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Self-reported sleep quality is associated with central hemodynamics in healthy individuals

Background Insufficient sleep is associated with arterial stiffness and elevated cardiovascular disease risk. Central hemodynamics are influenced by arterial stiffness, yet independently predict cardiovascular risk. Relationships between sleep characteristics and central hemodynamic parameters are l...

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Published in:Sleep & breathing 2020-09, Vol.24 (3), p.1083-1088
Main Authors: Culver, Meral N., Langan, Sean P., Carreker, Jadeon, Flatt, Andrew A., Ratchford, Stephen M., Grosicki, Gregory J.
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creator Culver, Meral N.
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description Background Insufficient sleep is associated with arterial stiffness and elevated cardiovascular disease risk. Central hemodynamics are influenced by arterial stiffness, yet independently predict cardiovascular risk. Relationships between sleep characteristics and central hemodynamic parameters are largely unexplored. We aimed to characterize the relationship between self-reported sleep quality and central hemodynamics in healthy individuals. To explore the secondary hypothesis that impairments in glucose metabolism may underlie relationships between sleep and central hemodynamic variables, we also explored associations between self-reported sleep quality and fasting blood glucose values. Methods Thirty-one healthy study subjects (20 to 69 years, 17 men) were free from metabolic or cardiovascular disease and did not take sleep medication. Self-reported sleep quality was obtained using the Pittsburgh Sleep Quality Index (PSQI) with normal sleepers defined by PSQI scores 0–5 and poor sleepers by PSQI score > 5. Relationships were assessed between PSQI, central hemodynamic profiles (systolic and diastolic blood pressures, pulse and augmentation pressures, augmentation index) estimated from oscillometric pulse wave analysis, and blood glucose values. Results Central pulse pressure was significantly elevated in poor (PSQI score > 5) compared with that in normal (PSQI scores 0–5) sleepers ( P  
doi_str_mv 10.1007/s11325-020-02082-5
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Central hemodynamics are influenced by arterial stiffness, yet independently predict cardiovascular risk. Relationships between sleep characteristics and central hemodynamic parameters are largely unexplored. We aimed to characterize the relationship between self-reported sleep quality and central hemodynamics in healthy individuals. To explore the secondary hypothesis that impairments in glucose metabolism may underlie relationships between sleep and central hemodynamic variables, we also explored associations between self-reported sleep quality and fasting blood glucose values. Methods Thirty-one healthy study subjects (20 to 69 years, 17 men) were free from metabolic or cardiovascular disease and did not take sleep medication. Self-reported sleep quality was obtained using the Pittsburgh Sleep Quality Index (PSQI) with normal sleepers defined by PSQI scores 0–5 and poor sleepers by PSQI score &gt; 5. Relationships were assessed between PSQI, central hemodynamic profiles (systolic and diastolic blood pressures, pulse and augmentation pressures, augmentation index) estimated from oscillometric pulse wave analysis, and blood glucose values. Results Central pulse pressure was significantly elevated in poor (PSQI score &gt; 5) compared with that in normal (PSQI scores 0–5) sleepers ( P  &lt; 0.05). Linear regression models, adjusted for age, gender, and body mass index, demonstrated PSQI score to be an independent predictor ( P  &lt; 0.05) of both central pulse ( β  = 0.469) and augmentation ( β  = 0.364) pressures. Global PSQI scores were not related to fasting blood glucose values ( r  = 0.045; P  &gt; 0.05). Conclusions Significant relationships between central pulse and augmentation pressures and self-reported sleep quality highlight the importance of considering sleep when examining lifestyle contributors to central hemodynamics.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-020-02082-5</identifier><identifier>PMID: 32328930</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Blood ; Body mass index ; Cardiovascular disease ; Cardiovascular diseases ; Dentistry ; Fasting ; Glucose ; Glucose metabolism ; Hemodynamics ; Internal Medicine ; Laboratory testing ; Medicine ; Medicine &amp; Public Health ; Neurology ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Quality ; Regression analysis ; Sleep ; Sleep Breathing Physiology and Disorders • Short Communication</subject><ispartof>Sleep &amp; breathing, 2020-09, Vol.24 (3), p.1083-1088</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3704309c2b8ff45cf08519c90411441325c4370bd00a6f7c7061cdfd311250ac3</citedby><cites>FETCH-LOGICAL-c375t-3704309c2b8ff45cf08519c90411441325c4370bd00a6f7c7061cdfd311250ac3</cites><orcidid>0000-0001-8929-4903</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2433609384/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2433609384?