sredobЗдоровье населения и среда обитания – ЗНиСОPublic Health and Life Environment – PH&LE2219-52382619-0788ФБУЗ ФЦГиЭ Роспотребнадзора10.35627/10.35627/2219-5238/2026-34-3-14-20sredob-2709Research ArticleСОЦИОЛОГИЯ МЕДИЦИНЫMEDICAL SOCIOLOGYВлияние качества ночного сна на риск развития гипертонии у взрослого населения сельской местностиThe Impact of Nighttime Sleep Quality on the Risk of Hypertension in the Rural Adult Populationhttps://orcid.org/0009-0007-2784-099XРахмадиантоР. Х.RahmadiantoR. C.

Рахмадианто Рико Цезарь, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Riko Caesar Rahmadianto, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

riko.caesar.rahmadianto-2023@fk.unair.ac.idhttps://orcid.org/0009-0006-5641-8926МастуроН. Ф.MasturoN. F.

Мастуро Нур Файзах, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Nur Faizah Masturo, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

nur.faizah.masturo-2023@fk.unair.ac.idhttps://orcid.org/0009-0001-2836-6552ХернандоД.HernandoD.

Хернандо Девин, бакалавр медицинских наук, студент медицинского факультета Универ

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Devin Hernando, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

devin.hernando-2023@fk.unair.ac.idhttps://orcid.org/0009-0001-2836-6552ЛарасатиА.LarasatiA.

Ларасати Азкарида, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Azkarida Larasati, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

azkarida.larasati-2023@fk.unair.ac.idhttps://orcid.org/0009-0001-7753-847XАдимастоТ.AdimastoT.

Адимасто Титус, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Titus Adimasto, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

titus.adimasto-2023@fk.unair.ac.idhttps://orcid.org/0009-0009-7358-8056ЗакинахВ. А.ZaqinahV. A.

Закинах Вадилан Амалиах, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Vadilan Amaliah Zaqinah, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

vadilan.amaliah.zaqinah-2023@fk.unair.ac.idhttps://orcid.org/0009-0005-5449-4856ПутриН. М.PutriN. M.

Путри Наташа Мисиэль, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Natasha Misyelle Putri, BMedSci, Medical Student, Faculty of Medicine

47 Prof. Dr. Moestopo Street, Surabaya, 60132

natasha.misyelle.putri-2023@fk.unair.ac.idhttps://orcid.org/0009-0000-8038-2536ДиллакоцитаА.DillacocytaA.

Диллакоцита Арделия, бакалавр медицинских наук, студент

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Ardelia Dillacocyta, BMedSci, Medical Student

47 Prof. Dr. Moestopo Street, Surabaya, 60132

ardelia.dillacocyta-2023@fk.unair.ac.idhttps://orcid.org/0000-0001-6047-7669МейдьянаШ.MeidyanaS.

Мейдьяна Шафира, магистр медицинских наук, доцент 

ул. Проф. Моэстопо, д. 47, Сурабая, 60132

Shafira Meidyana, MD, MSc, Associate Professor

47 Prof. Dr. Moestopo Street, Surabaya, 60132

shafirameidyana@fk.unair.ac.idМедицинский факультет Университета АирлангаИндонезияFaculty of Medicine, Universitas AirlanggaIndonesiaКафедра общественного здравоохранения и профилактической медицины, Медицинский факультет Университета АирлангаИндонезияDepartment of Public Health and Preventive Medicine, Faculty of Medicine, Universitas AirlanggaIndonesia2026100420263431420Copyright © Рахмадианто Р.Х., Мастуро Н.Ф., Хернандо Д., Ларасати А., Адимасто Т., Закинах В.А., Путри Н.М., Диллакоцита А., Мейдьяна Ш., 20262026Рахмадианто Р.Х., Мастуро Н.Ф., Хернандо Д., Ларасати А., Адимасто Т., Закинах В.А., Путри Н.М., Диллакоцита А., Мейдьяна Ш.Rahmadianto R.C., Masturo N.F., Hernando D., Larasati A., Adimasto T., Zaqinah V.A., Putri N.M., Dillacocyta A., Meidyana S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://zniso.fcgie.ru/jour/article/view/2709Введение

Введение. Сон необходим для поддержания нормального функционирования системы кровообращения, однако в связи с растущими потребностями в экономической активности и повышении производительности труда современное население, проживающее как в городской, так и в сельской местности, сталкивается с увеличением распространенности нарушений сна, представляющих потенциальный риск развития сердечно-сосудистых заболеваний, включая гипертонию. 

