Advanced age, prolonged hypertension duration, severe hypertension, sedentary lifestyle, and frequent pre-bedtime electronic device use are independently associated with sleep disorders in elderly hypertensive patients.
In a cross-sectional study of 528 elderly hypertensive patients, the prevalence of sleep disorders was 39.02%. Multivariate logistic regression identified advanced age (≥70 years), prolonged hypertension course (≥10 years), high hypertension grade (grade 2-3), lack of regular exercise, and frequent pre-bedtime electronic device use (≥3 times/week) as independent factors associated with sleep disorders (all P < 0.001).
Evidence Score
Study Evidence
Study 1. Sleep disorders among elderly hypertensive patients: associated factors and implications for management.
observationalHong C, Gu J, Cheng X, Jiang X, Wang Y, Zhao L · Frontiers in cardiovascular medicine (2026)
Result:
Mechanism Graph
Limitations
- ⚠Cross-sectional design prevents causal inference.
- ⚠Self-reported sleep disorder assessment may introduce recall bias.
- ⚠Single-center study limits generalizability.
- ⚠Confounding variables (e.g., medication use, comorbidities) not fully controlled.
Frequently Asked Questions
What is the prevalence of sleep disorders in elderly hypertensive patients?▼
The study found a prevalence of 39.02% (206 out of 528 patients).
Which factors are independently associated with sleep disorders in this population?▼
Advanced age (≥70 years), prolonged hypertension duration (≥10 years), high hypertension grade (grade 2-3), lack of regular exercise, and frequent pre-bedtime electronic device use (≥3 times/week).
Does this study prove that these factors cause sleep disorders?▼
No, the cross-sectional design only shows associations, not causation. Further longitudinal or interventional studies are needed.
What clinical implications does this study suggest?▼
The authors recommend integrated management including individualized blood pressure control, routine sleep assessment for high-risk groups, lifestyle interventions (e.g., exercise, reducing pre-bedtime screen use), and multidisciplinary collaboration.
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References
- 1.Hong C, Gu J, Cheng X, Jiang X, Wang Y, Zhao L. "Sleep disorders among elderly hypertensive patients: associated factors and implications for management.." Frontiers in cardiovascular medicine, 2026. PMID: 42519380 DOI: 10.3389/fcvm.2026.1769940