The Relationship Between Insomnia and Hypertension
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https://doi.org/10.5281/zenodo.14238911Keywords:
Sleep Disorder, Insomnia, Hypertension, VitaminAbstract
Objective: Sleep, which accounts for approximately one-third of our lives, is an important part of our daily lives. Sleep disorders are associated with a variety of mental and physical health problems. Common sleep disorders include insomnia, obstructive sleep apnea syndrome, and narcolepsy. Insomnia is the most common among these, and its main symptoms are difficulty falling asleep, difficulty maintaining sleep, early awakening, decrease in sleep quality, decrease in total sleep time and accompanied by daytime dysfunction. Insomnia generally has a negative effect on blood pressure through psychogenic, neurogenic and humoral pathways. The aim of our study is to investigate the frequency of insomnia, which we consider to be an important problem in hypertensive patients, and to comprehensively discuss its relationship with vitamin B12 and vitamin D in the light of the relevant literature.
Materials and Methods: In our study, the frequency of insomnia was investigated in 108 adult patients with hypertension between March 2020 and November 2023. In addition to the routine laboratory and radiological examinations of the patients, vitamin D, vitamin B12, magnesium and folate levels were also investigated.
Results: Of the 108 patients accepted to our study, 48 were men and 60 were women. Their ages ranged from 36 to 81 years, with a median age of 61.14±10.32 years. A total of 24 patients (22.2%), 14 of whom were women, had insomnia. The average age of patients with insomnia was significantly higher. The mean vitamin D and vitamin B12 levels were significantly lower in those with insomnia (p<0.05).
Conclusion: Since insomnia is common in hypertensive patients, it is important to investigate sleep status by taking a detailed anamnesis in each hypertensive patient. Insomnia in hypertension patients should be identified early and managed. Likewise, the diagnosis and treatment of hypertension should not be delayed in those with insomnia. Further studies are needed to elucidate the exact mechanisms between insomnia and hypertension.
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