Latency, sleep hours, and blood pressure in hospitalized patients in Mexico

Authors

DOI:

https://doi.org/10.15649/cuidarte.4004

Keywords:

Sleep Duration, Sleep Latency, Arterial Pressure, Hypertension, Hospitalization

Abstract

Highlights

  • Hospitalized patients slept an average of 1 hour 29 minutes less than the general Mexican population.
  • More hours of sleep were associated with lower diastolic blood pressure.
  • Longer sleep latency was associated with higher systolic blood pressure.
  • It is essential to recognize sleep disturbances during hospitalization and take steps to mitigate their impact on patients' health.

Introduction: Multiple studies have associated sleep duration and quality with changes in blood pressure in the general population, considering it a related risk factor. However, there is limited information regarding hospitalized patients who tend to experience sleep disturbances. Objective: To examine the relationship between subjective sleep duration, sleep latency, and systolic and diastolic blood pressure in hospitalized patients. Materials and Methods: A cross-sectional study included 381 Mexican adults hospitalized in a secondary-level hospital in Tampico, Tamaulipas, Mexico. Self-reported sleep duration and latency were assessed using the Pittsburgh Sleep Quality Index component. Clinical and sociodemographic data were collected. The study was approved by an ethics committee. Results: In adjusted models, a significant negative association was found between subjective sleep hours and diastolic blood pressure (β= -0.59; 95% CI: -1.80 to -0.10). A significant positive relationship was observed between sleep latency and systolic blood pressure (β= 1.48; 95% CI: -0.49 to 2.47). Discussion: The findings are consistent with those of previous studies. Hospitalization can impact sleep due to unfamiliar environments, noise, irregular schedules, and invasive procedures, affecting patients' health and prognosis. Conclusions: It is essential to consider sleep as a modifiable factor in preventing and managing hypertension in hospitalized patients and to find effective interventions to improve sleep duration and quality.

How to cite this article: Pérez-Vega María Elena, Aguirre-González Ma. Elena, Amaro-Valdez Tania, Morelos-García Edgar Noé, Reséndiz-González Eunice, Lara-Pérez Ricardo. Latency, sleep hours, and blood pressure in hospitalized patients in Mexico. Revista Cuidarte. 2025;16(1):e4004.  https://doi.org/10.15649/cuidarte.4004

Author Biographies

María Elena Pérez-Vega, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Ma. Elena Aguirre-González, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Tania Amaro-Valdez, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Edgar Noé Morelos-García, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Eunice Reséndiz-González, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Ricardo Lara-Pérez, Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

Universidad Autónoma de Tamaulipas, Tampico Faculty of Nursing. Tamaulipas, México.

References

Zhou B, Perel P, Mensah GA, Ezzati M. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nat Rev Cardiol. 2021;18(11):785-802. https://doi.org/10.1038/s41569-021-00559-8

Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-37. https://doi.org/10.1038/s41581-019-0244-2

McGrath ER, Beiser AS, DeCarli C, Plourde KL, Vasan RS, Greenberg SM, et al. Blood pressure from mid- to late life and risk of incident dementia. Neurology. 2017;89(24):2447-54. https://doi.org/10.1212/WNL.0000000000004741

Ettehad D, Emdin CA, Kiran A, Anderson SG, Callender T, Emberson J, et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet. 2016;387(10022):957-67. https://doi.org/10.1016/S0140-6736(15)01225-8

Ernst ME, Ryan J, Chowdhury EK, Margolis KL, Beilin LJ, Reid CM, et al. Long-Term Blood Pressure Variability and Risk of Cognitive Decline and Dementia Among Older Adults. J Am Heart Assoc. 2021;10(13):e019613. https://doi.org/10.1161/JAHA.120.019613

Bundy JD, Li C, Stuchlik P, Bu X, Kelly TN, Mills KT, et al. Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality: A Systematic Review and Network Meta-analysis. JAMA Cardiol. 2017;2(7):775-81. https://doi.org/10.1001/jamacardio.2017.1421

Xie X, Atkins E, Lv J, Bennett A, Neal B, Ninomiya T, et al. Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis. Lancet. 2016;387(10017):435-43. https://doi.org/10.1016/S0140-6736(15)00805-3

Li Y, Xia P, Xu L, Wang Y, Chen L. A Meta-Analysis on Prehypertension and Chronic Kidney Disease. PLoS One. 2016;11(6):e0156575. https://doi.org/10.1371/journal.pone.0156575

Collaboration NCDRF. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. 2021;398(10304):957-80. https://doi.org/10.1016/S0140-6736(21)01330-1

Smolensky MH, Hermida RC, Castriotta RJ, Portaluppi F. Role of sleep-wake cycle on blood pressure circadian rhythms and hypertension. Sleep Med. 2007;8(6):668-80. https://doi.org/10.1016/j.sleep.2006.11.011