Цель исследования

Цель исследования: провести анализ зависимости между качеством сна и риском развития гипертонии у взрослых жителей сельской местности муниципалитета Мадиун в Индонезии. 

Материалы и методы

Материалы и методы. В поперечном исследовании принял участие 71 сельский житель Мадиуна в возрасте от 18 лет. Качество сна измерялось с помощью Питтсбургского индекса качества сна (PSQI). Данные анализировались с использованием бивариантного анализа и многомерной логистической регрессии.

Результаты

Результаты. Распространенность гипертонии и плохого качества сна составила 53,5 и 39,4 % соответственно. Качество сна было статистически значимо связано с гипертонией, относительный риск развития которой с поправкой на возраст был вдвое выше среди молодых участников (≤ 40 лет) с плохим качеством сна (3,11) по сравнению с самыми возрастными опрошенными старше 60 лет (1,27). Риск развития гипертонии, обусловленный качеством сна, не зависел от пола, индекса массы тела, семейного анамнеза заболевания и статуса курения.

Заключение

Заключение. Качество сна влияет на риск развития гипертонии независимо от возраста, пола, ИМТ, семейного анамнеза и статуса курения.

Introduction

Introduction: Sleep is essential for maintaining our physiological circulatory systems. However, with the increasing need for economic activities and productivity, our modern-day population is faced with the rising prevalence of sleep disorders, both in urban and rural communities. This poses a potential risk in cardiovascular disease development, including hypertension.

Objective

Objective: To analyze the association between sleep quality and hypertension risk among adults in the rural area of Madiun, Indonesia.

Materials and Methods

Materials and Methods: This cross-sectional study included 71 participants aged 18 or older from rural communities in Madiun, Indonesia. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using bivariate analysis and multivariate logistic regression.

Results

Results: The prevalence of hypertension and poor sleep quality was 53.5 % and 39.4 %, respectively. Sleep quality was significantly associated with hypertension, with a doubled risk of having hypertension among the youngest adults with poor sleep quality compared to the oldest group in age-adjusted risk (RR for ≤ 40 years old = 3.11 and RR for > 60 years old = 1.27). The associated risk of hypertension posed by sleep quality was independent of sex, BMI, family history, and smoking status.

Conclusion

Conclusion: sleep quality affects hypertension risk despite age, sex, BMI, family history, and smoking status.

