Quality of sleep and hypertension in adolescents

Main Article Content

Arie Taufansyah P. Nasution
Rafita Ramayati
Sri Sofyani
Oke rRna Ramayani
Rosmayanti Siregar


Background Adolescents with hypertension are at risk of morbidity and mortality due to cardiovascular problems in later life. Hypertension may be influenced by poor quality of sleep, so early detection of hypertension and ensuring good quality of sleep in adolescence is needed.

Objective To assess for a possible association between poor sleep quality and hypertension in adolescents.

Methods We conducted a cross-sectional study from January to March 2013 in Mustafawiyah Boarding School, Mandailing Natal, North Sumatera. Subjects’ quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and their systolic and diastolic blood pressures were measured. Quality of sleep was categorized as either good or poor. Blood pressure was categorized as either normotensive or hypertensive. An association between poor sleep quality and hypertension was analyzed by Chi-square test.

Results Two hundred forty adolescents participated in this study, of whom 210 (87.5%) subjects were normotensive and 30 (12.5%) subjects were hypertensive. We found higher systolic blood pressure [114.9 (SD 11.7) vs. 109.5 (SD 10.5) mmHg as well as diastolic blood pressure [74 (SD 9.1) vs. 69.9 (SD 7.5) mmHg in adolescents with poor sleep quality compared to  those with good sleep quality (P=0.001).

Conclusion Poor sleep quality is associated with hypertension in adolescents.

Article Details

How to Cite
Nasution A, Ramayati R, Sofyani S, Ramayani O, Siregar R. Quality of sleep and hypertension in adolescents. PI [Internet]. 9Jan.2017 [cited 29Jan.2020];56(5):272-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/142
Received 2016-08-10
Accepted 2016-11-29
Published 2017-01-09


1. Saing JH. Hipertensi pada Remaja. Sari Pediatri. 2005;6:159-65.
2. Falkner B. Hypertension in children. Pediatric Ann. 2006;35:797-801.
3. Fixler DE, Laird WP, Fitzgerald V, Stead S, Adams R. Hypertension screening in schools: results of the Dallas study. Pediatrics. 1979;63:32-6.
4. Sinaiko AR. Hypertension in children. N Engl J Med. 1996;335:1968-73.
5. Pinto A, Roldan R, Sollecito TP. Hypertension in children: an overview. J Dent Educ. 2006;70:434-40.
6. Coody DK, Yetman RJ, Portman RJ. Hypertension in children. J Pediatr Health Care. 1995;9:3-11.
7. Enright PL, Goodwin JL, Sherrill DL, Quan JR, Quan SF. Blood pressure elevation associated with sleep-related breathing disorder in a community sample of white and Hispanic children: the Tucson Children’s Assessment of Sleep Apnea study. Arch Pediatr Adolesc Med. 2003;157:901-4.
8. Javaheri S, Storfer-Isser A, Rosen CL, Redline S. Sleep quality and elevated blood pressure in adolescents. Circulation. 2008;118:1034-40.
9. Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension. 2006;47:833-9.
10. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555-76.
11. Kuschnir MC, Mendonca GA. Risk factor associated with arterial hypertension in adolescents. J Pediatr. 2007;83:335-42.
12. Buysse DJ. Sleep disorders and psychiatry, In: Buysse DJ, editor. Review of psychiatry series. Vol. 24(2). Washington DC: American Psychiatric Pub, Inc; 2005. p. 1-28.
13. Bansil P, Kuklina EV, Merritt RK, Yoon PW. Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: results from the National Health and Nutrition Examination Survey, 2005 to 2008. J Clin Hypertens. 2011;13:739-43.
14. Ji-Rong Y, Hui W, Chang-Quan H, Bi-Rong D. Association between sleep quality and arterial blood pressure among chinese nonagenarians/centenarians. Med Sci Monit. 2012;18:36-42.