Caroline Y Doyle1, John M Ruiz, Daniel J Taylor, Joshua W Smyth, Melissa Flores, Jessica R Dietch, Chul Ahn, Matthew Allison, Timothy W Smith, Bert N Uchino. 1. From the Department of Psychology (Doyle, Ruiz, Flores), University of Arizona, Tucson, AZ; Department of Psychology (Taylor, Dietch), University of North Texas, Denton, TX; Department of Biobehavioral Health (Smyth), Pennsylvania State University, State College, PA; Department of Population and Data Sciences (Ahn), University of Texas Southwestern Medical Center, Dallas, TX; Department of Family Medicine and Public Health (Allison), University of San Diego, CA; and Department of Psychology (Smith, Uchino), University of Utah, Salt Lake City, UT.
Abstract
OBJECTIVE: Epidemiologic data increasingly support sleep as a determinant of cardiovascular disease risk. Fewer studies have investigated the mechanisms underlying this relationship using objective sleep assessment approaches. Therefore, the aim of this study was to examine associations between daily blood pressure (BP) and both objectively assessed sleep duration and efficiency. METHODS: A diverse community sample of 300 men and women aged 21 to 70 years, enrolled in the North Texas Heart Study, participated in the study. Actigraphy-assessed sleep was monitored for two consecutive nights with ambulatory BP sampled randomly within 45-minute blocks on the first and second day as well as the second night. RESULTS: Overall, sleep duration results paralleled those of sleep efficiency. Individuals with lower sleep efficiency had higher daytime systolic (B = -0.35, SE = 0.11, p = .0018, R = 0.26) but not diastolic BP (B = -0.043, SE = 0.068, p = .52, R = 0.17) and higher nighttime BP (systolic: B = -0.37, SE = 0.10, p < .001, R = .15; diastolic: B = -0.20, SE = 0.059, p < .001, R = .14). Moreover, lower sleep efficiency on one night was associated with higher systolic (B = -0.51, SE = 0.11, p < .001, R = 0.23) and diastolic BP (B = -0.17, SE = 0.065, p = .012, R = .16) the following day. When 'asleep' BP was taken into account instead of nighttime BP, the associations between sleep and BP disappeared. When both sleep duration and efficiency were assessed together, sleep efficiency was associated with daytime systolic BP, whereas sleep duration was associated with nighttime BP. CONCLUSIONS: Lower sleep duration and efficiency are associated with higher daytime systolic BP and higher nighttime BP when assessed separately. When assessed together, sleep duration and efficiency diverge in their associations with BP at different times of day. These results warrant further investigation of these possible pathways to disease.
OBJECTIVE: Epidemiologic data increasingly support sleep as a determinant of cardiovascular disease risk. Fewer studies have investigated the mechanisms underlying this relationship using objective sleep assessment approaches. Therefore, the aim of this study was to examine associations between daily blood pressure (BP) and both objectively assessed sleep duration and efficiency. METHODS: A diverse community sample of 300 men and women aged 21 to 70 years, enrolled in the North Texas Heart Study, participated in the study. Actigraphy-assessed sleep was monitored for two consecutive nights with ambulatory BP sampled randomly within 45-minute blocks on the first and second day as well as the second night. RESULTS: Overall, sleep duration results paralleled those of sleep efficiency. Individuals with lower sleep efficiency had higher daytime systolic (B = -0.35, SE = 0.11, p = .0018, R = 0.26) but not diastolic BP (B = -0.043, SE = 0.068, p = .52, R = 0.17) and higher nighttime BP (systolic: B = -0.37, SE = 0.10, p < .001, R = .15; diastolic: B = -0.20, SE = 0.059, p < .001, R = .14). Moreover, lower sleep efficiency on one night was associated with higher systolic (B = -0.51, SE = 0.11, p < .001, R = 0.23) and diastolic BP (B = -0.17, SE = 0.065, p = .012, R = .16) the following day. When 'asleep' BP was taken into account instead of nighttime BP, the associations between sleep and BP disappeared. When both sleep duration and efficiency were assessed together, sleep efficiency was associated with daytime systolic BP, whereas sleep duration was associated with nighttime BP. CONCLUSIONS: Lower sleep duration and efficiency are associated with higher daytime systolic BP and higher nighttime BP when assessed separately. When assessed together, sleep duration and efficiency diverge in their associations with BP at different times of day. These results warrant further investigation of these possible pathways to disease.
