Mean Blood Pressure Difference among Adolescents Based on Dyssomnia Types

Krisnarta Sembiring; Oke Rina Ramayani; Munar Lubis

doi:10.3889/oamjms.2018.068

Authors

Krisnarta Sembiring Department of Child Health, Medical School, University of Sumatera Utara, Medan http://orcid.org/0000-0001-7599-8045
Oke Rina Ramayani Department of Child Health, Medical School, University of Sumatera Utara, Medan
Munar Lubis Department of Child Health, Medical School, University of Sumatera Utara, Medan

DOI:

https://doi.org/10.3889/oamjms.2018.068

Keywords:

Blood pressure, Dyssomnia, Adolescent, Hypertension

Abstract

BACKGROUND: Dyssomnia is the most frequent sleep disturbance and associated with increased blood pressure. There has been no study determining the difference in mean blood pressure based on dyssomnia types among adolescents.

OBJECTIVE: To determine the difference in mean blood pressure among adolescents based on dyssomnia types.

METHODS: a Cross-sectional study was conducted in SMP Negeri 1 Muara Batang Gadis in April 2016. Samples were students having sleep disturbance based on Sleep Disturbance Scale for Children (SDSC) questionnaire. Stature and blood pressure data were collected along with demographic data and sleep disorder questionnaire. Analyses were done with Kruskal-Wallis test and logistic regression. P - value < 0.05 was considered significant.

RESULTS: Seventy-six samples were obtained with mean age 13.9 (SD 1.14) years - old. Dyssomnia proportion and hypertension were 72/76 and 20/76 respectively. Mean systolic (SBP) and diastolic blood pressure (DBP) was 111.1 (SD 16.46) mmHg and 70.3 (SD 11.98) mmHg respectively. Mean SDSC score was 49.7 (SD 8.96), and the most frequent dyssomnia type was disorders of initiating and maintaining sleep. Age and sex were not the risk factors of hypertension in dyssomnia. There was a significant difference in mean SBP (P = 0.006) and DBP (P = 0.022) based on dyssomnia types. Combination dyssomnia type had the highest mean blood pressure among dyssomnia types.

CONCLUSION: There is a significant difference in mean blood pressure among adolescents based on dyssomnia types.

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References

Soetjiningsih. Tumbuh kembang remaja. In: Soetjiningsih, Ranuh IGNG, editors. Tumbuh kembang anak. 2nd ed. Jakarta: EGC, 2012:116-24.

Barclay NL, Gehrman PR, Gregory AM, Eaves LJ, Silberg JL. Heritability of insomnia progression during childhood/adolescence: results from a longitudinal twin study. Sleep. 2015; 38:109-18. https://doi.org/10.5665/sleep.4334 PMid:25325458 PMCid:PMC4262942

Sundari TA, Windiani IGAT. Gangguan tidur pada anak. In: Soetjiningsih, Ranuh IGNG, editors. Tumbuh kembang anak. 2nd edition. Jakarta: EGC, 2012:337-53.

Cortese S, Ivanenko A, Ramtekkar U, Angriman M. Sleep disorder in children and adolescents: a practical guide. In: Rey JM, editor. IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Aliied Professions, 2014:1-34.

Natalita C, Sekartini R, Poesponegoro H. Skala gangguan tidur untuk anak (SDSC) sebagai instrumen skrining gangguan tidur pada anak sekolah lanjutan tingkat pertama. Sari Pediatri. 2011; 12:365-72. https://doi.org/10.14238/sp12.6.2011.365-72

Tanjung MFC, Sekartini R. Masalah tidur pada anak. Sari Pediatri. 2004; 6:138-42. https://doi.org/10.14238/sp6.3.2004.138-42

Bonuck K, Rao T, Xu L. Pediatric sleep disorders and special educational need at 8 years: a population-based cohort study. Pediatrics. 2012; 130:634-42. https://doi.org/10.1542/peds.2012-0392 PMid:22945405 PMCid:PMC3457621

Tavasoli A, Saeidi M, Hooman N. Correlation between sleep quality and blood pressure changes in Iranian children. J Compr Ped. 2015; 6:e24805. https://doi.org/10.17795/compreped-24805

Au CT, Ho CKW, Wing YK, Lam HS, Li AM. Acute and chronic effects of sleep duration on blood pressure. Pediatrics. 2014; 133:e64-72. https://doi.org/10.1542/peds.2013-1379 PMid:24344109

Inigo A, Lestari H, Masloman N, Lolombulan J. Melatonin level and sleep disorders in adolescents. Paediatr Indones. 2015; 55:215-18. https://doi.org/10.14238/pi55.4.2015.215-8

Sadock BJ, Sadock VA, Ruiz P. Normal sleep and sleep-wake disorders. In: Pataki CS, Sussman N, editors. Kaplan & Sadock's synopsis of psychiatry. 11th ed. Philadelphia: Lippincott Williams & Wilkins, 2015:533-63.

Touchette E. Factors associated with sleep problems in early childhood. In: Tremblay RE, Boivin M, Peters R, editors. Encyclopedia on early childhood development. Quebec: Centre of Excellence for Early Childhood Development and Strategic Knowledge Cluster on Early Child Development, 2011:1-8.

Haryono A, Rindiarti A, Arianti A, Pawitri A, Ushuluddin A, Setiawati A. Prevalensi gangguan tidur pada remaja usia 12-15 tahun di sekolah lanjutan tingkat pertama. Sari Pediatri. 2009; 11:149-54. https://doi.org/10.14238/sp11.3.2009.149-54

Sekarwana N, Rachmadi D, Hilmanto D, editors. Konsensus tatalaksana hipertensi pada anak. Jakarta: Unit Kerja Nefrologi Ikatan Dokter Anak Indonesia, 2011.

Siregar R, Siregar B, Ramayani OR, Ramayati R, Rusdidjas. Hipertensi pada anak dan remaja. In: Lubis M, Tobing TCL, Nafianti S, Ramayani OR, Wahyuni F, editors. Proceedings of Implementasi Klisin Pediatrik; 2014 Jan 6-7; Medan, North Sumatera. Medan: USU Press, 2014:129-30.

Kuciene R, Dulskiene V. Association of short sleep duration with prehypertension and hypertension among Lithuanian children and adolescents: a cross-sectional study. BMC Public Health. 2014; 14:255. https://doi.org/10.1186/1471-2458-14-255 PMid:24628980 PMCid:PMC3984754

Ewald DR, Haldeman LA. Risk factors in adolescent hypertension. Glob Pediatr Health. 2016; 3:2333794X15625159.

Narang I, Manlhiot C, Davies-Shaw J, Gibson D, Chahal N, Stearne K, st al. Sleep disturbance and cardiovascular risk in adolescents. CMAJ. 2012; 184:E913-20. https://doi.org/10.1503/cmaj.111589 PMid:23027917 PMCid:PMC3503924