Portaluppi F, Cortelli P, Provini F, Plazzi G, Manfredini R, Lugaresi E. Alterations of sleep and circadian blood pressure profile. Blood Press Monit. 1997;2(6):301-313. https://pubmed.ncbi.nlm.nih.gov/10234133/

Kanamori N, Sakai K, Sei H, Bouvard A, Salvert D, Vanni-Mercier G, et al. Effect of decerebration on blood pressure during paradoxical sleep-in cats. Brain Res Bull. 1995;37(5):545-9. https://doi.org/10.1016/0361-9230(95)00030-i

Chen S, Song X, Shi H, Li J, Ma S, Chen L, et al. Association Between Sleep Quality and Hypertension in Chinese Adults: A Cross-Sectional Analysis in the Tianning Cohort. Nat Sci Sleep. 2022;14:2097-105. https://doi.org/10.2147/NSS.S388535

Lusardi P, Zoppi A, Preti P, Pesce RM, Piazza E, Fogari R. Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study. Am J Hypertens. 1999;12(1):63-8. https://doi.org/10.1016/s0895-7061(98)00200-3

Furlan R, Guzzetti S, Crivellaro W, Dassi S, Tinelli M, Baselli G, et al. Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects. Circulation. 1990;81(2):537-47. https://doi.org/10.1161/01.cir.81.2.537

Somers VK, Dyken ME, Mark AL, Abboud FM. Sympathetic-nerve activity during sleep in normal subjects. N Engl J Med. 1993;328(5):303-7. https://doi.org/10.1056/NEJM199302043280502

Dean E, Bloom A, Cirillo M, Hong Q, Jawl B, Jukes J, et al. Association between habitual sleep duration and blood pressure and clinical implications: a systematic review. Blood Press. 2012;21(1):45-57. https://doi.org/10.3109/08037051.2011.596320

Culver MN, McMillan NK, Cross BL, Robinson AT, Montoye AH, Riemann BL, et al. Sleep duration irregularity is associated with elevated blood pressure in young adults. Chronobiol Int. 2022;39(10):1320-8. https://doi.org/10.1080/07420528.2022.2101373

Gangwisch JE. A review of evidence for the link between sleep duration and hypertension. Am J Hypertens. 2014;27(10):1235-42. https://doi.org/10.1093/ajh/hpu071

He J, He Q. Association between Sleep Duration and Hypertension among Adults in Southwest China. Glob Heart. 2022;17(1):10. https://doi.org/10.5334/gh.1100

Knutson KL, Van Cauter E, Rathouz PJ, Yan LL, Hulley SB, Liu K, et al. Association between sleep and blood pressure in midlife: the CARDIA sleep study. Arch Intern Med. 2009;169(11):1055-61. https://doi.org/10.1001/archinternmed.2009.119

Lo K, Woo B, Wong M, Tam W. Subjective sleep quality, blood pressure, and hypertension: a meta-analysis. J Clin Hypertens (Greenwich). 2018;20(3):592-605. https://doi.org/10.1111/jch.13220

Loredo JS, Nelesen R, Ancoli-Israel S, Dimsdale JE. Sleep quality and blood pressure dipping in normal adults. Sleep. 2004;27(6):1097-103. https://doi.org/10.1093/sleep/27.6.1097

Zhong X, Gou F, Jiao H, Zhao D, Teng J. Association between night sleep latency and hypertension: A cross-sectional study. Medicine (Baltimore). 2022;101(42):e31250. https://doi.org/10.1097/MD.0000000000031250

Wang L, Hu Y, Wang X, Yang S, Chen W, Zeng Z. The association between sleep duration and hypertension: a meta and study sequential analysis. J Hum Hypertens. 2021;35(7):621-6. https://doi.org/10.1038/s41371-020-0372-y

Guo X, Zheng L, Wang J, Zhang X, Zhang X, Li J, et al. Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep Med. 2013;14(4):324-32. https://doi.org/10.1016/j.sleep.2012.12.001

Wang Y, Mei H, Jiang YR, Sun WQ, Song YJ, Liu SJ, et al. Relationship between Duration of Sleep and Hypertension in Adults: A Meta-Analysis. J Clin Sleep Med. 2015;11(9):1047-56. https://doi.org/10.5664/jcsm.5024

Bansil P, Kuklina EV, Merritt RK, Yoon PW. Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: results from the National Health and Nutrition Examination Survey, 2005 to 2008. J Clin Hypertens (Greenwich). 2011;13(10):739-43. https://doi.org/10.1111/j.1751-7176.2011.00500.x

Lyu B, Hagen EW, Ravelo LA, Peppard PE. Blood pressure dipping and sleep quality in the Wisconsin Sleep Cohort. J Hypertens. 2020;38(3):448-55. https://doi.org/10.1097/HJH.0000000000002283

