Assessment of sleep disorders among patients with hypertension and coexisting metabolic syndrome

作者：Kielbasa Grzegorz; Stolarz Skrzypek Katarzyna^*; Pawlik Artur; Latka Monika; Drozdz Tomasz; Olszewska Marta; Franczyk Agata; Czarnecka Danuta

来源：Advances in Medical Sciences, 2016, 61(2): 261-268.

DOI：10.1016/j.advms.2016.03.005

• Hypertension
• Metabolic syndrome
• Sleep disorders

Purpose: The coexistence of hypertension, abdominal obesity, and carbohydrate and lipid metabolism disturbances favors the acceleration of other disease entities - also apart from cardiovascular system disorders. This study was planned to estimate the relationship between the presence of metabolic syndrome and sleep disorders among a group of hypertensive patients.
Patients/methods: The study was conducted on unselected group of 261 patients from the Outpatient Hypertension Clinic. The standardized questionnaire was used to collect the data on medical history, prescribed drugs and lifestyle. Sleep disorders were diagnosed based on the Athens Insomnia Scale and STOP-Bang Questionnaire. According to the study protocol, anthropometric parameters (weight, height, waist and neck circumferences), blood pressure, serum lipids and fasting glucose laboratory measurements were performed. Metabolic syndrome was defined according to IDF criteria.
Results: Sleep disorders were recognized in 183 participants of the study - significantly more frequently (P = 0.03) among patients with diagnosed metabolic syndrome (120; 75%) in comparison with participants without this disturbance (63; 62.38%). Male gender, poor financial situation, tingling sensations before falling asleep and combination therapy of hypertension significantly increased the risk of sleep disorder occurrence in the group of patients with metabolic syndrome. Night food intake, aging, hypertension combination therapy and poor socioeconomic status were the factors increasing the risk of sleep problems among participants without metabolic syndrome.
Conclusions: Sleep disorders often coexist with metabolic syndrome in hypertensive patients. A number of factors increase the probability of occurrence of sleep disorders, but most of them are modifiable.

• 出版日期2016-9