Taylor & Francis Group
Browse
iahb_a_1535661_sm9139.pdf (207.82 kB)

Association between sleep duration and high blood pressure in adolescents: a systematic review and meta-analysis

Download (207.82 kB)
Version 2 2019-01-21, 16:18
Version 1 2018-11-02, 14:17
journal contribution
posted on 2019-01-21, 16:18 authored by Wen Jiang, Chengyang Hu, Fengli Li, Xiaoguo Hua, Xiujun Zhang

Context: Sleep has been assessed as a risk factor for health consequences. Among adults, excessively longer and shorter sleep durations are associated with high blood pressure (BP), but knowledge of the association between sleep duration and high BP among adolescents is limited.

Objectives: To estimate the associations between sleep duration and high BP in adolescents.

Methods: PubMed, Web of Science, and Cochrane databases were searched for eligible publications up until 20 November 2017. This study reviewed the reference lists from retrieved articles to search for relevant studies. Pooled odds ratios (ORs) were calculated using a random-effects meta-analysis. Sub-group and sensitivity analyses were conducted to identify heterogeneity. Publication bias was evaluated using Egger’s test.

Results: Seven studies involving 21,150 participants were included, with ages ranging from 10–18 years. For primary analysis, compared with the reference sleep duration, the pooled OR for high BP was 1.51 (95% confidence interval [CI] = 1.04–2.19) for the short sleep duration overall. For long sleep duration, the pooled OR was 1.04 (95% CI = 0.78–1.38). Further sub-group analysis showed that short sleep duration had a higher risk of incident high BP in males (OR = 1.55, 95% CI = 1.24–1.93) than in females (OR = 1.23, 95% CI = 0.47–3.22).

Conclusions: Among adolescents, and particularly male adolescents, short sleep duration may be a risk factor for high BP. More attention should be given to this lifestyle factor.

Funding

This study was supported by the Nature Science Foundation of the Anhui Provincial Higher Education Institutions of China [KJ2017A187] and Fund of Excellent Talents in Colleges and Universities of Anhui Province, China [gxbjZD07].

History

Usage metrics

    Annals of Human Biology

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC