Periodic limb movements during sleep and risk of hypertension: A systematic review.

dc.contributor.author

Srivali, Narat

dc.contributor.author

Thongprayoon, Charat

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Tangpanithandee, Supawit

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Krisanapan, Pajaree

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Mao, Michael A

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Zinchuk, Andrey

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Koo, Brain B

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Cheungpasitporn, Wisit

dc.date.accessioned

2023-11-23T12:29:34Z

dc.date.available

2023-11-23T12:29:34Z

dc.date.issued

2023-02

dc.date.updated

2023-11-23T12:29:32Z

dc.description.abstract

Background

Several studies suggest an association between periodic limb movements during sleep (PLMS) and hypertension; however, a systematic evaluation of this relationship is lacking.

Methods

We conducted a systematic review and meta-analysis of observational studies that reported odds ratio, relative risk, hazard ratio, or standardized incidence ratio, comparing the risk of hypertension in persons with PLMS (defined by the level of periodic limb movements per hour of sleep depended on individual studies) versus those without PLMS. After assessing heterogeneity and bias, the pooled risk ratio and 95% confidence intervals (CIs) were determined using a random-effect, generic inverse variance method of DerSimonian and Laird.

Results

Out of 572 potentially relevant articles, six eligible studies were included in the data analysis. Studies (6 cross-sectional) included 8949 participants. The statistical heterogeneity of this study was insignificant, with an I2 of 0%. A funnel plot and Egger's regression asymmetry test showed no publication bias with P-value ≥0.05. The pooled risk ratio of hypertension in patients with PLMS was 1.26 (95% CI, 1.12-1.41).

Conclusions

Our analysis demonstrates an increased hypertension risk among patients with PLMS. Prospective or interventional studies are needed to confirm this association.
dc.identifier

S1389-9457(23)00010-2

dc.identifier.issn

1389-9457

dc.identifier.issn

1878-5506

dc.identifier.uri

https://hdl.handle.net/10161/29396

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Sleep medicine

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10.1016/j.sleep.2023.01.008

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Humans

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Nocturnal Myoclonus Syndrome

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Hypertension

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Polysomnography

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Prospective Studies

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Cross-Sectional Studies

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Sleep

dc.title

Periodic limb movements during sleep and risk of hypertension: A systematic review.

dc.type

Journal article

duke.contributor.orcid

Srivali, Narat|0000-0002-6945-329X

pubs.begin-page

173

pubs.end-page

179

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

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Clinical Science Departments

pubs.organisational-group

Medicine

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Medicine, Pulmonary, Allergy, and Critical Care Medicine

pubs.publication-status

Published

pubs.volume

102

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