ArticleAmerican journal of hypertension2019
The Effects of Ambulatory Blood Pressure Monitoring on Sleep Quality in Men and Women With Hypertension: Dipper vs. Nondipper and Race Differences.
Article in American journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Minimal changes in sleep parameters during overnight ambulatory blood pressure monitoring do not affect outcomes.Sleep & breathing = Schlaf & Atmung · 2024Trial
- Cognitive behavior therapy for insomnia for untreated hypertension with comorbid insomnia disorder: The SLEEPRIGHT clinical trial.Journal of clinical hypertension (Greenwich, Conn.) · 2024Trial
- Validation of ring-type cuffless blood pressure (BP) monitoring device for detecting awake-asleep BP variations compared to ambulatory BP monitoring device.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Does a non-dipping heart rate profile predict adverse maternal-fetal outcomes? evidence from 24-h ambulatory monitoring in the second half of high-risk pregnancies.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Does the blood pressure response to renal denervation depend on the degree of sympathetic overactivity?Journal of hypertension · 2026Article
- To be (IIb), or not to be (IIb) - That is the current status of cuffless blood pressure monitoring device.Clinical hypertension · 2026Review
- Optical methods for cuffless blood pressure measurements.Biophotonics discovery · 2026Review
- Speckle contrast optical spectroscopy for cuffless blood pressure estimation based on microvascular blood flow and volume oscillations.Biomedical optics express · 2025Article
- Electroencephalogram of Normotensive Individuals During Sitting and Standing Blood Pressure Measurement Positions.Cureus · 2024Article
- Feasibility and Effectiveness of a Ring-Type Blood Pressure Measurement Device Compared With 24-Hour Ambulatory Blood Pressure Monitoring Device.Korean circulation journal · 2024Article
- Clinical and life style factors related to the nighttime blood pressure, nighttime dipping and their phenotypes in Korean hypertensive patients.Clinical hypertension · 2023Article
- Classification of blood pressure during sleep impacts designation of nocturnal nondipping.PLOS digital health · 2023Article
- The 2022 focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension.Clinical hypertension · 2023Review
- The B-Score is a novel metric for measuring the true performance of blood pressure estimation models.Scientific reports · 2022Article
- The Role of Race, Sex, and Age in Circadian Disruption and Metabolic Disorders.Gastro hep advances · 2022Review
- Short- and Long-Term Reproducibility of Nighttime Blood Pressure Phenotypes and Nocturnal Blood Pressure Reduction.Hypertension (Dallas, Tex. : 1979) · 2021Article
- Disturbed Sleep as a Mechanism of Race Differences in Nocturnal Blood Pressure Non-Dipping.Current hypertension reports · 2019Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe nondipping circadian blood pressure (BP) profile is associated with both poor sleep quality and increased cardiovascular risk. The present study aimed to clarify the potential confounding effects of 24-hour ambulatory blood pressure monitoring (ABPM) used to characterize the circadian BP profile by assessing its impact on sleep quality.
methodsParticipants were 121 middle-aged men and women with untreated hypertension (age = 46 ± 8 years; 43% women; 45% African-American). Subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index. Wrist actigraphy was used to measure sleep quality objectively as sleep efficiency (SE) and total sleep time (TST) on 7 consecutive non-ABPM days (baseline) and 3 subsequent 24-hour ABPM days.
resultsAverage ambulatory BP was 137.2 ± 10.8/84.3 ± 8.5 mm Hg during the day and 119.6 ± 12.4/69.5 ± 9.8 mm Hg at night. Using the criterion of <10% dip in systolic BP (SBP) to define nondippers, there were 40 nondippers (SBP dip = 7.3 ± 2.6%) and 81 dippers (SBP dip = 15.5 ± 3.4%). There was no effect of time on SE or TST over non-ABPM and ABPM days, suggesting that ABPM does not adversely affect sleep quality. Sleep quality was generally poorer (lower SE) in nondippers compared with dippers (P = 0.033), but differences were independent of whether or not participants were undergoing 24-hour ABPM. African-American race (P = 0.002) was also associated with lower SE.
conclusionSleep quality generally appears to be poor in men and women with untreated hypertension and especially among African-Americans. Importantly, for both dippers and nondippers, we found no evidence that ABPM had an adverse effect on sleep quality.
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Registered trials
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