Sleep Quality And Hypertension In Older Adults: An Examination Of The Relationship

Dr. Michelle Tan Jia Hui; Prof. Rajesh Kumar Sharma, MD

Authors

Dr. Michelle Tan Jia Hui Department of Geriatric Medicine, National University Hospital, Singapore
Prof. Rajesh Kumar Sharma, MD Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India

Keywords:

Sleep Quality, Hypertension, Elderly, Older Adults

Abstract

Global demographic shifts indicate a rapidly aging population, bringing with it an increased prevalence of chronic non-communicable diseases, notably hypertension [7, 8]. Concurrently, sleep disturbances are highly prevalent among older adults, often impacting their overall health and quality of life [18]. This article explores the intricate relationship between sleep quality and hypertension prevalence in the elderly population. The introduction highlights the growing health challenges associated with aging, particularly hypertension and sleep disturbances. The methods section outlines the conceptual framework for investigating this relationship and discusses relevant measurement approaches. The results synthesize current evidence demonstrating a significant association between poor sleep quality and higher rates of hypertension in older adults, considering various sleep parameters and potential mediating factors. The discussion interprets these findings, emphasizing the clinical implications for comprehensive geriatric care and suggesting avenues for future research. The conclusion underscores the importance of assessing and managing sleep quality as a crucial component of hypertension prevention and control in the elderly.

References

Abdurakhman, R. N., Hidayat, A., Taswidi, D., & Romadoni, A. (2022). Effect of hypertension exercise on blood pressure in the elderly. World Journal of Advanced Research and Reviews, 13(3), 491-495. https://doi.org/10.30574/wjarr.2022.13.3.0269

de Aquino, D. V. B. S., de Oliveira, G. C., Leite, E. R., de Sousa Maia, A. M., Freitas, V. G., Bachega, T. G., & Mueller, L. P. (2024). Fundamentals of nursing and their importance for nursing students' practice. Research, Society and Development, 13(1), e8213144774-e8213144774. https://doi.org/10.33448/rsd-v13i1.44774

Chen, J., Chen, X., Mao, R., Fu, Y., Chen, Q., Zhang, C., & Zheng, K. (2023). Hypertension, sleep quality, depression, and cognitive function in elderly: A cross-sectional study. Frontiers in Aging Neuroscience, 15, 1051298. https://doi.org/10.3389/fnagi.2023.1051298

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2020). Potter & perry's fundamentals of nursing ANZ edition-eBook. Elsevier Health Sciences.

Farrahi Moghaddam, J., Nakhaee, N., Sheibani, V., Garrusi, B., & Amirkafi, A. (2012). Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep and Breathing, 16, 79-82. https://doi.org/10.1007/s11325-010-0478-5

Firdausia, S., Hadiwiardjo, Y. H., & Wahyuningsih, S. (2023, September). Relationship Between Knowledge, Attitude, Family Support, and Adherence to Taking Medication in Patients with Hypertension. In The International Conference on Public Health Proceeding (Vol. 7, No. 01, pp. 318-330).

Grinin, L., Grinin, A., & Korotayev, A. (2023). Global Aging: An Integral Problem of the Future. How to Turn a Problem into a Development Driver?. In Reconsidering the limits to growth: A report to the Russian Association of the Club of Rome (pp. 117-135). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-34999-7_7

Kristanto, E., Daerobi, A., & Samudro, B. R. (2019). Indonesian life expectancy: role of health infrastructure and socio-economic status. Signifikan: Jurnal Ilmu Ekonomi, 8(2), 159-178. https://doi.org/10.15408/sjie.v8i1.9579

Liu, D., Yu, C., Huang, K., Thomas, S., Yang, W., Liu, S., & Kuang, J. (2022). The Association between Hypertension and Insomnia: A Bidirectional Meta‐Analysis of Prospective Cohort Studies. International Journal of Hypertension, 2022(1), 4476905. https://doi.org/10.1155/2022/4476905

Ministry of Health Republic of Indonesia. (2019). Hypertension the Killer Silent. https://sehatnegeriku.kemkes.go.id/baca/umum/20180516/5625911/hipertensi-membunuh-diam-diam-ketahui-tekanan-darah/

