TY - JOUR
T1 - Relación entre los atributos del sueño y el cambio en la presión arterial. Análisis de la cohorte CHICAMOCHA
AU - Vargas, Jhon Edgar
AU - Vásquez, Skarlet Marcell
AU - Villar, Juan Carlos
AU - Herrera, Víctor Mauricio
N1 - Publisher Copyright:
© 2018 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Introduction: Arterial hypertension is responsible for large part of the cardiovascular disease load. However, the role of sleep in its aetiology remains controversial. Objective: To determine the relationship between sleep attributes and the change in blood pressure. Methods: A prospective cohort study was carried out on a community basis in young adults asymptomatic for cardiovascular disease, followed up for 12.4 years. At baseline, sociodemographic and behavioural factors were determined. At the same, time nocturnal sleep was characterised in terms of quality, duration and presence of snoring. Standardised anthropometric indices and blood pressure were measured. Arterial hypertension was defined as a report of anti-hypertension treatment or blood pressure figures ≥140/90 mm Hg. Results: A total of 1,032 participants were prospectively evaluated (mean age 36.8 years, 64% males; at baseline). The incidence of arterial hypertension was 15.1% (95% CI: 12.8 – 17. 4), with evidence of a higher risk in snorers, with a subsequent reduction on adjusting for adiposity (P>.05). A gradient was observed between the duration of sleep and the change in systolic/diastolic arterial pressure (2.2/1.3 mmHg in those who reported 6-8 hours/day, and 2.7/1.6 mmHg in those who reported > 8 hours/day, compared to < 6 horas/day). Neither the subjective quality of the sleep nor the report of a siesta was associated with the blood pressure. Conclusion: The results suggest that the prolonged duration of sleep could increase blood pressure in the population.
AB - Introduction: Arterial hypertension is responsible for large part of the cardiovascular disease load. However, the role of sleep in its aetiology remains controversial. Objective: To determine the relationship between sleep attributes and the change in blood pressure. Methods: A prospective cohort study was carried out on a community basis in young adults asymptomatic for cardiovascular disease, followed up for 12.4 years. At baseline, sociodemographic and behavioural factors were determined. At the same, time nocturnal sleep was characterised in terms of quality, duration and presence of snoring. Standardised anthropometric indices and blood pressure were measured. Arterial hypertension was defined as a report of anti-hypertension treatment or blood pressure figures ≥140/90 mm Hg. Results: A total of 1,032 participants were prospectively evaluated (mean age 36.8 years, 64% males; at baseline). The incidence of arterial hypertension was 15.1% (95% CI: 12.8 – 17. 4), with evidence of a higher risk in snorers, with a subsequent reduction on adjusting for adiposity (P>.05). A gradient was observed between the duration of sleep and the change in systolic/diastolic arterial pressure (2.2/1.3 mmHg in those who reported 6-8 hours/day, and 2.7/1.6 mmHg in those who reported > 8 hours/day, compared to < 6 horas/day). Neither the subjective quality of the sleep nor the report of a siesta was associated with the blood pressure. Conclusion: The results suggest that the prolonged duration of sleep could increase blood pressure in the population.
KW - Arterial hypertension
KW - Blood pressure
KW - Cohort studies
KW - Colombia
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85062640455&partnerID=8YFLogxK
U2 - 10.1016/j.rccar.2018.09.005
DO - 10.1016/j.rccar.2018.09.005
M3 - Artículo Científico
AN - SCOPUS:85062640455
VL - 26
SP - 198
EP - 204
JO - Revista Colombiana de Cardiologia
JF - Revista Colombiana de Cardiologia
SN - 0120-5633
IS - 4
ER -