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21394,27924,27925,33611,33612,43733,74221</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32328930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Culver, Meral N.</creatorcontrib><creatorcontrib>Langan, Sean P.</creatorcontrib><creatorcontrib>Carreker, Jadeon</creatorcontrib><creatorcontrib>Flatt, Andrew A.</creatorcontrib><creatorcontrib>Ratchford, Stephen M.</creatorcontrib><creatorcontrib>Grosicki, Gregory J.</creatorcontrib><title>Self-reported sleep quality is associated with central hemodynamics in healthy individuals</title><title>Sleep &amp; breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Background Insufficient sleep is associated with arterial stiffness and elevated cardiovascular disease risk. Central hemodynamics are influenced by arterial stiffness, yet independently predict cardiovascular risk. Relationships between sleep characteristics and central hemodynamic parameters are largely unexplored. We aimed to characterize the relationship between self-reported sleep quality and central hemodynamics in healthy individuals. To explore the secondary hypothesis that impairments in glucose metabolism may underlie relationships between sleep and central hemodynamic variables, we also explored associations between self-reported sleep quality and fasting blood glucose values. Methods Thirty-one healthy study subjects (20 to 69 years, 17 men) were free from metabolic or cardiovascular disease and did not take sleep medication. Self-reported sleep quality was obtained using the Pittsburgh Sleep Quality Index (PSQI) with normal sleepers defined by PSQI scores 0–5 and poor sleepers by PSQI score &gt; 5. Relationships were assessed between PSQI, central hemodynamic profiles (systolic and diastolic blood pressures, pulse and augmentation pressures, augmentation index) estimated from oscillometric pulse wave analysis, and blood glucose values. Results Central pulse pressure was significantly elevated in poor (PSQI score &gt; 5) compared with that in normal (PSQI scores 0–5) sleepers ( P  &lt; 0.05). Linear regression models, adjusted for age, gender, and body mass index, demonstrated PSQI score to be an independent predictor ( P  &lt; 0.05) of both central pulse ( β  = 0.469) and augmentation ( β  = 0.364) pressures. Global PSQI scores were not related to fasting blood glucose values ( r  = 0.045; P  &gt; 0.05). 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breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>24</volume><issue>3</issue><spage>1083</spage><epage>1088</epage><pages>1083-1088</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Background Insufficient sleep is associated with arterial stiffness and elevated cardiovascular disease risk. Central hemodynamics are influenced by arterial stiffness, yet independently predict cardiovascular risk. Relationships between sleep characteristics and central hemodynamic parameters are largely unexplored. We aimed to characterize the relationship between self-reported sleep quality and central hemodynamics in healthy individuals. To explore the secondary hypothesis that impairments in glucose metabolism may underlie relationships between sleep and central hemodynamic variables, we also explored associations between self-reported sleep quality and fasting blood glucose values. Methods Thirty-one healthy study subjects (20 to 69 years, 17 men) were free from metabolic or cardiovascular disease and did not take sleep medication. Self-reported sleep quality was obtained using the Pittsburgh Sleep Quality Index (PSQI) with normal sleepers defined by PSQI scores 0–5 and poor sleepers by PSQI score &gt; 5. Relationships were assessed between PSQI, central hemodynamic profiles (systolic and diastolic blood pressures, pulse and augmentation pressures, augmentation index) estimated from oscillometric pulse wave analysis, and blood glucose values. Results Central pulse pressure was significantly elevated in poor (PSQI score &gt; 5) compared with that in normal (PSQI scores 0–5) sleepers ( P  &lt; 0.05). Linear regression models, adjusted for age, gender, and body mass index, demonstrated PSQI score to be an independent predictor ( P  &lt; 0.05) of both central pulse ( β  = 0.469) and augmentation ( β  = 0.364) pressures. Global PSQI scores were not related to fasting blood glucose values ( r  = 0.045; P  &gt; 0.05). Conclusions Significant relationships between central pulse and augmentation pressures and self-reported sleep quality highlight the importance of considering sleep when examining lifestyle contributors to central hemodynamics.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32328930</pmid><doi>10.1007/s11325-020-02082-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8929-4903</orcidid></addata></record>
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subjects Blood
Body mass index
Cardiovascular disease
Cardiovascular diseases
Dentistry
Fasting
Glucose
Glucose metabolism
Hemodynamics
Internal Medicine
Laboratory testing
Medicine
Medicine & Public Health
Neurology
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Quality
Regression analysis
Sleep
Sleep Breathing Physiology and Disorders • Short Communication
title Self-reported sleep quality is associated with central hemodynamics in healthy individuals
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