The Effect of Sleep Quality and Anxiety Level on Blood Pressure Variability
Sleep and Vigilance, cilt.7, sa.1, ss.23-31, 2023 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.1007/s41782-022-00219-y
- Dergi Adı: Sleep and Vigilance
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.23-31
- Anahtar Kelimeler: Anxiety level, Blood pressure variability, Sleep quality
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: We aimed to investigate the effects of sleep quality and level of anxiety on the cardiovascular system with blood pressure variability (BPV) based on ambulatory blood pressure Holter data. Materials and Methods: A total of 88 patients who underwent ambulatory blood pressure monitoring were included in the study. BPV was evaluated by using standard deviation (SD) of 24-h, day, and night systolic and diastolic blood pressure values. Coefficient variation of blood pressure (CV) was calculated with the formula: (Standard deviation of blood pressure/mean arterial pressures) × 100%. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of individuals and the Beck Anxiety Inventory (BAI) was used to measure the frequency and severity of anxiety symptoms. Results: Sleep duration was decreased in the poor sleep quality group, as expected. There was a statistically significant and positive relationship between the PSQI scores and BAI scores of patients who underwent ambulatory blood pressure monitoring. According to the PSQI scores, there was no statistically significant difference between the groups in terms of blood pressure values, but there was a difference in terms of the parameters indicating BPV, especially in terms of SD of SBP and CV of SBP. Similarly, a statistically significant increase in SD of SBP and CV of SBP values were observed with increasing anxiety level. When we divided the patients into four groups according to the PSQI and BAI scores, SD of SBP and CV of SBP values statistically significantly differed between groups, and we observed that this difference was more evident between patients with PSQI ≤ 5 and BAI ≤ 16 and patients with PSQI > 6 and BAI > 16. Conclusion: Blood pressure variability parameters measured by ambulatory blood pressure monitoring might be adversely affected with increasing levels of anxiety and poor sleep quality.