Impact of obstructive sleep apnea on long-term blood pressure variability in Japanese men: a cross-sectional study of a work-site population

Kansui, Yasuo; Matsumura, Kiyoshi; Morinaga, Yuki; Inoue, Minako; Sakata, Satoko; Oishi, Emi; Gotō, Kenichi; Ohtsubo, Toshio; Ooboshi, Hiroaki; Kitazono, Takanari

doi:10.1038/s41440-018-0096-3

Cited by 11 publications

(11 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…30 Existing studies were mainly focused on the association of BPV with sleep-disordered breathing, suggesting the possible contribution of OSA to increased visit-to-visit BPV. 31,32 In this context, we hypothesized that increased visit-to-visit BPV, an indicator of subclinical CVD, could be associated with poor sleep quality independent of OSA.…”

Section: Discussionmentioning

confidence: 99%

Visit‐to‐visit blood pressure variability and sleep architecture

Liu

Logan

Kwon

et al. 2021

J of Clinical Hypertension

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Visit‐to‐visit blood pressure variability and sleep architecture

Liu

Logan

Kwon

et al. 2021

J of Clinical Hypertension

View full text Add to dashboard Cite

show abstract

“…Second, the impact of sleepdisordered breathing, including insomnia and sleep apnea, could not be evaluated because we could not monitor sleepdisordered breathing. Sleep-disorder breathing has been shown to be related to hypertension [21,24] or blood pressure variability [25], and a nondipping pattern in normotensive patients with obstructive sleep apnea may progress to carotid atherosclerosis [26]. Our findings may partially represent the relationship between sleep-disordered breathing and hypertension.…”

Section: Discussionmentioning

confidence: 56%

Reduced sleep efficiency, measured using an objective device, was related to an increased prevalence of home hypertension in Japanese adults

et al. 2019

View full text Add to dashboard Cite

Few studies have reported the relationship between reduced sleep efficiency and the prevalence of hypertension independent of sleep duration in Japan. This study aimed to evaluate whether reduced sleep efficiency, measured using an objective device for >1 week, was related to an increased prevalence of hypertension independent of sleep duration in the general Japanese population. We conducted a cross-sectional study of 904 participants aged ≥20 years who lived in Miyagi Prefecture, Japan. Sleep efficiency was measured using a contactless biomotion sleep sensor for 10 continuous days. The participants were classified into two groups according to their sleep efficiency: reduced (<90%) or not reduced (≥90%). Hypertension was defined as morning home blood pressure ≥135/85 mmHg or self-reported treatment for hypertension. Multivariable logistic regression models were used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) to assess the relationship between sleep efficiency and hypertension adjusted for potential confounders. The results showed that two hundred and ninety-four individuals (32.5%) had reduced sleep efficiency, and 331 (36.6%) had hypertension. Individuals with reduced sleep efficiency had a higher body mass index and shorter sleep duration. In the multivariable analysis, reduced sleep efficiency was significantly related to an increased prevalence of hypertension (OR, 1.62; 95% CI, 1.15-2.28). In conclusion, reduced sleep efficiency was significantly related to an increased prevalence of hypertension in Japanese adults. Improvements in sleep efficiency may be important to reduce blood pressure in Japanese adults. Keywords Sleep efficiency • Contactless biomotion sensor • Home blood pressure • Epidemiology

show abstract

“…Several previous studies identified associations between BP variability and OSA in adults 61–65 . Martynowicz reported higher nocturnal SBP variability and DBP variability in patients with severe OSA compared with those with mild‐to‐moderate OSA 62 .…”

Section: Discussionmentioning

confidence: 95%

Ambulatory Blood Pressure Variability after Adenotonsillectomy in Childhood Sleep Apnea

et al. 2022

View full text Add to dashboard Cite

Objective: To investigate the influence of adenotonsillectomy (T&A) on ambulatory blood pressure (BP) variability in children with obstructive sleep apnea (OSA).Study Design: Prospective, interventional study. Methods: Children with OSA symptoms were recruited from a tertiary center. After OSA diagnosis was confirmed (ie, apnea-hypopnea index [AHI] > 1), these children underwent T&A for treatment. We performed polysomnography and 24-hour recordings of ambulatory BP before and 3 to 6 months postoperatively. Ambulatory BP variability was presented as the standard deviation of mean blood pressure in the 24-hour monitoring of ambulatory BP. Differences in BP variability among different subgroups were tested using a multivariable linear mixed model.Results: A total of 190 children were enrolled (mean age: 7.8 AE 3.3 years; 73% were boys; 34% were obese). The AHI significantly decreased from 12.3 AE 17.0 to 2.7 AE 5.5 events/hr after T&A. Overall, daytime, and nighttime ambulatory BP did not significantly change postoperatively, and overall, daytime, and nighttime ambulatory BP variability did not differ significantly preoperatively and postoperatively. In the subgroup analysis, children aged <6 years demonstrated a significantly greater decrease in ambulatory BP variability postoperatively than those aged >6 years (nighttime diastolic BP variability: 9.9 to 7.7 vs. 8.9 to 9.4). Children with hypertension also showed a significantly greater decrease in ambulatory BP variability than those without hypertension.Conclusions: We concluded that overall ambulatory BP variability does not significantly change after T&A in children with OSA. Moreover, young-aged and hypertensive children demonstrate a significant decrease in BP variability after T&A.

show abstract

Impact of obstructive sleep apnea on long-term blood pressure variability in Japanese men: a cross-sectional study of a work-site population

Cited by 11 publications

References 30 publications

Visit‐to‐visit blood pressure variability and sleep architecture

Visit‐to‐visit blood pressure variability and sleep architecture

Reduced sleep efficiency, measured using an objective device, was related to an increased prevalence of home hypertension in Japanese adults

Ambulatory Blood Pressure Variability after Adenotonsillectomy in Childhood Sleep Apnea

Contact Info

Product

Resources

About