睡眠与血压变化:系统文献综述

IF 2.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
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
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引用次数: 0

摘要

背景血压变异性(BPV)是心血管疾病(CVD)的预后标志。睡眠被认为是心血管疾病的一个重要风险因素;然而,人们对睡眠特征与血压变异性之间的关系知之甚少。目的在本系统综述中,我们旨在(1)描述用于测量血压变异性和睡眠的方法;(2)描述目前有关睡眠与血压变异性之间关系的文献证据。方法在 CINAHL、PubMed、Web of Science 和 PsycINFO 数据库中使用检索词 "睡眠 "和("血压变异性 "或 "非卧床血压计")进行系统检索。研究采用了多种方法测量睡眠,包括多导睡眠图、动图、睡眠日记和问卷调查,而血压值则采用不同的监测设备在不同的时间间隔内进行测量,如逐次搏动血压(BP)监测设备、24 小时动态血压监测仪或自动上臂血压监测仪。结论虽然解释睡眠与血压升高之间关系的机制仍不清楚,但不断积累的证据表明,血压升高与睡眠质量差和睡眠时间长之间存在潜在联系。鉴于最近睡眠和血压监测技术的发展,有必要开展进一步的研究,以评估自由生活条件下的睡眠和血压变异。此类研究将加深我们对睡眠与心血管疾病风险之间复杂相互作用的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Heart & Lung
Heart & Lung 医学-呼吸系统
CiteScore
4.60
自引率
3.60%
发文量
184
审稿时长
35 days
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.
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