Association between sleep quality and blood pressure control among hypertensive patients at a rural tertiary hospital in Southern Nigeria: a cross-sectional study.

Autor:	Oseni TIA; Family Medicine, Edo State University Uzairue, Iyamho, Nigeria oseni.tijani@edouniversity.edu.ng.; Department of Family Medicine, Edo State University Teaching Hospital Auchi, Auchi, Nigeria., Udonwa NE; Family Medicine, University of Calabar, Calabar, Nigeria., Oku AO; Community Medicine, University of Calabar, Calabar, Nigeria., Makinde MT; Family Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria., Archibong F; University of Calabar Teaching Hospital, Calabar, Nigeria.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Mar 08; Vol. 14 (3), pp. e079774. Date of Electronic Publication: 2024 Mar 08.
DOI:	10.1136/bmjopen-2023-079774
Abstrakt:	Objectives: Restorative sleep is critical in preventing hypertension and other chronic diseases. Limited research has explored the relationship between sleep quality and hypertension in Africa. This study investigated the association between sleep quality and blood pressure control among hypertensive patients in Southern Nigeria. Design: Cross-sectional study. Setting: A rural tertiary hospital in Southern Nigeria, April to June 2023. Participants: 250 systematically selected hypertensive adults. Participants completed a validated semistructured interviewer-administered questionnaire to assess their sleep patterns, including sleep duration, self-reported trouble sleeping and a history of clinical diagnosis of sleep disorders. Sleep patterns were categorised as restorative (healthy) or non-restorative (unhealthy). The blood pressure of respondents was checked and categorised as controlled (<140/90 mm Hg) or uncontrolled (≥140/90 mm Hg). Data were analysed descriptively using SPSS V.24.0 OUTCOME MEASURES: Quality of sleep and blood pressure control. Results: Respondents had a mean age of 51.5±10.0 years, with the majority being female (156, 62.4%), married (135, 54.0%) and belonging to the Esan tribe (125, 50.0%). The prevalence of restorative sleep was 36%, while the blood pressure control rate was 23.6%. An association was found between restorative sleep and blood pressure control (adjusted OR =4.38; 95% CI=2.37-8.10; p<0.0001). Respondents aged ≥60 years had 3.5 times higher odds of experiencing non-restorative sleep than those aged ≤40 years (aOR=3.46; 95% CI=1.37-8.74; p=0.009). Conclusion: The study found an association between poor quality sleep and poor blood pressure control. Incorporating sleep assessments and interventions into comprehensive hypertension management strategies could be explored as a possible approach to improve sleep quality and enhance blood pressure control. Trial Registration Number: PACTR202301917477205. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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