Evidence map›Paper›PMID 28169885›Full record

Trial reportJournal of hypertension2017

Repetitive exposure to shortened sleep leads to blunted sleep-associated blood pressure dipping.

Huan Yang, Monika Haack, Shiva Gautam, Hans K Meier-Ewert, Janet M Mullington

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Fluctuations in Sleep Duration and Timing and Cardiometabolic Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Short Sleep Duration and Hypertension: A Double Hit for the Brain.Journal of the American Heart Association · 2024
    Article
  10. The association between sleep duration and muscle sympathetic nerve activity.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Sleep, testosterone and cortisol balance, and ageing men.Reviews in endocrine & metabolic disorders · 2022
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Huan YangaDepartment of Neurology bDepartment of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School cDepartment of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Monika Haack
Shiva Gautam
Hans K Meier-Ewert
Janet M Mullington
Boston University · USGTx (United States) · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Repeated challenge of insufficient sleep: Effects on endothelial functionR01HL106782 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MULLINGTON, JANET M · 2011 to 2014
$3.1M
NCATS NIH HHS UL1 TR001102NHLBI NIH HHS R01 HL106782
6 · The paper itself

Abstract

backgroundBlood pressure (BP) dips at night during sleep in healthy individuals but in disturbed sleep, dipping is blunted. However, the impact of chronic insufficient sleep duration, with limited intermittent recovery sleep, on BP dipping is not known. The objective of this study was to examine, in a controlled experimental model, the influence of chronic sleep restriction on BP patterns at night and during the day.

methodIn a highly controlled 22-day in-hospital protocol, 45 healthy participants (age 32 ± 2 years; BMI 24 ± 1 kg/m; 22 men and 23 women) were randomly assigned to one of two conditions: repeated sleep restriction (4 h of sleep/night from 0300 to 0700 h for three nights followed by recovery sleep of 8 h, repeated four times in succession) or a sleep control group (8 h/night from 2300 to 0700 h).

resultsBeat-to-beat BP and polysomnography were recorded and revealed that sleep-associated DBP dipping was significantly blunted during all four blocks of sleep restriction (P = 0.002). Further, DBP was significantly increased for the whole day during the first, second, and fourth block of sleep restriction (all P < 0.01), and SBP was significantly increased for the whole day during the first block of sleep restriction.

conclusionRepeated exposure to significantly shortened sleep blunts sleep-associated BP dipping, despite intermittent catch-up sleep. Individuals frequently experiencing insufficient sleep may be at increased risk for hypertension due to repetitive blunting of sleep-associated BP dipping, and resultant elevations in average circadian BP.

Indexed as

AdultBlood PressureBlood Pressure DeterminationCircadian RhythmFemaleHumansMaleMiddle AgedPolysomnographySleepYoung Adult

Identifiers

PMID28169885
PMCPMC6052859
OpenAlexW2588046061

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.