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Improved sleep quality improves blood pressure control among patients with chronic kidney disease: A pilot study

American Journal of Nephrology Jan 31, 2020

Ali W, et al. - By performing this prospective single-center cohort analysis, researchers investigated if an improvement in blood pressure (BP) control in patients with resistant hypertension and chronic kidney disease (CKD) can be brought about by improved sleep quality and duration. Participants were patients suffering from hypertension (n = 30) and CKD who presented with primary resistant hypertension and poor sleep quality or duration < 6 h/night. Of the overall cohort, 50% were African Americans. Baseline alteration in systolic BP (SBP) and diastolic BP (home and clinic) at 3 and 6 months following reported sleep improvement was the primary outcome. Findings revealed that an improved BP control was achieved by optimizing sleep quality and duration to > 6 h/night. Additionally, optimizing sleep quality and duration to > 6 h/night was related to a significant delta change in SBP within 3 months of follow-up. Physicians are recommended to ask for a sleep history while dealing with patients with CKD who present with resistant hypertension.
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