Sleep disorders among elderly hypertensive patients: associated factors and implications for management - Report - MDSpire

Sleep disorders among elderly hypertensive patients: associated factors and implications for management

  • By

  • Cheng Hong

  • Jiaying Gu

  • Xiaohua Cheng

  • Xuechun Jiang

  • Yun Wang

  • Lijuan Zhao

  • July 6, 2026

  • 0 min

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Clinical Report: Sleep Disturbances in Older Adults with Hypertension

Overview

This study identifies the prevalence and contributing factors of sleep disorders in elderly hypertensive patients, finding a significant association with advanced age, prolonged hypertension, and lifestyle factors.

Background

Sleep disorders are prevalent among elderly patients with hypertension, affecting their quality of life and complicating disease management. The interaction between hypertension and sleep disturbances can exacerbate health outcomes.

Data Highlights

FactorAssociation
Prevalence of sleep disorders39.02% (206/528)
Age (≥70 years)Independent association
Hypertension course (≥10 years)Independent association
Hypertension grade (grade 2–3)Independent association
Lack of regular exerciseIndependent association
Pre-bedtime electronic device use (≥3 times/week)Independent association

Key Findings

  • The prevalence of sleep disorders in elderly hypertensive patients is 39.02%.
  • Advanced age (≥70 years) is independently associated with sleep disorders.
  • A prolonged hypertension course (≥10 years) correlates with increased sleep disturbances.
  • Higher hypertension grades (grade 2–3) are linked to sleep disorders.
  • Lack of regular exercise is a significant factor in sleep disturbances.
  • Frequent pre-bedtime electronic device use (≥3 times/week) is associated with sleep disorders.

Clinical Implications

Healthcare providers should incorporate routine sleep assessments for elderly hypertensive patients and consider lifestyle interventions as part of hypertension management. A multidisciplinary approach may enhance patient outcomes by addressing both hypertension and sleep health.

Conclusion

The findings indicate a high prevalence of sleep disorders in elderly hypertensive patients.

Related Resources & Content

  1. Drugs - Real World Outcomes, 2015 -- Effects of Hospital Admissions on Antihypertensive Medication Management in Elderly Patients
  2. Frontiers in Psychiatry, 2026 -- The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study
  3. conexiant -- Sleep Apnea Linked to Mental Health Risk
  4. Frontiers in Medicine, 2026 -- The Impact of Self-management Ability on Oral Frailty in Older Adults with Hypertension: The Chain Mediating Role of Anxiety and Nutritional Status
  5. American College of Cardiology, 2025 -- New High Blood Pressure Guideline Emphasizes Prevention, Early Treatment to Reduce CVD Risk
  6. American College of Cardiology, 2024 -- 2024 ESC Guidelines for Management of Elevated BP and Hypertension: Key Points
  7. American Heart Association -- Sleep matters: duration, timing, quality and more may affect cardiovascular disease risk
  8. New High Blood Pressure Guideline Emphasizes Prevention, Early Treatment to Reduce CVD Risk - American College of Cardiology
  9. 2024 ESC Guidelines for Management of Elevated BP and Hypertension: Key Points - American College of Cardiology
  10. Sleep matters: duration, timing, quality and more may affect cardiovascular disease risk | American Heart Association
  11. Effects of CPAP on Blood Pressure Parameter Across Different Severities of Obstructive Sleep Apnoea: A Meta‐Analysis
  12. Efficacy and safety of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea: an overview of systematic reviews and meta analyses - PMC
  13. The Association Between Sleep Duration and the Risk of Hypertension: A Systematic Review and Meta-analysis of Cohort Studies - PubMed
  14. Effect of antihypertensive agents on sleep apnea and ambulatory blood pressure in patients with hypertension: A randomized controlled trial - ScienceDirect
  15. The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea (Insomnia/OSA) (2025) - VA/DOD Clinical Practice Guidelines
  16. https://aasm.org/wp-content/uploads/2026/02/central-sleep-apnea-guideline-AASM-2025.pdf
  17. 2023 American Geriatrics Society Beers Criteria

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