Department of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
West J Nurs Res. 2020 Jul;42(7):567-576. doi: 10.1177/0193945919868143. Epub 2019 Aug 27.
This systematic review and meta-analysis aimed to examine the effect of sleep restriction on blood pressure (BP) among healthy adults. Randomized controlled trials (RCTs) using partial sleep deprivation were included. The pooled effect size was calculated by the inverse variance method, and forest plot was used. Six studies were included (n = 10-43). Only one study obtained continuous BP readings. Overall, sleep restriction did not result in significant changes in systolic blood pressure (SBP) or diastolic blood pressure (DBP) and heart rate (HR). The respective weighted mean difference (MD) was 1.0 mmHg (95%CI, -2.3-4.2; p = 0.57), -0.4 mmHg (95%CI, -3.2-2.4; p = 0.80), and 2.0 bpm (95%CI, -2.2-6.2; p = 0.34). There is preliminary evidence suggesting that sleep restriction might affect sympathetic/parasympathetic modulation of cardiac autonomy and the inflammatory system. In this review, we did not find significant effects of sleep restriction on BP or HR measured by cross-sectional methods. More studies are warranted to confirm these findings by using continuous monitoring.
这篇系统综述和荟萃分析旨在探讨睡眠限制对健康成年人血压（BP）的影响。纳入了使用部分睡眠剥夺的随机对照试验（RCT）。采用逆方差法计算汇总效应量，并使用森林图表示。共纳入 6 项研究（n = 10-43）。只有一项研究获得了连续血压读数。总体而言，睡眠限制并未导致收缩压（SBP）、舒张压（DBP）或心率（HR）有显著变化。相应的加权均数差值（MD）分别为 1.0 mmHg（95%CI，-2.3-4.2；p = 0.57）、-0.4 mmHg（95%CI，-3.2-2.4；p = 0.80）和 2.0 bpm（95%CI，-2.2-6.2；p = 0.34）。有初步证据表明，睡眠限制可能会影响心脏自主的交感/副交感神经调制和炎症系统。在本综述中，我们未发现睡眠限制对通过横断面方法测量的 BP 或 HR 有显著影响。需要更多的研究来通过连续监测来证实这些发现。
