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Non-linear relationship between sleep duration and blood pressure in children with short stature
Qianqian Zhao1,2, Mingming He1,2, Mei Zhang1,2
1Department of Endocrinology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Insights
This study found a nonlinear link between sleep duration and blood pressure in children with short stature. Optimal sleep is 8-10 hours, as shorter or longer durations increase blood pressure.
Area of Science:
- Pediatrics
- Cardiology
- Sleep Medicine
Background:
- Conflicting evidence exists on the relationship between sleep duration and blood pressure.
- Short stature in children is a condition that warrants further investigation into associated health factors.
Purpose of the Study:
- To investigate the relationship between sleep duration and blood pressure in children with short stature.
- To identify potential optimal sleep durations for maintaining healthy blood pressure in this population.
Main Methods:
- A total of 1,085 children with short stature were recruited from a Chinese hospital.
- Sleep duration was assessed via face-to-face interviews, alongside anthropometric and biochemical data collection.
- Adjusted linear regression and nonlinear analyses were employed to examine associations.
Main Results:
- Sleep duration showed a negative association with systolic blood pressure z-scores (SBP-Z) and diastolic blood pressure z-scores (DBP-Z).
- A nonlinear relationship was observed between sleep duration and blood pressure metrics (SBP-Z, DBP-Z, MAP-Z).
- Inflection points for nonlinear relationships were identified at 10 hours for SBP-Z and 8 hours for DBP-Z/MAP-Z.
Conclusions:
- A nonlinear relationship exists between sleep duration and blood pressure in children with short stature.
- Optimal sleep duration for this group appears to be between 8-10 hours.
- Both insufficient and excessive sleep durations are linked to elevated blood pressure levels.
Background:
Evidence regarding the relationship between sleep duration and blood pressure is controversial. Therefore, the aim of this study was to investigate the relationship between sleep duration and blood pressure in children with short stature.
Methods:
A total of 1,085 participants with short stature were enrolled from the Affiliated Hospital of Jining Medical University in China. The variables involved in this study included sleep duration, anthropometric indicators and biochemical parameters. Sleep duration was evaluated in a face-to-face interview.
Results:
The average age of the 1,085 selected participants was 10.2 ± 3.5 years old, and approximately 763 (70.32%) of them were male. The results of adjusted linear regression showed that sleep duration was negatively associated with systolic blood pressure z scores (SBP-Z) and diastolic blood pressure z scores (DBP-Z) after adjusting for confounders (β -0.07, 95% CI -0.13, -0.01 P = 0.038; β -0.05, 95% CI -0.10, -0.01 P = 0.035, respectively). A nonlinear relationship was detected between sleep duration and blood pressure, including SBP-Z, DBP-Z and mean arterial pressure z scores (MAP-Z). The inflection point of the nonlinear relationship between sleep duration and SBP-Z is 10 h, and the inflection point of DBP-Z and MAP-Z is 8 h.
Conclusion:
This study revealed a nonlinear relationship between sleep duration and blood pressure in children with short stature. The findings suggest that the optimal sleep duration in children with short stature was 8-10 h, and sleep durations either too short or too long were associated with increased blood pressure levels.
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