Evidence map›Paper›PMID 28970105›Full record

ArticleChest2018

Sleep Patterns and Hypertension Using Actigraphy in the Hispanic Community Health Study/Study of Latinos.

Alberto R Ramos, Jia Weng, Douglas M Wallace, Megan R Petrov, William K Wohlgemuth, Daniela Sotres-Alvarez, Jose S Loredo, Kathryn J Reid, Phyllis C Zee, Yasmin Mossavar-Rahmani and 1 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Chest, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
7.5field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 96 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
  5. The association between sleep fragmentation and incident atrial fibrillation: a prospective cohort study in a community population.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  6. Article
  7. Research on the Improvement Effects and Mechanisms ofJournal of microbiology and biotechnology · 2025
    Article
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  11. Review
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  14. Review
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  17. Objective sleep and cardiometabolic biomarkers: results from the community of mine study.Sleep advances : a journal of the Sleep Research Society · 2023
    Article
  18. Article
  19. Article
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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

11 authors at 9 institutions in 1 country.

Alberto R RamosDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL. Electronic address: aramos@med.miami.edu.
Jia WengDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Douglas M WallaceDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL; Neurology Service, Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, FL.
Megan R PetrovCollege of Nursing and Health Innovation, Arizona State University, Phoenix, AZ.
William K WohlgemuthNeurology Service, Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, FL; Psychology Service, Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, FL.
Daniela Sotres-AlvarezCollaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.
Jose S LoredoDivision of Pulmonary and Critical Care Medicine, University of California San Diego, San Diego, CA.
Kathryn J ReidDepartment of Neurology, Northwestern University, Chicago, IL.
Phyllis C ZeeDepartment of Neurology, Northwestern University, Chicago, IL.
Yasmin Mossavar-RahmaniDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Sanjay R PatelDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.
Bruce W. Carter VA Medical Center · USNorthwestern University · USAlbert Einstein College of Medicine · USArizona State University · USCircadian (United States) · USUniversity of California, San Diego · USUniversity of Miami · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

Sleep Patterns as a risk factor for disease in the Hispanic Community Health StudR01HL098297 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI PATEL, SANJAY R · 2010 to 2013
$3.1M
Thalassemia Clinical Research Network, CanadaU01HL065233 · NHLBI · UNIVERSITY HEALTH NETWORK · PI OLIVIERI, NANCY F · 2000 to 2009
$2.6M
Miami Clinical and Translational Science InstituteKL2TR000461 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$2.1M
GENETIC ARCHITECTURE OF PLASMA T-PA AND PAI-1R01HL065234 · NHLBI · VANDERBILT UNIVERSITY · PI MOORE, JASON H. · 2000 to 2004
$1.7M
Mentored Patient Oriented Research in Sleep and Metabolic DiseaseK24HL127307 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PATEL, SANJAY R · 2015 to 2019
$582k
Exploring Sleep in Neurocognitive Aging and Alzheimer's Research (eSANAR)R21AG056952 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI RAMOS, ALBERTO RAFAEL · 2017 to 2018
$411k
Sleep Apnea Phenotypes in Latinos (SLEPT)R21HL140437 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI RAMOS, ALBERTO RAFAEL · 2019 to 2020
$258k
HISPANIC COMMUNITY HEALTH STUDY-268065233N01HC065233 · HC · COORDINATING CENTER · PI CHAMBLESS, LLOYD E · 2006 to 2006
–
NCATS NIH HHS KL2 TR000461NHLBI NIH HHS K24 HL127307NHLBI NIH HHS N01 HC065233NHLBI NIH HHS N01 HC065234NHLBI NIH HHS N01 HC065235NHLBI NIH HHS N01 HC065236NHLBI NIH HHS N01 HC065237NHLBI NIH HHS R01 HL098297NHLBI NIH HHS R21 HL140437NIA NIH HHS R21 AG056952NIMHD NIH HHS L60 MD005231
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the association between actigraphy-based measures of sleep and prevalent hypertension in a sample of US Latinos.

methodsWe analyzed data from 2,148 participants of the Sueño Sleep Ancillary Study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), who underwent 1 week of wrist actigraphy to characterize sleep duration, sleep efficiency, sleep fragmentation index, and daytime naps. Insomnia was defined as an Insomnia Severity Index ≥ 15. Hypertension was defined based on self-reported physician diagnosis. Survey linear regression was used to evaluate the association of sleep measures with hypertension prevalence. Sensitivity analyses excluded participants with an apnea-hypopnea index (AHI) ≥ 15 events/h.

resultsThe mean age was 46.3 ± 11.6 years, and 65% of the sample consisted of women. The mean sleep duration was 6.7 ± 1.1 hours. Thirty-two percent of the sample had hypertension. After adjusting for age, sex, ethnic background, site, and AHI, each 10% reduction in sleep efficiency was associated with a 7.5% (95% CI, -12.9 to -2.2; P = .0061) greater hypertension prevalence, each 10% increase in sleep fragmentation index was associated with a 5.2% (95% CI, 1.4-8.9; P = .0071) greater hypertension prevalence, and frequent napping was associated with a 11.6% greater hypertension prevalence (95% CI, 5.5-17.7; P = .0002). In contrast, actigraphy-defined sleep duration (P = .20) and insomnia (P = .17) were not associated with hypertension. These findings persisted after excluding participants with an AHI ≥ 15 events/h.

conclusionsIndependent of sleep-disordered breathing, we observed associations between reduced sleep continuity and daytime napping, but not short sleep duration, and prevalent hypertension.

Indexed as

Hispanic or LatinoActigraphyAdolescentAdultCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPrevalenceSleep Apnea SyndromesSleep Wake DisordersUnited StatesYoung AdultHispanichypertensioninsomniasleep durationsleep quality

Identifiers

PMID28970105
PMCPMC5812757
OpenAlexW2758657252

What OpenQuestion holds

Textmetadata
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.