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The relationship between sleep disturbances and quality of life in elderly patients with hypertension

PURPOSE: Sleep disorders, such as insomnia with objective short sleep duration, are associated with increased risk of hypertension. The objective of the study was to evaluate the effects of insomnia and daytime sleepiness on the quality of life (QOL) among elderly hypertensive patients. PATIENTS AND...

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Autores principales: Uchmanowicz, Izabella, Markiewicz, Karolina, Uchmanowicz, Bartosz, Kołtuniuk, Aleksandra, Rosińczuk, Joanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339653/
https://www.ncbi.nlm.nih.gov/pubmed/30697040
http://dx.doi.org/10.2147/CIA.S188499
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author Uchmanowicz, Izabella
Markiewicz, Karolina
Uchmanowicz, Bartosz
Kołtuniuk, Aleksandra
Rosińczuk, Joanna
author_facet Uchmanowicz, Izabella
Markiewicz, Karolina
Uchmanowicz, Bartosz
Kołtuniuk, Aleksandra
Rosińczuk, Joanna
author_sort Uchmanowicz, Izabella
collection PubMed
description PURPOSE: Sleep disorders, such as insomnia with objective short sleep duration, are associated with increased risk of hypertension. The objective of the study was to evaluate the effects of insomnia and daytime sleepiness on the quality of life (QOL) among elderly hypertensive patients. PATIENTS AND METHODS: This cross-sectional study covered 100 patients with hypertension. All participants completed standardized questionnaires, such as the Epworth Sleepiness Scale (ESS), the Athens Insomnia Scale (AIS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF), and clinical data were obtained from patients’ medical records. RESULTS: We showed that more than half of the patients experienced insomnia (AIS score ≥6) and 39% experienced daytime sleepiness. Daytime sleepiness was negatively associated with perceived QOL (r=−0.478, P<0.001). It was also shown that insomnia might be influenced by older age (P<0.001), occupational activity (P=0.011), overweight (body mass index [BMI] 25–30) (P=0.042), and longer duration of illness (P=0.049) among hypertensive patients. CONCLUSION: Sleep problems have a significant negative impact on the QOL in patients with hypertension, especially in the physical domain of the QOL questionnaire. The occurrence of sleep problems in patients with hypertension is influenced by older age, primary education, overweight, occupational activity, and longer duration of illness.
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spelling pubmed-63396532019-01-29 The relationship between sleep disturbances and quality of life in elderly patients with hypertension Uchmanowicz, Izabella Markiewicz, Karolina Uchmanowicz, Bartosz Kołtuniuk, Aleksandra Rosińczuk, Joanna Clin Interv Aging Original Research PURPOSE: Sleep disorders, such as insomnia with objective short sleep duration, are associated with increased risk of hypertension. The objective of the study was to evaluate the effects of insomnia and daytime sleepiness on the quality of life (QOL) among elderly hypertensive patients. PATIENTS AND METHODS: This cross-sectional study covered 100 patients with hypertension. All participants completed standardized questionnaires, such as the Epworth Sleepiness Scale (ESS), the Athens Insomnia Scale (AIS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF), and clinical data were obtained from patients’ medical records. RESULTS: We showed that more than half of the patients experienced insomnia (AIS score ≥6) and 39% experienced daytime sleepiness. Daytime sleepiness was negatively associated with perceived QOL (r=−0.478, P<0.001). It was also shown that insomnia might be influenced by older age (P<0.001), occupational activity (P=0.011), overweight (body mass index [BMI] 25–30) (P=0.042), and longer duration of illness (P=0.049) among hypertensive patients. CONCLUSION: Sleep problems have a significant negative impact on the QOL in patients with hypertension, especially in the physical domain of the QOL questionnaire. The occurrence of sleep problems in patients with hypertension is influenced by older age, primary education, overweight, occupational activity, and longer duration of illness. Dove Medical Press 2019-01-15 /pmc/articles/PMC6339653/ /pubmed/30697040 http://dx.doi.org/10.2147/CIA.S188499 Text en © 2019 Uchmanowicz et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Uchmanowicz, Izabella
Markiewicz, Karolina
Uchmanowicz, Bartosz
Kołtuniuk, Aleksandra
Rosińczuk, Joanna
The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title_full The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title_fullStr The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title_full_unstemmed The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title_short The relationship between sleep disturbances and quality of life in elderly patients with hypertension
title_sort relationship between sleep disturbances and quality of life in elderly patients with hypertension
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339653/
https://www.ncbi.nlm.nih.gov/pubmed/30697040
http://dx.doi.org/10.2147/CIA.S188499
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