Impact of acute sleep deprivation on aortic elastic properties in healthy workers

People are more frequently exposed to acute sleep loss nowadays due to extensive working. Epidemiologic studies suggest that sleep deprivation (SD) increases the risk of cardiovascular events. Aortic stiffness is also shown to predict cardiovascular events, stroke, and death even in healthy populations. The association between SD and aortic stiffness remains unknown. We sought to determine the impact of acute SD on aortic elastic properties in healthy workers. Materials and methods: The study population consisted of 34 healthy medical personnel working in shifts (17 men and 17 women). Less than half of the mean daily sleep time, or less than 4 hours a day, was defined as SD. Blood pressure and echocardiographic measurements for aortic stiffness including B-index, strain, and distensibility were obtained before and after SD. Results: Systolic blood pressure of participants increased significantly after SD compared to control values, which were recorded after normal sleep. There was also a statistically significant difference in diastolic blood pressures (118.29 ± 13.17 vs. 119.52 ± 11.94, P = 0.001; 70.70 ± 12.04 vs. 71.08 ± 9.51, P = 0.029; respectively). There was a statistically significant decrease in distensibility after SD compared to basal values (4.80 ± 2.88 vs. 4.42 ± 2.49, P = 0.042; respectively). The association between acute SD and B-index and strain did not reach statistical significance (11.18 ± 6.22 vs. 12.25 ± 6.24, P = 0.064; 46.44 ± 43.71 vs. 48.17 ± 35.09, P = 0.07; respectively). Conclusion: Acute SD triggers an increase in blood pressure and is associated with increased aortic stiffness.

Impact of acute sleep deprivation on aortic elastic properties in healthy workers

People are more frequently exposed to acute sleep loss nowadays due to extensive working. Epidemiologic studies suggest that sleep deprivation (SD) increases the risk of cardiovascular events. Aortic stiffness is also shown to predict cardiovascular events, stroke, and death even in healthy populations. The association between SD and aortic stiffness remains unknown. We sought to determine the impact of acute SD on aortic elastic properties in healthy workers. Materials and methods: The study population consisted of 34 healthy medical personnel working in shifts (17 men and 17 women). Less than half of the mean daily sleep time, or less than 4 hours a day, was defined as SD. Blood pressure and echocardiographic measurements for aortic stiffness including B-index, strain, and distensibility were obtained before and after SD. Results: Systolic blood pressure of participants increased significantly after SD compared to control values, which were recorded after normal sleep. There was also a statistically significant difference in diastolic blood pressures (118.29 ± 13.17 vs. 119.52 ± 11.94, P = 0.001; 70.70 ± 12.04 vs. 71.08 ± 9.51, P = 0.029; respectively). There was a statistically significant decrease in distensibility after SD compared to basal values (4.80 ± 2.88 vs. 4.42 ± 2.49, P = 0.042; respectively). The association between acute SD and B-index and strain did not reach statistical significance (11.18 ± 6.22 vs. 12.25 ± 6.24, P = 0.064; 46.44 ± 43.71 vs. 48.17 ± 35.09, P = 0.07; respectively). Conclusion: Acute SD triggers an increase in blood pressure and is associated with increased aortic stiffness.