Arora VM, Chang KL, Fazal AZ, Staisiunas PG, Meltzer DO, Zee PC, et al. Objective sleep duration and quality in hospitalized older adults: associations with blood pressure and mood. J Am Geriatr Soc. 2011;59(11):2185-6. https://doi.org/10.1111/j.1532-5415.2011.03644.x

Wesselius HM, van den Ende ES, Alsma J, Ter Maaten JC, Schuit SCE, Stassen PM, et al. Quality and Quantity of Sleep and Factors Associated With Sleep Disturbance in Hospitalized Patients. JAMA Intern Med. 2018;178(9):1201-8. https://doi.org/10.1001/jamainternmed.2018.2669

Burger P, Van den Ende ES, Lukman W, Burchell GL, Steur LMH, Merten H, et al. Sleep in hospitalized pediatric and adult patients - A systematic review and meta-analysis. Sleep Med X. 2022;4:100059. https://doi.org/10.1016/j.sleepx.2022.100059

Kulpatcharapong S, Chewcharat P, Ruxrungtham K, Gonlachanvit S, Patcharatrakul T, Chaitusaney B, et al. Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders. Sleep Disord. 2020;2020(1):8518396. https://doi.org/10.1155/2020/8518396

Cruz-Rivera G, Castillo-Martínez G, Hernández-Carranco RG, Reséndiz-González E, Rangel-Torres MDS, Gutiérrez-Gómez T. Calidad y cantidad de sueño en pacientes hospitalizados. Ciencia Latina Revista Científica Multidisciplinar. 2023;7(1):5566-82. https://doi.org/10.37811/cl_rcm.v7i1.4871

Jung DW, Hwang SH, Chung GS, Lee YJ, Jeong DU, Park KS. Estimation of sleep onset latency based on the blood pressure regulatory reflex mechanism. IEEE J Biomed Health Inform. 2013;17(3):534-44. https://doi.org/10.1109/jbhi.2013.2257816

Secretaría de Salud (SSA). NORMA Oficial Mexicana NOM-030-SSA2-1999, Para la prevención, tratamiento y control de la hipertensión arterial., (1999). Ciudad de México, México. SSA. Consulta: Mayo 20, 2024. Disponible en: https://dof.gob.mx/nota_detalle_popup.php?codigo=5144642

Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4

Escobar-Cordoba F, Eslava-Schmalbach J. Colombian validation of the Pittsburgh Sleep Quality Index. Rev Neurol. 2005;40(3):150-5. https://www.ncbi.nlm.nih.gov/pubmed/15750899

Royuela A MJ. Propiedades clinimétricas de la versión castellana del cuestionario de Pittsburgh. Vigilia-Sueño. 1997;9:81-94. https://www.researchgate.net/publication/258705863

Jiménez-Genchi A, Monteverde-Maldonado E, Nenclares-Portocarrero A, Esquivel-Adame G, de la Vega-Pacheco A. Reliability and factorial analysis of the Spanish version of the Pittsburg Sleep Quality Index among psychiatric patients. Gac Med Mex. 2008;144(6):491-6. https://www.anmm.org.mx/GMM/2008/n6/27_vol_144_n6.pdf

Pérez-Vega ME, Aguirre-González ME, Amaro-Valdez T, Morelos-García E, Reséndiz-González, Lara-Pérez R. Latencia, horas de sueño y presión arterial en pacientes hospitalizados en México (Dataset). 2024. Mendeley Data V1. https://doi.org/ 10.17632/n8wtttb34z.1

Arrona-Palacios A, Gradisar M. Self-reported sleep duration, sleep quality and sleep problems in Mexicans adults: Results of the 2016 Mexican National Halfway Health and Nutrition Survey. Sleep Health. 2021;7(2):246-53.https://doi.org/10.1016/j.sleh.2020.08.006

Delaney LJ, Currie MJ, Huang HC, Lopez V, Van Haren F. "They can rest at home": an observational study of patients' quality of sleep in an Australian hospital. BMC Health Serv Res. 2018;18(1):524. https://doi.org/10.1186/s12913-018-3201-z

Venkateshiah SB, Collop NA. Sleep and sleep disorders in the hospital. Chest. 2012;141(5):1337-45. https://doi.org/10.1378/chest.11-2591

Published

2024-12-19

How to Cite

1.
Pérez-Vega ME, Aguirre-González ME, Amaro-Valdez T, Morelos-García EN, Reséndiz-González E, Lara-Pérez R. Latency, sleep hours, and blood pressure in hospitalized patients in Mexico. Revista Cuidarte [Internet]. 2024 Dec. 19 [cited 2024 Dec. 19];16(1). Available from: https://revistas.udes.edu.co/cuidarte/article/view/4004

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)