Minimal changes in sleep parameters during overnight ambulatory blood pressure monitoring do not affect outcomes.

Sleep Breath

Programa de pós-graduação em Ciências da Saúde, Universidade de Pernambuco, Recife, Brazil.

Published: November 2024

AI Article Synopsis

  • - The study aimed to determine the effects of ambulatory blood pressure monitoring (ABPM) on sleep using polysomnography, focusing on various sleep parameters across two nights in a controlled environment.
  • - Results showed that ABPM significantly increased N2 sleep duration but did not negatively impact overall sleep quality, as participants did not find the ABPM night worse than the control night.
  • - Additionally, there were no significant differences in total sleep time, sleep latency, or other sleep parameters, indicating that ABPM can be used without major concerns about disrupting sleep.

Article Abstract

Background: Ambulatory blood pressure monitoring (ABPM) is considered the gold standard for assessing blood pressure; however, its use may potentially disrupt sleep. Previous studies have produced mixed results on the impact of ABPM on sleep parameters and used actigraphy as the evaluating tool. To date, no studies have investigated the effects of ABPM on sleep parameters evaluated through polysomnography.

Purpose: This study aimed to examine the effects of ABPM on objectively assessed sleep parameters.

Methods: We evaluated five women and five men (age: 38.0 ± 15.0 years; BMI: 27.0 ± 3.5 kg/m²) using full polysomnography over two nights in a sleep laboratory-one night with ABPM and one night without it, with nocturnal assessments every 30 min. The order of the conditions was randomized, with intervals between nights ranging from 3 to 10 days.

Results: N2 sleep was significantly longer during the night with ABPM compared to the night without it (66.4 ± 12.4% vs. 57.7 ± 11.3%, p < 0.003). Conversely, the apnea-hypopnea index was higher on the night without ABPM (13.1 ± 21.2 vs. 10.5 ± 19.8 events/hour, p < 0.005). Participants did not rate the night with ABPM as worse than the night without, and no significant differences were observed in total sleep time, sleep latency, sleep efficiency, number of awakenings, or time awake after sleep onset.

Conclusions: ABPM does not appear to adversely affect significant objective sleep parameters or subjective evaluations of sleep quality.

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Source
http://dx.doi.org/10.1007/s11325-024-03181-3DOI Listing

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