ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2009
Sleep-disordered breathing and 24-hour blood pressure pattern among older adults.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Executive summary of respiratory indications for polysomnography in children: an evidence-based review.Sleep · 2011Pooled it
- Complete denture wear during sleep in elderly sleep apnea patients--a preliminary study.Sleep & breathing = Schlaf & Atmung · 2012Trial
- Nonpharmacologic Management of Hypertension in Older Adults.Clinics in geriatric medicine · 2024Review
- Sleep apnea and autonomic dysfunction in patients with dementia.Frontiers in neuroscience · 2022Review
- Machine learning-based preoperative datamining can predict the therapeutic outcome of sleep surgery in OSA subjects.Scientific reports · 2021Article
- Effects of continuous positive airway pressure therapy on daytime and nighttime arterial blood pressure in patients with severe obstructive sleep apnea and endothelial dysfunction.Sleep & breathing = Schlaf & Atmung · 2020Article
- Apneic Sleep, Insufficient Sleep, and Hypertension.Hypertension (Dallas, Tex. : 1979) · 2019Review
- Sleep, death, and the heart.American journal of physiology. Heart and circulatory physiology · 2015Review
- Chemoreflex physiology and implications for sleep apnoea: insights from studies in humans.Experimental physiology · 2015Review
- A pilot study: portable out-of-center sleep testing as an early sleep apnea screening tool in acute ischemic stroke.Nature and science of sleep · 2015Article
- Impacts of comorbidities on the association between arterial stiffness and obstructive sleep apnea in the elderly.Respiration; international review of thoracic diseases · 2015Observational
- Chemoreflexes, sleep apnea, and sympathetic dysregulation.Current hypertension reports · 2014Review
- Obstructive sleep apnea and hypertension: an update.Hypertension (Dallas, Tex. : 1979) · 2014Review
- Distinct associations between hypertension and obstructive sleep apnea in male and female patients.PloS one · 2014Article
- Article
- Neurocognitive correlates of nocturnal oxygen desaturation in a memory clinic population.Journal of clinical and experimental neuropsychology · 2012Article
- Perioperative practical experiences in using a level 2 portable polysomnography.Sleep & breathing = Schlaf & Atmung · 2011Article
- Sleep-disordered breathing and frailty in the Cardiovascular Health Study Cohort.American journal of epidemiology · 2009Article
- A comprehensive review of obstructive sleep apnea.Sleep science (Sao Paulo, Brazil)Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundTo examine the association between sleep-disordered breathing (SDB) and 24-hour blood pressure (BP) pattern among community-dwelling older adults.
methodsA convenience sample of 70 community-dwelling older adults, recruited from senior housing, community centers, and learning centers, were admitted to General Clinical Research Center, Emory University Hospital, Atlanta, Ga. Information regarding demographic and clinical history was obtained using questionnaires. Twenty-four-hour BP monitoring in supine position was performed using Spacelabs model 20207. Breathing during sleep was monitored with the use of a modified sleep recording system (Embletta, PDS), which monitors nasal and oral airflow, chest and abdominal movements, and pulse oximetry. Night time-daytime (night-day) BP ratio (average night-time BP divided by daytime BP) was calculated both for systolic and diastolic BPs.
resultsSixty-nine participants, mean age 74.9 +/- 6.4 years (41 [57%] women), completed the study. The mean apnea-hypopnea index (AHI) was 13 +/- 13 per hour of sleep, and 20 participants (29%) had AHI > or =15 per hour of sleep, indicating moderate to severe SDB. Moderate to severe SDB (AHI > or =15 per hour of sleep) was significantly associated with nocturnal hypertension, whereas there was no statistically significant difference in wake-time BP between those with and without moderate to severe SDB. Stepwise multiple regressions showed that AHI independently predicted increased night-day systolic and night-day diastolic BP ratio, even after controlling for nocturia frequency.
conclusionsThe results indicate increased BP load associated with increased AHI in this group of older adults. This increased BP load may contribute to increased hypertension-related morbidity and disease burden.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.