Sleep Duration and Blood Pressure: Recent Advances and Future Directions.

Sleep Duration and Blood Pressure: Recent Advances and Future Directions.
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DOI:
10.1007/s11906-019-0938-7
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发表时间:
2019-04-05
影响因子:
5.6
通讯作者:
--
中科院分区:
医学2区
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--
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这篇综述讨论了最近的文献主观和客观评估睡眠时间与高血压风险和门诊血压(BP)的措施,并强调了未来研究的关键领域。睡眠持续时间,特别是短睡眠,可能会通过扰乱自主神经平衡,激素失衡,增加肥胖和代谢功能障碍以及扰乱昼夜节律来影响血压。观察性研究表明,短时间和长时间睡眠与高血压风险、夜间下降减少和早晨血压升高有关,但短时间睡眠的证据更强。实验性睡眠限制会增加血压,而睡眠延长可能会降低高血压前期个体的血压。女性和少数民族更容易受到睡眠不足对BP的不利影响。需要进一步的研究来阐明客观评估的睡眠与血压水平和昼夜模式的关系,并确定睡眠限制和延长对血压的性别和种族特异性影响。
This review discusses the recent literature on subjectively and objectively assessed sleep duration in relation to hypertension risk and out-of-clinic blood pressure (BP) measures and highlights critical areas for future research. Sleep duration, particularly short sleep, may influence BP through disturbed autonomic balance, hormonal imbalances, increased adiposity and metabolic dysfunction, and disrupted circadian rhythms. Observational studies indicate that short and long sleep are associated with hypertension risk, reduced nocturnal dipping, and elevated morning BP, but evidence is stronger for short sleep. Experimental sleep restriction increases BP, while sleep extension may lower BP in prehypertensive individuals. Women and racial/ethnic minorities are more prone to the detrimental effects of short sleep on BP. Additional studies are warranted to clarify the association of objectively assessed sleep with BP level and diurnal pattern and to determine the sex- and race-specific effects of sleep restriction and extension on BP.
DOI: 10.1097/psy.0b013e31822ff440
发表时间: 2011-10
影响因子: 3.3
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Franzen PL;Gianaros PJ;Marsland AL;Hall MH;Siegle GJ;Dahl RE;Buysse DJ
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发表时间: 2010-12-03
期刊: Science (New York, N.Y.)
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