CHARACTERISTICS OF THE CHRONOTYPE, THE LEVEL OF DAYTIME SLEEPNESS AND DISPOSITIONAL OPTIMISM IN PATIENTS WITH ARTERIAL HYPERTENSION DEPEND ON THE PRESENCE OF THE COMPONENTS OF THE METABOLIC SYNDROME
DOI:
https://doi.org/10.11603/2411-1597.2023.2.14325Keywords:
arterial hypertension, metabolic syndrome, dyslipidemia, hyperglycemia, obesity, dispositional optimism, chronotype, daytime sleepinessAbstract
The results of studies on the association of psychological components of health with metabolic disorders in patients with arterial hypertension remain ambiguous.
The aim of the study – to establish the characteristics of the chronotype, level of daytime sleepiness and dispositional optimism in patients with arterial hypertension (AH) depending on the presence of components of the metabolic syndrome (MS).
The main part. 42 patients diagnosed with stage 2 essential arterial hypertension (AH) were included in the study. The validated questionnaire “Composite Scale of Morningness” was used to study the chronotype, the level of daytime sleepiness was assessed according to the data of the Epworth questionnaire, dispositional optimism (LOT-R) was assessed according to the questionnaire adapted from O.A. Sychov. The concentration of glucose and triacylglycerols was determined using standard kits. The evening chronotype prevailed in patients with hypertension diagnosed with MS, the intermediate and morning chronotypes were significantly less common in patients, which probably differed from the data of patients without MS. It is also worth noting the statistically significant difference between the distribution of severity of daytime sleepiness in patients with hypertension depending on the presence/absence of MS. Thus, the share of patients with hypertension and severe daytime sleepiness in the presence of MS exceeded the similar data of patients without MS by 31.36 %. At the same time, daytime sleepiness was established in all patients with hypertension and MS. The level of optimism / pessimism in patients with hypertension did not depend on the presence of MS.
Conclusions. In hypertensive patients with metabolic syndrome and its components, psychological indicators (dispositional optimism/pessimism and level of daytime sleepiness) are likely to worsen compared to patients without metabolic syndrome.
References
Senarathne, R., Hettiaratchi, U., Dissanayake, N, Hafiz, R., Zaleem, S., & Athiththan, L. (2021). Metabolic syndrome in hypertensive and non-hypertensive subjects. Health Science Reports, 4 (4), 454. DOI: https://doi.org/10.1002/hsr2.454
Bennett, W.C., Collins, K.A., Johnson, J.L., Slentz, C.A., Willis, L.H., Bales, C.W. (2023). Effects of exercise amount and intensity versus a combined exercise and lifestyle intervention on metabolic syndrome in adults with prediabetes: a STRRIDE-PD randomized trial. Frontiers in Physiology, 14. DOI: https://doi.org/10.3389/fphys.2023.1199763
Bamekhlah, R.M., & Alghazali, H.S. (2018). Prevalence of Metabolic Syndrome among Hypertensive Patients in Hadhramout, Republic of Yemen. HUJNAS, 12(4). DOI: https://doi.org/10.4103/HMJ.HMJ_20_19
Osuji, C.U., & Omejua, E.G. (2012). Prevalence and characteristics of the metabolic syndrome among newly diagnosed hypertensive patients. Indian J. Endocrinol. Metab., 16(1), 104-109. DOI: https://doi.org/10.4103/2230-8210.94256
Cespedes Feliciano, E.M., Quante, M., Rifas-Shiman, S.L., Redline, S., Oken, E., & Taveras, E.M. (2018). Objective sleep characteristics and cardiometabolic health in young adolescents. Pediatrics, 142(1). DOI: https://doi.org/10.1542/peds.2017-4085
Merikanto, I., Lahti, T., Puolijoki, H., Vanhala, M., Peltonen, M., & Laatikainen, T. (2013). Associations of chronotype and sleep with cardiovascular diseases and type 2 diabetes. Chronobiology international, 30(4), 470-477. DOI: https://doi.org/10.3109/07420528.2012.741171
Ramos, A.R., Weng, J., Wallace, D.M., Petrov, M.R., Wohlgemuth, W.K., & Sotres-Alvarez, D. (2018). Sleep patterns and hypertension using actigraphy in the Hispanic community health study/ study of Latinos. Chest, 153(1), 87-93. DOI: https://doi.org/10.1016/j.chest.2017.09.028
Hashemipour, S., Yazdi, Z., & Mahabad, N. Association of evening chronotype with poor control of type 2 diabetes: roles of sleep duration and insomnia level. International Journal of Endocrinology and Metabolism, 18(3). DOI: https://doi.org/10.5812/ijem.99701
Knutson, K.L., Wu, D., Patel, S.R., Loredo, J.S., Redline, S., & Cai, J. (2017) Association between sleep timing, obesity, diabetes: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) cohort study. Sleep, 40(4). DOI: https://doi.org/10.1093/sleep/zsx014
Williams, B., Mancia, G., & Spiering, W. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European heart journal, 39(33), 3021-3104. DOI: https://doi.org/10.1093/eurheartj/ehy439
Senyk, O., Jankowski, K., & Cholii, S. (2022) Ukrainian versions of the Composite Scale of Morningness and Munich Chronotype Questionnaire. Biological Rhythm Research, 53(6), 878-896. DOI: https://doi.org/10.1080/09291016.2020.1788807
Johns, M.N. (1992). A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep, 14(6), 540-545. DOI: https://doi.org/10.1093/sleep/14.6.540
Scheier, M.F., Carver, C.S., & Bridges, M.W. (1994). Distinguishing optimism from neuroticism and trait anxiety, self-mastery, and self-esteem: A reevaluation of the Life Orientation Test. Journal of personality and social psychology, 67(6), 1063-1078. DOI: https://doi.org/10.1037//0022-3514.67.6.1063
Gordeeva, T.O., Sychev, O.A., & Osin, E.N. (2010). Development of a russian version of the Dispositional Optimism Test (LOT). Psychological diagnostics, 2, 36-64.
