Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis

Few studies have considered psychosocial characteristics when investigating the associations between sleep duration and blood pressure (BP). In this study, we took propensity score matching (PSM) to adjust for psychosocial characteristics when comparing BP between individuals with short sleep durati...

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Main Authors: Ningjing Qian, Dandan Yang, Huajun Li, Siyin Ding, Xia Yu, Qingqiu Fan, Zhebin Yu, Shenfeng Ye, Hualiang Yu, Yaping Wang, Xiaohong Pan
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2021/7028942
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author Ningjing Qian
Dandan Yang
Huajun Li
Siyin Ding
Xia Yu
Qingqiu Fan
Zhebin Yu
Shenfeng Ye
Hualiang Yu
Yaping Wang
Xiaohong Pan
author_facet Ningjing Qian
Dandan Yang
Huajun Li
Siyin Ding
Xia Yu
Qingqiu Fan
Zhebin Yu
Shenfeng Ye
Hualiang Yu
Yaping Wang
Xiaohong Pan
author_sort Ningjing Qian
collection DOAJ
description Few studies have considered psychosocial characteristics when investigating the associations between sleep duration and blood pressure (BP). In this study, we took propensity score matching (PSM) to adjust for psychosocial characteristics when comparing BP between individuals with short sleep duration and those with normal sleep duration. A total of 429 participants were included. 72 participants with sleep duration ≤6 h and 65 participants with sleep duration >6 h were matched after PSM. We compared office BP, 24-hour BP, and prevalence of hypertension in the populations before and after PSM, respectively. In the unmatched population, participants with sleep duration ≤6 h were observed with higher office diastolic BP (DBP) and 24-h systolic BP (SBP)/DBP (all P<0.05). In the matched populations, the differences between the two groups (sleep duration ≤6 h vs. sleep duration >6 h) in office DBP (88.4 ± 10.9 vs. 82.5 ± 11.1 mm Hg; P=0.002), 24-h SBP (134.7 ± 12.0 vs. 129.3 ± 11.6 mm Hg; P=0.009), and 24-h DBP (83.4 ± 9.9 vs. 78.1 ± 10.1 mm Hg; P=0.002) become more significant. Participants with sleep duration ≤6 h only show higher prevalence of hypertension based on 24-h BP data, while analysis after PSM further revealed that these with sleep duration ≤6 h presented about 20% higher prevalence of elevated BP up to office diagnosed hypertension threshold. Therefore, psychosocial characteristics accompanied with short sleep duration should be fully valued in individuals at risks for elevated BP. This trial is registered with NCT03866226.
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spelling doaj-art-e524f54c8da046db82a65fecb56ac3922025-02-03T07:24:15ZengWileyInternational Journal of Hypertension2090-03922021-01-01202110.1155/2021/7028942Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched AnalysisNingjing Qian0Dandan Yang1Huajun Li2Siyin Ding3Xia Yu4Qingqiu Fan5Zhebin Yu6Shenfeng Ye7Hualiang Yu8Yaping Wang9Xiaohong Pan10Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyInstitute of Environmental MedicineDepartment of CardiologyDepartment of PsychiatryDepartment of CardiologyDepartment of CardiologyFew studies have considered psychosocial characteristics when investigating the associations between sleep duration and blood pressure (BP). In this study, we took propensity score matching (PSM) to adjust for psychosocial characteristics when comparing BP between individuals with short sleep duration and those with normal sleep duration. A total of 429 participants were included. 72 participants with sleep duration ≤6 h and 65 participants with sleep duration >6 h were matched after PSM. We compared office BP, 24-hour BP, and prevalence of hypertension in the populations before and after PSM, respectively. In the unmatched population, participants with sleep duration ≤6 h were observed with higher office diastolic BP (DBP) and 24-h systolic BP (SBP)/DBP (all P<0.05). In the matched populations, the differences between the two groups (sleep duration ≤6 h vs. sleep duration >6 h) in office DBP (88.4 ± 10.9 vs. 82.5 ± 11.1 mm Hg; P=0.002), 24-h SBP (134.7 ± 12.0 vs. 129.3 ± 11.6 mm Hg; P=0.009), and 24-h DBP (83.4 ± 9.9 vs. 78.1 ± 10.1 mm Hg; P=0.002) become more significant. Participants with sleep duration ≤6 h only show higher prevalence of hypertension based on 24-h BP data, while analysis after PSM further revealed that these with sleep duration ≤6 h presented about 20% higher prevalence of elevated BP up to office diagnosed hypertension threshold. Therefore, psychosocial characteristics accompanied with short sleep duration should be fully valued in individuals at risks for elevated BP. This trial is registered with NCT03866226.http://dx.doi.org/10.1155/2021/7028942
spellingShingle Ningjing Qian
Dandan Yang
Huajun Li
Siyin Ding
Xia Yu
Qingqiu Fan
Zhebin Yu
Shenfeng Ye
Hualiang Yu
Yaping Wang
Xiaohong Pan
Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
International Journal of Hypertension
title Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
title_full Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
title_fullStr Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
title_full_unstemmed Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
title_short Considering Psychosocial Factors When Investigating Blood Pressure in Patients with Short Sleep Duration: A Propensity Score Matched Analysis
title_sort considering psychosocial factors when investigating blood pressure in patients with short sleep duration a propensity score matched analysis
url http://dx.doi.org/10.1155/2021/7028942
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