Nour Makarem1, Ari Shechter2, Mercedes R Carnethon3, Janet M Mullington4, Martica H Hall5, Marwah Abdalla6. 1. Department of Medicine, Division of Cardiology, Columbia University Irving Medical Center, 51 Audubon Avenue, 5th floor, Suite 501, New York, NY, 10032, USA. 2. Department of Medicine, Division of Cardiology, Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 West 168th Street, PH 9-321, New York, NY, 10032, USA. 3. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 4. Department of Neurology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA. 5. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. 6. Department of Medicine, Division of Cardiology, Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 West 168th Street, PH 9-321, New York, NY, 10032, USA. ma2947@cumc.columbia.edu.
Abstract
PURPOSE OF REVIEW: This review discusses the recent literature on subjectively and objectively assessed sleep duration in relation to hypertension risk and out-of-clinic blood pressure (BP) measures and highlights critical areas for future research. RECENT FINDINGS: Sleep duration, particularly short sleep, may influence BP through disturbed autonomic balance, hormonal imbalances, increased adiposity and metabolic dysfunction, and disrupted circadian rhythms. Observational studies indicate that short and long sleep are associated with hypertension risk, reduced nocturnal dipping, and elevated morning BP, but evidence is stronger for short sleep. Experimental sleep restriction increases BP, while sleep extension may lower BP in prehypertensive individuals. Women and racial/ethnic minorities are more prone to the detrimental effects of short sleep on BP. Additional studies are warranted to clarify the association of objectively assessed sleep with BP level and diurnal pattern and to determine the sex- and race-specific effects of sleep restriction and extension on BP.
PURPOSE OF REVIEW: This review discusses the recent literature on subjectively and objectively assessed sleep duration in relation to hypertension risk and out-of-clinic blood pressure (BP) measures and highlights critical areas for future research. RECENT FINDINGS: Sleep duration, particularly short sleep, may influence BP through disturbed autonomic balance, hormonal imbalances, increased adiposity and metabolic dysfunction, and disrupted circadian rhythms. Observational studies indicate that short and long sleep are associated with hypertension risk, reduced nocturnal dipping, and elevated morning BP, but evidence is stronger for short sleep. Experimental sleep restriction increases BP, while sleep extension may lower BP in prehypertensive individuals. Women and racial/ethnic minorities are more prone to the detrimental effects of short sleep on BP. Additional studies are warranted to clarify the association of objectively assessed sleep with BP level and diurnal pattern and to determine the sex- and race-specific effects of sleep restriction and extension on BP.
Authors: Daniel J Gottlieb; Susan Redline; F Javier Nieto; Carol M Baldwin; Anne B Newman; Helaine E Resnick; Naresh M Punjabi Journal: Sleep Date: 2006-08 Impact factor: 5.849
Authors: James E Gangwisch; Steven B Heymsfield; Bernadette Boden-Albala; Ruud M Buijs; Felix Kreier; Thomas G Pickering; Andrew G Rundle; Gary K Zammit; Dolores Malaspina Journal: Hypertension Date: 2006-04-03 Impact factor: 10.190
Authors: Claudia C Ma; Ja Kook Gu; Ruchi Bhandari; Luenda E Charles; John M Violanti; Desta Fekedulegn; Michael E Andrew Journal: J Sleep Res Date: 2020-02-11 Impact factor: 3.981
Authors: Sara Gamboa Madeira; Carina Fernandes; Teresa Paiva; Carlos Santos Moreira; Daniel Caldeira Journal: Int J Environ Res Public Health Date: 2021-06-23 Impact factor: 3.390