Evidence map›Paper›PMID 30375723›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2018

Sleep duration and 24-hour ambulatory blood pressure in adults not on antihypertensive medications.

Rachel Shulman, Debbie L Cohen, Michael A Grandner, Thorarinn Gislason, Allan I Pack, Samuel T Kuna, Raymond R Townsend, Jordana B Cohen

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Sleep duration, blood pressure and cardiovascular outcomes in the middle-aged and the elderly.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Effect of Sleep Disturbances on Blood Pressure.Hypertension (Dallas, Tex. : 1979) · 2021
    Review
  7. Article
  8. Article
  9. Objective short sleep duration and 24-hour blood pressure.International Journal of Cardiology. Hypertension · 2020
    Article
  10. Article
  11. Review
  12. Sleep and blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2018
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Rachel ShulmanDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Debbie L CohenRenal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Michael A GrandnerSleep and Health Research Program, Department of Psychiatry, University of Arizona, Tucson, Arizona.
Thorarinn GislasonDepartment of Sleep Medicine, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Allan I PackCenter for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Samuel T KunaCenter for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Raymond R TownsendRenal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jordana B CohenRenal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4649-079X
University of Pennsylvania · USCircadian (United States) · USPhiladelphia VA Medical Center · USUniversity of Arizona · USUniversity of Iceland · IS

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MAISLIN, GREG · 2009 to 2020
$23.7M
Lifestyle Modification and blood Pressure Study (LIMBS)R01AT004921 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI COHEN, DEBBIE L · 2009 to 2013
$1.7M
Management of hypertension in obesity: Antihypertensive class effects, blood pressure control, and renal and cardiac outcomesK23HL133843 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI COHEN, JORDANA B. · 2016 to 2020
$945k
NCCIH NIH HHS R01 AT004921NHLBI NIH HHS K23 HL133843NHLBI NIH HHS P01 HL094307
6 · The paper itself

Abstract

Short sleep duration has been widely linked to increased cardiovascular morbidity and mortality. We performed a post hoc analysis of 24-hour ambulatory blood pressure monitoring (ABPM) in the Lifestyle Modification in Blood Pressure Lowering Study (LIMBS) and Penn Icelandic Sleep Apnea (PISA) Study. The 24-hour mean systolic blood pressure (BP) was 12.7 mm Hg higher in LIMBS (P < 0.001; n = 66) and 4.7 mm Hg higher in PISA (P = 0.005; n = 153) among participants with shorter sleep duration (less than 7 hours) compared to those with longer sleep duration (at least 7 hours). In multivariable adjusted models, shorter sleep duration was strongly associated with higher systolic BP on 24-hour ABPM, independent of nocturnal BP and in-office BP. There was no effect modification by obstructive sleep apnea. Adults with shorter sleep duration may benefit from screening with 24-hour ABPM to promote earlier detection of hypertension and potentially mitigate their increased risk for future cardiovascular disease.

Indexed as

AdultBlood PressureBlood Pressure Monitoring, AmbulatoryCardiovascular DiseasesCircadian RhythmCross-Sectional StudiesEarly DiagnosisFemaleHumansHypertensionIcelandMaleMiddle AgedPrevalenceRisk Reduction BehaviorSleep Apnea, Obstructiveambulatoryblood pressure monitoringcircadian rhythmhypertensionobstructive sleep apneasleep deprivationsleep disorders

Identifiers

PMID30375723
PMCPMC6289891
OpenAlexW2899485388

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.