04 September 2023: Review Articles
A Systematic Review of Publications on the Associations Between Sleep Architecture and Arterial Hypertension
Justyna Kanclerska ABE , Anna Szymańska-Chabowska E* , Rafał Poręba DE , Monika Michałek-Zrąbkowska E , Gabriella Lachowicz E , Grzegorz Mazur D , Helena Martynowicz ABEFDOI: 10.12659/MSM.941066
Med Sci Monit 2023; 29:e941066
Table 1 List of investigated studies and their characteristics.
| Author (Year) | Compared groups | Aim of the study | Polysomnography parameters | |||||
|---|---|---|---|---|---|---|---|---|
| TST | REM | NREM | Other | |||||
| N1 | N2 | N3 | ||||||
| Berger (2022) | No hypertension at baselineNormotensives/ incident hypertension | Association between sleep macro and microstructure and incident hypertension | ns | ns | ↑ | ns | ↓ | ↑ ↑ ↑ ↓ |
| Liu X (2021) | No comparison | Association between visit-to-visit blood pressure variability and sleep architecture | ↓ | ↓ | ↑ | ns | ns | ↑ |
| Kanclerska (2022) | Hypertensives/ normotensives | Blood pressure and sleep architecture association | – | ns | ns | ↓ | ns | ↑ ↑ ↑ ↑ |
| Liao H (2016) | Mild/moderate HA vs control | Relation between arterial stiffness and sleep architecture | ↓ | ↓ | ↓ | ↓ | ↑ ↑ ↑ | |
| Li X (2018) | Hypertensives/ normotensives | Association between morning BP and sleep architecture | ns | ns | ns | ns | ↑ | |
| Fung MM (2011) | Hypertensives/ normotensives | Association between incident AH and PSG measures | ns | – | ↑ | ↑ | ↓ | ↓ SpO2 |
| Grimaldi D (2014) | Hypertensives/ normotensives | Association between sleep parameters and AH | ns | ns | ns | ↓ | ns | Comparable values in wake-sleep fragmentation |
| BP – blood pressure; AH – arterial hypertension; PSG – polysomnography; TST – total sleep time; REM – rapid eye movement sleep stage; NREM – non-rapid eye movement sleep; N1 – N2, N3- adequate N1 NREM sleep, N2 NREM sleep, N3 NREM sleep; AHI – apnea-hypopnea index; ODI – oxygen desaturation index; SpO2 – oxygen saturation; ns – not statistically significant. | ||||||||