The association between sleep architecture, quality of life, and hypertension in patients withobstructive sleep apnea.

Abstract

The aim of this study was to investigate the association between hypertension and overnight polysomnography measures of sleep duration, sleep architecture, and quality of life (QoL) in patients withobstructive sleep apnea (OSA). Participants were patientssuspected of havingOSA with orwithout hypertension. All patients underwent overnight polysomnography and completed the Epworth Sleepiness Scale (ESS), Self-Rating Anxiety Scale, Self-Rating Depression Scale, and 12-item Short-Form Health Survey. Of 128 patients (mean age 46.2 ± 12.5years), 53% had hypertension. The average total sleep duration was 344min (standard deviation 90) or 5.7h and sleep efficiency was < 70%. There was no significant difference between patients withOSA with/without hypertension in total sleep duration, sleep architecture, anxiety, depression, ESS scores, or QoL. In patients withOSA, nocturnal minimum oxygen saturation was significantly negatively correlated with bodily pain and physical component summary (PCS) scores; mean nocturnal saturation was negatively correlated with bodily pain and social function; anxiety showed a significant negative correlation with role emotional; and depression was significantly negatively correlated with physical function, role physical, general health, role emotional, PCS, and mental component summary (MCS) scores. In the group withOSA and hypertension, N3 duration was negatively correlated with social function, mental health, and MCS scores. Anxiety was significantly negatively correlated with physical function, role physical, vitality, mental health, role emotional, PCS, and MCS scores. Depression was significantly negatively correlated with physical function, role physical, vitality, mental health, role emotional, PCS, and MCS scores. In patients withmild, moderate, and severe OSA, QoLwas associated with depression. In mild OSA, PCS was correlated with ESS and anxiety. In moderate OSA, MCS was correlated with apnea-hypopnea index scores. In severe OSA, MCS and PCS were correlated with anxiety. There were no significant associations between the presence of hypertension and total sleep duration, sleep architecture, or QoL in patients withOSA. However, hypertension may affect the influencing factors of QoL in patients withOSA. Further cohort studies are needed to confirm these findings.