Yeonsu Kim Ph.D, BSN, RN , Meghan Kathleen Mattos Ph.D, RN, CNL , Jill Howie Esquivel Ph.D, RN, NP , Eric M. Davis MD , Jeongok Logan Ph.D, MSN, RN
{"title":"睡眠与血压变化:系统文献综述","authors":"Yeonsu Kim Ph.D, BSN, RN , Meghan Kathleen Mattos Ph.D, RN, CNL , Jill Howie Esquivel Ph.D, RN, NP , Eric M. Davis MD , Jeongok Logan Ph.D, MSN, RN","doi":"10.1016/j.hrtlng.2024.08.016","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Blood pressure variability (BPV) is a prognostic marker of cardiovascular disease (CVD). Sleep is recognized as a significant risk factor for CVD; however, little is known about the relationship between sleep characteristics and BPV.</p></div><div><h3>Objective</h3><p>In this systematic review, we aimed to (1) describe methods used to measure BPV and sleep and (2) describe the current evidence in the literature on the association between sleep and BPV.</p></div><div><h3>Methods</h3><p>A systematic search was conducted using the search terms “sleep” <em>AND</em> (“blood pressure variability” <em>OR</em> “ambulatory blood pressure monitor”) in CINAHL, PubMed, Web of Science, and PsycINFO databases.</p></div><div><h3>Results</h3><p>Twenty-two studies were included in this systematic review. Sleep was measured using various methods, including polysomnography, actigraphy, sleep diaries, and questionnaires, while BPV was measured over various time intervals using different monitoring devices such as a beat-to-beat blood pressure (BP) monitoring device, a 24-h ambulatory BP monitor, or an automatic upper arm BP monitor. The studies demonstrated mixed results on the associations between sleep parameters (sleep quality, architecture, and duration) and increased BPV.</p></div><div><h3>Conclusions</h3><p>Although the mechanisms that explain the relationship between sleep and BPV are still unclear, accumulating evidence suggests potential associations between increased BPV with poor sleep quality and longer sleep duration. Given the recent development of sleep and BP monitoring technologies, further research is warranted to assess sleep and BPV under free-living conditions. Such studies will advance our understanding of complex interactions between sleep and CVD risk.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"68 ","pages":"Pages 323-336"},"PeriodicalIF":2.4000,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sleep and blood pressure variability: A systematic literature review\",\"authors\":\"Yeonsu Kim Ph.D, BSN, RN , Meghan Kathleen Mattos Ph.D, RN, CNL , Jill Howie Esquivel Ph.D, RN, NP , Eric M. Davis MD , Jeongok Logan Ph.D, MSN, RN\",\"doi\":\"10.1016/j.hrtlng.2024.08.016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Blood pressure variability (BPV) is a prognostic marker of cardiovascular disease (CVD). Sleep is recognized as a significant risk factor for CVD; however, little is known about the relationship between sleep characteristics and BPV.</p></div><div><h3>Objective</h3><p>In this systematic review, we aimed to (1) describe methods used to measure BPV and sleep and (2) describe the current evidence in the literature on the association between sleep and BPV.</p></div><div><h3>Methods</h3><p>A systematic search was conducted using the search terms “sleep” <em>AND</em> (“blood pressure variability” <em>OR</em> “ambulatory blood pressure monitor”) in CINAHL, PubMed, Web of Science, and PsycINFO databases.</p></div><div><h3>Results</h3><p>Twenty-two studies were included in this systematic review. Sleep was measured using various methods, including polysomnography, actigraphy, sleep diaries, and questionnaires, while BPV was measured over various time intervals using different monitoring devices such as a beat-to-beat blood pressure (BP) monitoring device, a 24-h ambulatory BP monitor, or an automatic upper arm BP monitor. The studies demonstrated mixed results on the associations between sleep parameters (sleep quality, architecture, and duration) and increased BPV.</p></div><div><h3>Conclusions</h3><p>Although the mechanisms that explain the relationship between sleep and BPV are still unclear, accumulating evidence suggests potential associations between increased BPV with poor sleep quality and longer sleep duration. Given the recent development of sleep and BP monitoring technologies, further research is warranted to assess sleep and BPV under free-living conditions. 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Sleep and blood pressure variability: A systematic literature review
Background
Blood pressure variability (BPV) is a prognostic marker of cardiovascular disease (CVD). Sleep is recognized as a significant risk factor for CVD; however, little is known about the relationship between sleep characteristics and BPV.
Objective
In this systematic review, we aimed to (1) describe methods used to measure BPV and sleep and (2) describe the current evidence in the literature on the association between sleep and BPV.
Methods
A systematic search was conducted using the search terms “sleep” AND (“blood pressure variability” OR “ambulatory blood pressure monitor”) in CINAHL, PubMed, Web of Science, and PsycINFO databases.
Results
Twenty-two studies were included in this systematic review. Sleep was measured using various methods, including polysomnography, actigraphy, sleep diaries, and questionnaires, while BPV was measured over various time intervals using different monitoring devices such as a beat-to-beat blood pressure (BP) monitoring device, a 24-h ambulatory BP monitor, or an automatic upper arm BP monitor. The studies demonstrated mixed results on the associations between sleep parameters (sleep quality, architecture, and duration) and increased BPV.
Conclusions
Although the mechanisms that explain the relationship between sleep and BPV are still unclear, accumulating evidence suggests potential associations between increased BPV with poor sleep quality and longer sleep duration. Given the recent development of sleep and BP monitoring technologies, further research is warranted to assess sleep and BPV under free-living conditions. Such studies will advance our understanding of complex interactions between sleep and CVD risk.
期刊介绍:
Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders.
The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.