Evidence map›Paper›PMID 33262801›Full record

ArticleTanaffos2020

The Association of Sleep Duration and Quality with Heart Rate Variability and Blood Pressure.

Amirreza Sajjadieh, Ali Shahsavari, Ali Safaei, Thomas Penzel, Christoph Schoebel, Ingo Fietze, Nafiseh Mozafarian, Babak Amra, Roya Kelishadi

Abstract read
In one paragraph

Article in Tanaffos, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Predicting driver fatigue using HRV measures and machine learning.Frontiers in sports and active living · 2026
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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

9 authors.

Amirreza SajjadiehDepartment of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Ali ShahsavariMedical Student, Isfahan University of Medical Sciences, Isfahan, Iran.
Ali SafaeiMedical Student, Isfahan University of Medical Sciences, Isfahan, Iran.
Thomas PenzelCenter of Sleep Medicine, Charite e Universitatsmedizin€ Berlin, Berlin, Germany.
Christoph SchoebelCharite e Universitatsmedizin€ Berlin, Department of Cardiology and Pulmonology, Center of Sleep Medicine, Berlin, Germany.
Ingo FietzeCharite e Universitatsmedizin€ Berlin, Department of Cardiology and Pulmonology, Center of Sleep Medicine, Berlin, Germany.
Nafiseh MozafarianChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Babak AmraDepartment of Pulmonology, Bamdad Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Roya KelishadiChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current study was conducted to evaluate the relation of sleep duration and quality with blood pressure (BP) and heart rate variability (HRV). MATERIALS AND

methodsThis cross-sectional study was carried out in 2017 among 260 staff of a university hospital in Isfahan, Iran. They were selected by multi-stage random method from different wards. Time domain spectral analysis was used to measure a number of HRV parameters. The long-term components of the HRV were estimated using the standard deviation of the normal-to-normal interval (SDNN). The square root of the mean squared differences of successive NN intervals (RMSSD) was calculated by statistical time domain measurements; SNN50, and PNN50 were measured. Pittsburg sleep quality index (PSQI) questionnaire was used to assess sleep quality.

resultsHigher PSQI score correlated with lower SDANN rise (OR=0.92). Fairly bad to very good subjective sleep quality had association with lower SDANN (OR=0.43). Very high sleep latency to very low sleep latency ratio had association with lower SDANN (OR=0.39) and lower PNN50 (OR= 0.44). Sleep duration and HRV parameters had no significant association. Fairly bad sleep efficiency to very good sleep efficiency ratio was correlated with lower SDANN (OR= 0.29). Very high daytime dysfunction to very low daytime dysfunction ratio had correlation with lower SDANN (OR=0.35). Very bad compared to very good subjective sleep quality had significant correlation with higher Heart rate (HR) (B=0.03). Very high sleep latency compared to no sleep latency was associated with higher HR (B=4.74). Very high compared to very low amount of sleep disturbances correlated with higher SBP levels (B=15.2). Using sleep medication less than once a week compared with no history of taking such drugs was associated with higher HR (B=16.4).

conclusionOur findings showed that poor sleep quality are adversely associated with HRV, HR and BP. This finding should be considered in clinical and preventive recommendations.

Indexed as

Blood pressureHeart rate variabilitySleep durationSleep quality

Identifiers

PMID33262801
PMCPMC7680518

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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.