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Published on: April 29, 2013
Sleep duration and blood pressure in children: a cross-sectional study
Otmar Bayer1, Hannelore Neuhauser, Rüdiger von Kries
1Institute for Social Paediatrics and Adolescent Medicine, Ludwig-Maximilians University, Munich, Germany. Otmar.Bayer@lrz.uni-muenchen.de
Insights
Short sleep duration is not associated with higher blood pressure in children aged 3-10. This large study found no significant link between sleep and blood pressure, even in prehypertensive children.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Sleep Medicine
Background:
- Adult studies suggest short sleep duration increases blood pressure risk.
- The association between sleep duration and blood pressure in children requires further investigation.
- Understanding age-specific effects is crucial for pediatric health.
Purpose of the Study:
- To examine the relationship between sleep duration and blood pressure in children aged 3-10.
- To investigate age-specific effects on this association.
- To explore distributional aspects of blood pressure in relation to sleep.
Main Methods:
- Utilized data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS).
- Included 7701 children aged 3-10 with sleep and blood pressure data.
- Employed linear and quantile regression analyses.
Main Results:
- No significant association found between sleep duration and mean arterial pressure in children.
- The observed marginal effect was not significant after adjusting for BMI z-score and physical activity.
- Quantile regression confirmed a lack of significant associations across the blood pressure distribution.
Conclusions:
- Sleep duration shows no or only a marginal association with blood pressure in children aged 3-10.
- No age dependency or specific subgroup (e.g., prehypertensive) demonstrated a stronger effect.
- Findings suggest sleep duration is not a major determinant of blood pressure in this pediatric population.
Objectives:
Short sleep duration as a risk factor for higher blood pressure has been reported by several studies on adults. This study aimed to investigate this association in children, considering age-specific effects and distributional aspects.
Methods:
Using data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS, 2003-2006), information on daily sleeping hours and blood pressure measurements was available for 7701 children between 3 and 10 years of age.
Results:
Using an age-independent measure for sleep duration, linear regression revealed a -0.80 mmHg (95% confidence interval -1.39; -0.22) mean arterial pressure difference between the children with the longest vs. shortest sleep duration. This effect was independent of age and was no longer significant when adjusted for BMI z-score and reported physical activity. Effect estimates obtained from quantile regression confirmed lack of significant associations over the entire blood pressure distribution.
Conclusion:
Sleep duration showed no or only marginal association with blood pressure in this large sample of children between 3 and 10 years of age. Further analysis indicated no age dependency or certain groups (e.g. prehypertensive children), in which sleep duration showed a greater effect on blood pressure.
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