Authors: Sonia Ancoli-Israel; Jennifer L Martin; Terri Blackwell; Luis Buenaver; Lianqi Liu; Lisa J Meltzer; Avi Sadeh; Adam P Spira; Daniel J Taylor Journal: Behav Sleep Med Date: 2015 Impact factor: 2.964
Authors: Rosa Maria Bruno; Laura Palagini; Angelo Gemignani; Agostino Virdis; Alessia Di Giulio; Lorenzo Ghiadoni; Dieter Riemann; Stefano Taddei Journal: Sleep Med Date: 2013-08-28 Impact factor: 3.492
Authors: Dennis A Dean; Rui Wang; David R Jacobs; Daniel Duprez; Naresh M Punjabi; Phyllis C Zee; Steven Shea; Karol Watson; Susan Redline Journal: Sleep Date: 2015-04-01 Impact factor: 5.849
Authors: Andrew Sherwood; Julie K Bower; Faye S Routledge; James A Blumenthal; Judith A McFetridge-Durdle; L Kristin Newby; Alan L Hinderliter Journal: Am J Hypertens Date: 2012-07-12 Impact factor: 2.689
Authors: Maple M Fung; Katherine Peters; Sonia Ancoli-Israel; Susan Redline; Katie L Stone; Elizabeth Barrett-Connor Journal: J Clin Sleep Med Date: 2013-06-15 Impact factor: 4.062
Authors: John N Booth; D Edmund Anstey; Natalie A Bello; Byron C Jaeger; Daniel N Pugliese; Stephen Justin Thomas; Luqin Deng; James M Shikany; Donald Lloyd-Jones; Joseph E Schwartz; Cora E Lewis; Daichi Shimbo; Paul Muntner Journal: J Clin Hypertens (Greenwich) Date: 2019-02-05 Impact factor: 3.738
Authors: H Matthew Lehrer; Gehui Zhang; Karen A Matthews; Robert T Krafty; Marissa A Evans; Briana J Taylor; Martica H Hall Journal: Psychosom Med Date: 2022-06-24 Impact factor: 3.864
Authors: R T Yang; M Y Wang; C N Li; H Yu; X W Wang; J H Wu; S Y Wang; J T Wang; D F Chen; T Wu; Y H Hu Journal: Beijing Da Xue Xue Bao Yi Xue Ban Date: 2022-06-18
Authors: Dale Dagar Maglalang; Carina Katigbak; María Andrée López Gómez; Glorian Sorensen; Karen Hopcia; Dean M Hashimoto; Shanta Pandey; David T Takeuchi; Erika L Sabbath Journal: J Occup Environ Med Date: 2021-10-01 Impact factor: 2.306
Authors: Marwah Abdalla; Swati Sakhuja; Oluwasegun P Akinyelure; S Justin Thomas; Joseph E Schwartz; Cora E Lewis; James M Shikany; Donald Lloyd-Jones; John N Booth; Daichi Shimbo; Martica H Hall; Paul Muntner Journal: J Hypertens Date: 2021-12-01 Impact factor: 4.776
Authors: Marissa A Evans; Daniel J Buysse; Anna L Marsland; Aidan G C Wright; Jill Foust; Lucas W Carroll; Naina Kohli; Rishabh Mehra; Adam Jasper; Swathi Srinivasan; Martica H Hall Journal: Sleep Date: 2021-09-13 Impact factor: 5.849
Authors: Emily K Romero; Marwah Abdalla; Anusorn Thanataveerat; Carmela Alcantara; Ian M Kronish; Donald Edmondson; Ari Shechter Journal: Psychosom Med Date: 2020-01 Impact factor: 3.864
Authors: Bert N Uchino; Wendy Birmingham; Joshua Landvatter; Sierra Cronan; Emily Scott; Timothy W Smith Journal: Psychosom Med Date: 2020-05 Impact factor: 3.864