Relationship between ambulatory blood pressure changes and health-related behaviors and sleep quality in hypertensive patients
10.3969/j.issn.1006-2483.2026.03.034
- VernacularTitle:高血压患者动态血压变化与健康相关行为及睡眠质量
- Author:
Qun ZHENG
1
;
Yinghua KUANG
1
;
Dan XIAO
1
Author Information
1. Health Management Physical Examination Center, Chengdu Fifth People's Hospital, Chengdu, Sichuan 611130, China
- Publication Type:Journal Article
- Keywords:
Hypertension;
24-hour ambulatory blood pressure;
Health behavior;
Sleep
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):159-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between ambulatory blood pressure changes and health-related behaviors as well as sleep quality in hypertensive patients. Methods A retrospective study was conducted on 684 patients who underwent 24-hour ambulatory blood pressure monitoring at Chengdu Fifth People's Hospital between January 2023 and April 2025. The cohort included 502 hypertensive patients and 182 non-hypertensive patients. Clinical data from both groups of patients were collected. Their health-related behaviors and sleep quality were investigated. Pearson correlation analysis was conducted to explore the relationship between ambulatory blood pressure changes and health-related behaviors as well as sleep quality in hypertensive patients. Results The differences in dSBP, dDBP, nSBP, nDBP, 24-hour SBP, 24-hour DBP, 24-hour SBP CV, and 24-hour DBP CV levels between the two groups were statistically significant (P<0.05). The scores of the Active Health Behavior Scale (AHBS) in the hypertension group were lower than those in the non-hypertension group, while the scores of the Pittsburgh Sleep Quality Index (PSQI) in the hypertension group were higher than those in the non-hypertension group (P<0.05). AHBS showed a negative correlation with dSBP, dDBP, nSBP, nDBP, 24 h SBP, 24 h DBP, 24 h SBP CV, and 24 h DBP CV (P<0.05), while PSQI showed a positive correlation with dSBP, dDBP, nSBP, nDBP, 24 h SBP, 24 h DBP, 24 h SBP CV, and 24 h DBP CV (P<0.05). Conclusion Health-related behaviors and sleep quality can influence ambulatory blood pressure through various mechanisms, including neural, endocrine, and vascular functions.
