Ambulatory Blood Pressure Monitoring and Sleep Quality in Hypertensive Men and Women

Abstract

Objectives: This study aims to provide major insight in 24-h ambulatory blood pressure monitoring (ABPM), which will describe the 24 h (Circadian rhythm) blood pressure (BP) profile by measuring its impact on the sleep quality. Materials and Methods: For the study, 25 men and 25 women were recruited. Sleep quality was assessed by the Pittsburgh Sleep Index. Using wrist actigraphy, sleep-quality was assessed during seven working non-ABPM days (starting point) and the three following 24-h ABPM days. Results: During the day, the average AMP was 139.2 10.9/83.4 8.6 mm Hg, while at night, it was 118.9 12.9/68.5 9.7 mm Hg. There were 40 dipper and 10 non-dipper, respectively, on the standard of a systolic BP dip of <10%. Time had no bearing on total sleep time or sleep efficiency between ABPM days and non-ABPM days, indicating that ABPM has no negative effects on sleep quality. Conclusion: Both male and female having untreated hypertension were found to have disrupted sleep quality. Importantly, it is now evident that the ABPM has a negative impact on sleep quality for either dippers or non-dippers.