ArticleSleep2017
Associations of Sleep Duration and Disturbances With Hypertension in Metropolitan Cities of Delhi, Chennai, and Karachi in South Asia: Cross-Sectional Analysis of the CARRS Study.
Article in Sleep, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 91 citations in OpenAlex.
- Cardiovascular autonomic dysfunction in insomnia patients with objective short sleep duration.Journal of sleep research · 2018Trial
- Nighttime sleep duration and dual management of blood pressure and glycemia in Chinese with comorbid hypertension and diabetes.Scientific reports · 2025Article
- Cardiovascular Implications of Sleep Disorders Beyond Sleep Apnea.Current sleep medicine reports · 2024Article
- Moderating role of functional/ mobility limitations in the association between sleep problems and hypertension among middle-aged and older adults in India.Preventive medicine reports · 2024Article
- Poor sleep and shift work associate with increased blood pressure and inflammation in UK Biobank participants.Nature communications · 2023Article
- Comorbidity Profile and Predictors of Obstructive Sleep Apnea Severity and Mortality in Non-Obese Obstructive Sleep Apnea Patients.Medicina (Kaunas, Lithuania) · 2023Article
- Prevalence, treatment and determinants of obstructive sleep apnoea and its symptoms in a population-based French cohort.ERJ open research · 2023Article
- Cohort Profile: The Center for cArdiometabolic Risk Reduction in South Asia (CARRS).International journal of epidemiology · 2022Article
- Association between blood pressure and parameters related to sleep disorders in Tabari cohort population.Clinical hypertension · 2022Article
- Association between Sleep Duration and Hypertension among Adults in Southwest China.Global heart · 2022Article
- Article
- Slow-wave sleep is associated with incident hypertension in patients with obstructive sleep apnea: a cross-sectional study.The Journal of international medical research · 2020Article
- Night sleep duration and risk of each lipid profile abnormality in a Chinese population: a prospective cohort study.Lipids in health and disease · 2020Article
- Association of snoring and body composition in (peri-post) menopausal women.BMC women's health · 2020Article
- Association between sleep duration and hypertension of migrant workers in China: a national cross-sectional surveillance study.BMJ open · 2019Article
- Insomnia and hypertension: A misty landscape.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Sleep Duration and Blood Pressure: Recent Advances and Future Directions.Current hypertension reports · 2019Review
- Self-reported snoring is associated with chronic kidney disease independent of metabolic syndrome in middle-aged and elderly Chinese.Journal of diabetes investigation · 2019Article
- Insomnia, Short Sleep Duration, and High Blood Pressure: Recent Evidence and Future Directions for the Prevention and Management of Hypertension.Current hypertension reports · 2018Review
- The Relationship Between Blood Pressure and Sleep Duration in Turkish Children: A Cross-Sectional Study.Journal of clinical research in pediatric endocrinology · 2018Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 4 countries.
Funding
Abstract
Objectives: Sleep duration and disturbances may be risk factors for hypertension. Despite the high burden of hypertension in South Asia, little is known about this relationship in this region. Methods: We analyzed population-level cross-sectional data from the Centre for Cardiometabolic Risk Reduction in South Asia (CARRS) study that recruited representative samples of adults ≥ 20 years from three cities-Delhi, Chennai (India), and Karachi (Pakistan) during 2010-2011. We defined hypertension as self-reported treatment or measured blood pressure (BP) ≥140/90 mm Hg. Data on usual duration of sleep, insomnia, and snoring were collected using "The Sleep Habits Questionnaire" and excessive daytime sleepiness (EDS) using Epworth Sleepiness Score. Logistic and linear regression were done with hypertension and BP as outcome variables, respectively. Age, gender, education, wealth index, family history, and body mass index (BMI) were included as covariates. We used multiple imputation to account for missing variables. Results: Prevalence of hypertension was 30.1%. The mean (SD) sleep duration was 7.3 (1.2) hours. Insomnia, snoring, and EDS were present in 13.6%, 28.7%, and 4.6%, respectively. Moderate and habitual snoring were associated with increased odds of hypertension (odds ratio [OR] = 1.18, 95% confidence interval [CI] [1.04 to 1.33] and 1.47 [1.29 to 1.67], respectively), after adjusting for covariates. Rare, occasional, and frequent insomnia were associated with increased hypertension (OR 1.41 [1.12 to 1.77], 1.39 [1.16 to 1.67], and 1.34 [1.09 to 1.65], respectively). Sleep duration and EDS were not associated with hypertension. Conclusion: Self-reported snoring and insomnia were associated with hypertension in South Asia. This relationship needs further exploration through robust longitudinal studies in this region.
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