Piepoli, M.F., Hoes, A.W., & Agewall, S. (2016). 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). European Heart Journal, 37(29), 2315-2381. DOI: https://doi.org/10.1093/eurheartj/ehw106
Isayeva, G.S., & Buryakovska, O.O. (2020). Zvyazok mizh tyazhkistyu porushen snu, pokaznykamy lipidnoho obminu i antropometrychnymy kharakterystykamy u khvorykh na hipertonichnu khvorobu z metabolichnym syndromom [The relationship between the severity of sleep disturbances, indicators of lipid metabolism and anthropometric characteristics in hypertensive patients with metabolic syndrome]. Ukr. kardiol. Zhurn. – Ukrainian Journal of Cardiology, 27(2), 25-33 [in Ukrainian]. DOI: https://doi.org/10.31928/1608-635X-2020.2.2533
Tindle, H.A., Duncan, M.S., & Liu, S. (2018). Optimism, pessimism, cynical hostility, and biomarkers of metabolic function in the Women’s Health Initiative. Journal of diabetes, 10(6), 512-523. DOI: https://doi.org/10.1111/1753-0407.12584
Wang, F., Han, L., & Hu, D. (2017). Fasting insulin, insulin resistance and risk of hypertension in the general population: A meta-analysis. Clinica Chimica Acta, 464, 57-63. DOI: https://doi.org/10.1016/j.cca.2016.11.009
Roy, B., Diez-Roux, A.V., Seeman, T., Ranjit, N., Shea, S., & Cushman, M. (2010). The association of optimism and pessimism with inflammation and hemostasis in the Multi-Ethnic Study of Atherosclerosis (MESA). Psychosom. Med., 72, 134-140. DOI: https://doi.org/10.1097/PSY.0b013e3181cb981b
Raikkonen, K., Matthews, K.A., Flory, J.D., Owens, J.F., & Gump, B.B. (1999). Effects of optimism, pessimism, and trait anxiety on ambulatory blood pressure and mood during everyday life. Journal of Personality and Social Psychology, 76, 104-113. DOI: https://doi.org/10.1037//0022-3514.76.1.104
Raikkonen, K., Matthews, K.A., & Kuller, L.H. (2002). The relationship between psychological risk attributes and the metabolic syndrome in healthy women: Antecedent or consequence? Metabolism, 51, 1573-1577. DOI: https://doi.org/10.1053/meta.2002.36301
Progovac, A.M., Chang, Y.F., & Chang, C.H. (2017). Are optimism and cynical hostility associated with smoking cessation in older women? Annals of behavioral medicine: a publication of the Society of Behavioral Medicine, 51(4), 500-510. DOI: https://doi.org/10.1007/s12160-016-9873-x
Hingle, M.D., Wertheim, B.C., & Tindle, H.A. (2014). Optimism and diet quality in the Women’s Health Initiative. Journal of the Academy of Nutrition and Dietetics, 114(7), 1036-1045. DOI: https://doi.org/10.1016/j.jand.2013.12.018
Tindle, H.A., Chang, Y.-F., & Kuller, L.H. (2009). Optimism, cynical hostility, and incident coronary heart disease and mortality in the Women’s Health Initiative. Circulation, 120, 656-662. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.827642
Hernandez, R., Kershaw, K.N., Siddique, J., Boehm, J.K., Kubzansky, L.D., & Diez-Roux, A. (2015). Optimism and Cardiovascular Health: Multi-Ethnic Study of Atherosclerosis (MESA). Health behavior and policy review, 2(1), 62-73. DOI: https://doi.org/10.14485/HBPR.2.1.6
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Nursing
This work is licensed under a Creative Commons Attribution 4.0 International License.