гипертониякачество снаПиттсбургский индекс качества сна (PSQI)трудоспособный возрастИндонезияhypertensionsleep qualityPSQIproductive ageIndonesiaReferencesMills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-237. doi: 10.1038/s41581-019-0244-2Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-237. doi: 10.1038/s41581-019-0244-2Kario K, Okura A, Hoshide S, Mogi M. The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertens Res. 2024;47(5):1099-1102. doi: 10.1038/s41440-024-01622-wKario K, Okura A, Hoshide S, Mogi M. The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertens Res. 2024;47(5):1099-1102. doi: 10.1038/s41440-024-01622-wKusuma Y, Venketasubramanian N, Kiemas LS, Misbach J. Burden of stroke in Indonesia. Int J Stroke. 2009;4(5):379-380. doi: 10.1111/j.1747-4949.2009.00326.xKusuma Y, Venketasubramanian N, Kiemas LS, Misbach J. Burden of stroke in Indonesia. Int J Stroke. 2009;4(5):379-380. doi: 10.1111/j.1747-4949.2009.00326.xLegramante JM, Galante A. Sleep and hypertension: A challenge for the autonomic regulation of the cardio vascular system. Circulation. 2005;112(6):786-788. doi: 10.1161/CIRCULATIONAHA.105.555714Legramante JM, Galante A. Sleep and hypertension: A challenge for the autonomic regulation of the cardio vascular system. Circulation. 2005;112(6):786-788. doi: 10.1161/CIRCULATIONAHA.105.555714Tang A, Yang E, Ebinger JE. Non-dipping blood pressure or nocturnal hypertension: Does one matter more? Curr Hypertens Rep. 2024;26(1):21-30. doi: 10.1007/S11906-023-01273-1Tang A, Yang E, Ebinger JE. Non-dipping blood pressure or nocturnal hypertension: Does one matter more? Curr Hypertens Rep. 2024;26(1):21-30. doi: 10.1007/S11906-023-01273-1Grassi G, Seravalle G, Quarti-Trevano F, et al. Adrenergic, metabolic, and reflex abnormalities in reverse and extreme dipper hypertensives. Hypertension. 2008;52(5):925-931. doi: 10.1161/HYPERTENSIONAHA.108.116368Grassi G, Seravalle G, Quarti-Trevano F, et al. Adrenergic, metabolic, and reflex abnormalities in reverse and extreme dipper hypertensives. Hypertension. 2008;52(5):925-931. doi: 10.1161/HYPERTENSIONAHA.108.116368Sherwood A, Steffen PR, Blumenthal JA, Kuhn C, Hinder liter AL. Nighttime blood pressure dipping: The role of the sympathetic nervous system. Am J Hypertens. 2002;15 (2 Pt 1):111-118. doi: 10.1016/S0895-7061(01)02251-8Sherwood A, Steffen PR, Blumenthal JA, Kuhn C, Hinder liter AL. Nighttime blood pressure dipping: The role of the sympathetic nervous system. Am J Hypertens. 2002;15 (2 Pt 1):111-118. doi: 10.1016/S0895-7061(01)02251-8Kario K, Hoshide S, Mizuno H, et al.; JAMP Study Group. Nighttime blood pressure phenotype and cardiovascular prognosis: Practitioner-based nationwide JAMP study. Circulation. 2020;142(19):1810-1820. doi: 10.1161/CIRCULATIONAHA.120.049730Kario K, Hoshide S, Mizuno H, et al.; JAMP Study Group. Nighttime blood pressure phenotype and cardiovascular prognosis: Practitioner-based nationwide JAMP study. Circulation. 2020;142(19):1810-1820. doi: 10.1161/CIRCULATIONAHA.120.049730Yuan Y, Heizhati M, Wang L, et al. Poor sleep qua lity is associated with new-onset hypertension in a diverse young and middle-aged population. Sleep Med. 2021;88:189-196. doi: 10.1016/J.SLEEP.2021.10.021Yuan Y, Heizhati M, Wang L, et al. Poor sleep qua lity is associated with new-onset hypertension in a diverse young and middle-aged population. Sleep Med. 2021;88:189-196. doi: 10.1016/J.SLEEP.2021.10.021Chen S, Song X, Shi H, et al. Association between sleep quality and hypertension in Chinese adults: A cross-sectional analysis in the Tianning Cohort. Nat Sci Sleep. 2022;14:2097-2105. doi: 10.2147/NSS.S388535Chen S, Song X, Shi H, et al. Association between sleep quality and hypertension in Chinese adults: A cross-sectional analysis in the Tianning Cohort. Nat Sci Sleep. 2022;14:2097-2105. doi: 10.2147/NSS.S388535Akpan EE, Ekrikpo UE, Udo AIA, Bassey BE. Prevalence of hypertension in Akwa Ibom State, South-South Nigeria: Rural versus urban communities study. Int J Hypertens. 2015;2015:975819. doi: 10.1155/2015/975819Akpan EE, Ekrikpo UE, Udo AIA, Bassey BE. Prevalence of hypertension in Akwa Ibom State, South-South Nigeria: Rural versus urban communities study. Int J Hypertens. 