinal design to measure how hypertension is associated with different sleep stages over time. The purpose of this study is to examine whether hypertension is associated with the longitudinal course of sleep quality over time. Methods: The current study evaluated data from the Wisconsin Sleep Cohort Study, which consists of 1525 adults in a community-based population of middle-aged to older adults followed for approximately 12-25 years. Sleep characteristics were objectively measured using polysomnography and subjectively assessed using a self-report questionnaire on insomnia complaints. We used linear mixed-effects regression models and cumulative logit models to assess whether the interaction of hypertension and time is associated with objective and subjective sleep. Results: We found people with hypertension exhibited a greater decline in total sleep time in rapid eye movement sleep (%) over time than those without hypertension (P < 0.05). Individuals with hypertension had less decline in % N3 sleep over time than those without hypertension (P < 0.05). Among the subjective insomnia complaints, our findings indicate hypertensive individuals have a higher probability of having higher levels of 'difficulties in falling asleep' compared with people without hypertension. Conclusion: These findings suggest that hypertension is associated with modified longitudinal changes of objective and subjective sleep characteristics.
Cardiovascular System & Cardiology Life Sciences & Biomedicine Peripheral Vascular Disease Science & Technology

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