___

  • Byberg S, Hansen AL, Christensen DL, Vistisen D, Aadahl
  • M, Linneberg A et al. Sleep duration and sleep quality are
  • associated differently with alterations of glucose homeostasis.
  • Diabet Med 2012; May 15, [Epub ahead of print]. 4.
  • Nagai M, Hoshide S, Kario K. Sleep duration as a risk factor for
  • cardiovascular disease- a review of the recent literature. Curr
  • Verbeke F, Van Biesen W, Honkanen E, Wikström B, Jensen PB, Krzesinski JM, et al. CORD Study Investigators. Prognostic value of aortic stiffness and calcification for cardiovascular events and mortality in dialysis patients: outcome of the calcification outcome in renal disease (CORD) study. Clin J Am Soc Nephrol 2011; 6: 153–9.
  • Sweitzer NK, Shenoy M, Stein JH, Keles S, Palta M, LeCaire T et al. Increases in central aortic impedance precede alterations in arterial stiffness measures in type 1 diabetes. Diabetes Care 2007; 30: 2886–91.
  • Sliem H, Nasr G. Change of the aortic elasticity in rheumatoid arthritis: Relationship to associated cardiovascular risk factors. J Cardiovasc Dis Res 2010; 1: 110–5.
  • Keles T, Durmaz T, Bayram NA, Ciftci B, Yeter E, Akcay M et al. Effect of continuous positive airway pressure therapy on aortic stiffness in patients with obstructive sleep apnea syndrome. Echocardiography 2009; 26: 1217–24.
  • Sucu MM, Davutoglu V, Akcay M, Yiğiter R, Al B. Aortic elastic properties of patients with neurocardiogenic syncope. Pacing Clin Electrophysiol 2009; 32: 1417–21.
  • Lacombe F, Dart A, Dewar E, Jennings G, Cameron J, Laufer E. Arterial elastic properties in man: a comparison of echo- Doppler indices of aortic stiffness. Eur Heart J 1992; 13: 1040– 5.
  • Stefanadis C, Wooley CF, Bush CA, Kolibash AJ, Boudoulas H. Aortic distensibility in post-stenotic aortic dilatation: the effect of co-existing coronary artery disease. J Cardiol 1988; 18: 189–95.
  • Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G et al. The task force for the management of arterial hypertension of the European Society of Hypertension: The task force for the management of arterial hypertension of the European Society of Cardiology. Eur Heart J 2007; 28: 1462– 536.
  • Şatıroğlu Ö, Bostan M, Bayar N, Çiçek Y, Çetin M, Bozkurt E. Relation between aortic stiffness and extension of coronary artery disease. Turk J Med Sci 2012; 42: 417–424.
  • Cavalcante JL, Lima JA, Redheuil A, Al-Mallah MH. Aortic stiffness: current understanding and future directions. J Am Coll Cardiol 2011; 57: 1511–22.
  • Kripke DF, Simons RN, Garfinkel L, Hammond EC. Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry 1979; 36: 103–16.
  • Liu Y, Tanaka H. The Fukuoka Heart Study Group, Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occup Environ Med 2002; 59: 447–51.
  • Soreca I, Fagiolini A, Frank E, Houck PR, Thompson WK, Kupfer DJ. Relationship of general medical burden, duration of illness and age in patients with bipolar I disorder. J Psychiatr Res 2008; 42: 956–61.
  • Fujikawa T, Tochikubo O, Kura N, Umemura S. Factors related to elevated 24-h blood pressure in young adults. Clin Exp Hypertens 2009; 31: 705–12.
  • Dettoni JL, Consolim-Colombo FM, Drager LF, Rubira MC, de Souza SB, Irigoyen MC et al. Cardiovascular effects of partial sleep deprivation in healthy volunteers. J Appl Physiol 2012, Apr 26. [Epub ahead of print].
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Plasma soluble thrombomodulin and soluble endothelial protein C receptor levels in colorectal cancer patients

Cemil BİLİR, Ayla GÖKMEN, Hüseyin ENGİN, Serap TİLKİ ÜNAL, Yücel ÜSTÜNDAĞ

Comparison of the effects of intraarticular hyaluronic acid and antiinflammatory drug treatments on the surgical intervention rates in patients with gonarthrosis

Yalçın ERDOĞAN, İlhan GÜNAYDIN, Ayşe Yeşim GÖÇMEN, Murat KORKMAZ, Aylin OKUR

The effects of short-acting analogue insulins on body weight in patients with type 2 diabetes mellitus

Ertuğrul TAŞAN, Cumali KARATOPRAK, Adnan YAY, Servet YOLBAŞ, Mustafa ÇAKIRCA, Mehmet Ali ÇIKRIKCIOĞLU, Mehmet ZORLU, Muharrem KISKAÇ, Reha ERKOÇ

Impact of acute sleep deprivation on aortic elastic properties in healthy workers

Gökhan ALTUNBAŞ, İlyas AKDEMİR, Süleyman ERCAN, Selve ARSLAN, Vedat DAVUTOĞLU

Analysis of 161 adult patients with brucellosis

Meltem Arzu YETKİN, Aliye BAŞTUĞ, Esragül AKINCI, Hürrem BODUR, Bircan KAYAASLAN, Pınar ÖNGÜRÜ, Selim Sırrı EREN, Ayşe BUT

Compliance to treatment and reaching of metabolic goals are better in OAD-treated diabetics than insulin-treated diabetics in the Turkish population

Yüksel ALTUNTAŞ, Okcan BASAT, Emine ŞATIR, Sema UÇAK

Comparison of the efficacies of I-gelTM and LMA-ProSealTM for airway management in pediatric patients

İlker Öngüç AYCAN, Serbülent Gökhan BEYAZ, Adnan TÜFEK, Orhan TOKGÖZ, Feyzi ÇELİK, Abdulmenap GÜZEL, Mustafa Uğur YÜKSEL

Evaluation of the relationship between dental erosion and scintigraphically detected gastroesophageal reflux in patients with cerebral palsy

Özlem Martı AKGÜN, Günseli POLAT GÜVEN, Ceyhan ALTUN, İlker TURAN, Zülfikar POLAT

The outcomes of the pregnancies of lactating women

Mahmut Kuntay KOKANALI, Ahmet Akın SİVASLIOĞLU, Işık ÜSTÜNER, Özlem ŞENGÜL, Ayşe Filiz AVŞAR

The effect of combined treatment of alpha-tocopherol, ascorbic acid, and pyridoxine with NMDA blocker memantine on penicillin-induced epileptiform activity in rats

Mehmet YILDIRIM, Mustafa AYYILDIZ, Erdal AĞAR, Duygu AYDIN