2015;2015:975819. doi: 10.1155/2015/975819Samanic CM, Barbour KE, Liu Y, et al. Prevalence of self-reported hypertension and antihypertensive medication use by county and rural-urban classification – United States, 2017. MMWR Morb Mortal Wkly Rep. 2020;69(18):533-539. doi: 10.15585/mmwr.mm6918a1Samanic CM, Barbour KE, Liu Y, et al. Prevalence of self-reported hypertension and antihypertensive medication use by county and rural-urban classification – United States, 2017. MMWR Morb Mortal Wkly Rep. 2020;69(18):533-539. doi: 10.15585/mmwr.mm6918a1Roshifanni S. Risk of hypertension in people with poor sleep pattern (study in Puskesmas Tanah Kalikedinding Surabaya). Jurnal Berkala Epidemiologi. 2016;4(3):408-419. (In Indonesian.) doi: 10.20473/jbe.v4i3Roshifanni S. Risk of hypertension in people with poor sleep pattern (study in Puskesmas Tanah Kalikedinding Surabaya). Jurnal Berkala Epidemiologi. 2016;4(3):408-419. (In Indonesian.) doi: 10.20473/jbe.v4i3Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4Prevalensi, Dampak, serta Upaya Pengendalian Hipertensi dan Diabetes di Indonesia. Badan Kebijakan Pemban gunan Kesehatan, Jakarta, Republik Indonesia; 2024. (In Indonesian.) Accessed January 28, 2026. https://repository.badankebijakan.kemkes.go.id/id/eprint/5536/Prevalensi, Dampak, serta Upaya Pengendalian Hipertensi dan Diabetes di Indonesia. Badan Kebijakan Pemban gunan Kesehatan, Jakarta, Republik Indonesia; 2024. (In Indonesian.) Accessed January 28, 2026. https://repository.badankebijakan.kemkes.go.id/id/eprint/5536/Camacho PA, Gomez-Arbelaez D, Molina DI, et al. Social disparities explain differences in hypertensi on prevalence, detection and control in Colombia. J Hypertens. 2016;34(12):2344-2352. doi: 10.1097/HJH.0000000000001115Camacho PA, Gomez-Arbelaez D, Molina DI, et al. Social disparities explain differences in hypertensi on prevalence, detection and control in Colombia. J Hypertens. 2016;34(12):2344-2352. doi: 10.1097/HJH.0000000000001115Gelassa FR, Birhanu A, Shibiru A, Nagari SL, Jabena DE. Undiagnosed status and associated factors of hypertension among adults living in rural of central, Ethiopia, 2020: Uncovering the hidden magnitude of hypertension. PLoS One. 2022;17(12):e0277709. doi: 10.1371/journal.pone.0277709Gelassa FR, Birhanu A, Shibiru A, Nagari SL, Jabena DE. Undiagnosed status and associated factors of hypertension among adults living in rural of central, Ethiopia, 2020: Uncovering the hidden magnitude of hypertension. PLoS One. 2022;17(12):e0277709. doi: 10.1371/journal.pone.0277709Chouchou F, Pichot V, Pépin JL, et al.; PROOF Study Group. Sympathetic overactivity due to sleep frag mentation is associated with elevated diurnal systolic blood pressure in healthy elderly subjects: The PROOF- SYNAPSE study. Eur Heart J. 2013;34(28):2122-2131. doi: 10.1093/eurheartj/eht208Chouchou F, Pichot V, Pépin JL, et al.; PROOF Study Group. Sympathetic overactivity due to sleep frag mentation is associated with elevated diurnal systolic blood pressure in healthy elderly subjects: The PROOF- SYNAPSE study. Eur Heart J. 2013;34(28):2122-2131. doi: 10.1093/eurheartj/eht208Fanani MF, Budi Mulia EP, Wardhani FK, et al. Sleep duration was associated with hypertension in adult women: A community-based study on rural population. Anatol J Family Med. 2021;4(3):263-267. doi: 10.5505/anatoljfm.2021.04127Fanani MF, Budi Mulia EP, Wardhani FK, et al. Sleep duration was associated with hypertension in adult women: A community-based study on rural population. Anatol J Family Med. 2021;4(3):263-267. doi: 10.5505/anatoljfm.2021.04127Ma GYu, Cai L, Fan LM, et al. Association of socio-economic factors and prevalence of hypertension with sleep disorder among the elderly in rural southwest China. Sleep Med. 2020;71:106-110. doi: 10.1016/j.sleep.2020.03.006Ma GYu, Cai L, Fan LM, et al. Association of socio-economic factors and prevalence of hypertension with sleep disorder among the elderly in rural southwest China. Sleep Med. 2020;71:106-110. doi: 10.1016/j.sleep.2020.03.006Sheehan CM. Rural/nonrural sleep duration patter ns among adults in middle and older adulthood. Sleep Health. 2024;10(2):237-239. doi: 10.1016/J.SLEH.2023.11.007Sheehan CM. Rural/nonrural sleep duration patter ns among adults in middle and older adulthood. Sleep Health. 2024;10(2):237-239. doi: 10.1016/J.SLEH.2023.11.007Seravalle G, Mancia G, Grassi G. Sympathetic nervous system, sleep, and hypertension. Curr Hypertens Rep. 2018;20(9):74. doi: 10.1007/s11906-018-0874-ySeravalle G, Mancia G, Grassi G. Sympathetic nervous system, sleep, and hypertension. Curr Hypertens Rep. 2018;20(9):74. doi: 10.1007/s11906-018-0874-y

The authors declare that there are no conflicts of interest present.