Nemeth, B., Lijfering, W. M., Nelissen, R. G., Schipper, I. B., Rosendaal, F. R., le Cessie, S., & Cannegieter, S. C. (2019). Risk and risk factors associated with recurrent venous thromboembolism following surgery in patients with history of venous thromboembolism. JAMA Network Open, 2(5), e193690-e193690. https://doi.org/10.1001/jamanetworkopen.2019.3690

Pu, L., Zhang, R., Wang, H., Zhao, T., Zeng, J., Yang, H., ... & Sun, N. (2024). Association between sleep pattern and incidence of hypertension: A prospective cohort study of older adult participants in the Chinese longitudinal healthy longevity survey. Archives of Gerontology and Geriatrics, 119, 105314. https://doi.org/10.1016/j.archger.2023.105314

Rau, M. J., Nurjannah, N., Syahadat, D. S., & Hasanah, H. (2024). Determinants of Risk for Type 2 Diabetes Mellitus Among the Community at The Birobuli Community Health Center. Journal of Health and Nutrition Research, 3(1), 83-90. https://doi.org/10.56303/jhnresearch.v3i1.222

Rosdiana, I., & Cahyati, Y. (2021). The effect of the progressive muscle relaxation combined withs lavender aromatherapy on insomnia of hemodialysis patients. Enfermería Nefrológica, 24(1), 39-46. https://doi.org/10.37551/S2254-28842021004

Safarina, L., Fuji, N., & Pragholapati, A. (2022). Elderly Exercise on Blood Pressure in Elderly People with Hypertension. Jurnal Keperawatan Silampari, 5(2), 1284-1291. https://doi.org/10.31539/jks.v5i2.3458

Saha, A., Muhammad, T., Mandal, B., Govil, D., & Ali, W. (2024). Moderating role of functional/mobility limitations in the association between sleep problems and hypertension among middle-aged and older adults in India. Preventive Medicine Reports, 38, 102589. https://doi.org/10.1016/j.pmedr.2024.102589

Sansom, K., Reynolds, A., Windred, D., Phillips, A., Dhaliwal, S. S., Walsh, J., ... & McArdle, N. (2024). The interrelationships between sleep regularity, obstructive sleep apnea, and hypertension in a middle-aged community population. Sleep, 47(3), zsae001. https://doi.org/10.1093/sleep/zsae001

Uchmanowicz, I., Markiewicz, K., Uchmanowicz, B., Kołtuniuk, A., & Rosińczuk, J. (2019). The relationship between sleep disturbances and quality of life in elderly patients with hypertension. Clinical Interventions in Aging, 14, 155–165. https://doi.org/10.2147/CIA.S188499

Valenzuela, P. L., Carrera-Bastos, P., Gálvez, B. G., Ruiz-Hurtado, G., Ordovas, J. M., Ruilope, L. M., & Lucia, A. (2021). Lifestyle interventions for the prevention and treatment of hypertension. Nature Reviews Cardiology, 18(4), 251-275. https://doi.org/10.1038/s41569-020-00437-9

Wahyudi, D. T. (2020). Diet knowledge, self efficacy and motivation for hypertension prevention behavior. International Journal of Nursing and Health Services (IJNHS), 3(4), 533-539. https://doi.org/10.35654/ijnhs.v3i4.352

Wisnumurti, A. A. G. O., Darma, I. K., & Suasih, N. N. R. (2018). Government policy of Indonesia to managing demographic bonus and creating Indonesia gold in 2045. Journal of Humanities and Social Science (IOSR-JHSS), 23(1), 23-34.

Wu, W., Wang, W., Gu, Y., Xie, Y., Liu, X., Chen, X., ... & Tan, X. (2019). Sleep quality, sleep duration, and their association with hypertension prevalence among low-income oldest-old in a rural area of China: a population-based study. Journal of Psychosomatic Research, 127, 109848. https://doi.org/10.1016/j.jpsychores.2019.109848

Yang, Z., Heizhati, M., Wang, L., Li, M., Pan, F., Wang, Z., ... & Li, N. (2021). Subjective poor sleep quality is associated with higher blood pressure and prevalent hypertension in general population independent of sleep disordered breathing. Nature and Science of Sleep, 13, 1759-1770. https://doi.org/10.2147/NSS.S329024

Frontiers in Medical and Clinical Sciences

Article Details Page