Key result
Among hypertensive patients, the absence of insomnia was a strong predictor of low psychological distress (OR 14.00) compared to severe insomnia.
Why the study?
Hypertension is closely linked with obesity, insomnia, and psychological distress, but limited research has explored their combined impact among hypertensive patients in Bangladesh.
Cross-Sectional (n=739)
Odds Ratio: 14 (95% CI 1.486–131.885)
p-value: p=0.021
Psychological distress, obesity, and insomnia are highly interconnected among hypertensive patients, highlighting the need for integrated mental health and lifestyle interventions in hypertension management.
May support integrated insomnia-distress screening in hypertension; leaves open causality and intervention effects in prospective studies.
BACKGROUND: Hypertension is a critical global health challenge, closely interlinked with obesity, insomnia, and psychological distress. In Bangladesh, rising urbanization and lifestyle changes exacerbate these conditions, yet limited research has explored their combined impact, particularly among hypertensive patients. This study investigates the interconnections between psychological distress, obesity, and insomnia among hypertensive patients in Bangladesh, aiming to identify risk factors and inform interventions for holistic health management. METHODS: A cross-sectional study was conducted from September to December 2024, involving 739 hypertensive patients aged 18 and above. Data collection utilized a Personal Information Form, the Bengali Kessler Psychological Distress Scale (K6), and the Bangla Insomnia Severity Index (ISI). BMI was calculated from self-reported weight and height. Data were analyzed using SPSS, employing descriptive statistics, chi-square tests, and regression analyses to examine associations. RESULTS: The majority of participants (65.1%) experienced moderate psychological distress, with severe insomnia reported by 8.5%. Significant associations were found between psychological distress and socioeconomic status, education, and urban-rural residency (p < 0.05). Obesity and insomnia were strong predictors of distress, creating a bidirectional relationship. CONCLUSION: Psychological distress significantly influences obesity and insomnia in hypertensive patients, highlighting the need for integrated mental health and lifestyle interventions. Addressing socio-economic and demographic disparities is critical for effective hypertension management in Bangladesh.
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Akter et al. (2024) conducted a cross-sectional in Hypertension (n=739). Insomnia and obesity vs. Severe insomnia / Obese was evaluated on Low psychological distress (OR 14.00, 95% CI 1.486-131.885, p=0.021). Among hypertensive patients, the absence of insomnia was a strong predictor of low psychological distress (OR 14.00) compared to severe insomnia.
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