Beyond Medical Students’ Academic Activities: Sleep Quality, Blood Pressure, and Early Cardiovascular Risk
Kata Kunci:
kualitas tidur, tekanan darah, mahasiswa kedokteran, risiko kardiovaskular, PSQIAbstrak
Sleep quality is an important determinant of medical students’ health because it is associated with academic workload, psychological pressure, and physiological changes, including blood pressure. This study aims to describe sleep quality and blood pressure and to examine the relationship between sleep quality and blood pressure among students of the Faculty of Medicine, Universitas Palangka Raya. This study employed an analytical observational method with a cross-sectional design. The sample consisted of 269 students selected through total sampling based on the established inclusion and exclusion criteria. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), while blood pressure was measured using a sphygmomanometer. The data were analyzed using Spearman’s correlation test. The results showed that 77% of respondents had good sleep quality, while 23% had poor sleep quality. Regarding blood pressure, 70.3% of respondents were categorized as normal, 21.6% as prehypertensive, and 8.2% as having grade 1 hypertension. Bivariate analysis revealed a significant relationship between sleep quality and blood pressure, with p < 0.001 and a correlation coefficient of 0.574. These findings indicate that poorer sleep quality is associated with a greater tendency toward increased blood pressure. Therefore, sleep quality should be considered an early indicator of cardiovascular risk among medical students. The findings are relevant as a basis for early screening, sleep hygiene education, stress management, and regular blood pressure monitoring within the university environment.
Referensi
Angelillo, S., Roccella, M., Pileggi, C., Bianco, A., & Pavia, M. (2024). The quality of sleep: Evaluation among university students. Healthcare, 12(2), Article 166. https://doi.org/10.3390/healthcare12020166
Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Claydon, E. A., DeFazio, C. R., Lilly, C. L., & Zullig, K. J. (2023). Subjective sleep quality, caffeine, and dieting behaviors among college students. Behavioral Sciences, 13(10), Article 792. https://doi.org/10.3390/bs13100792
De Moraes, A. C. F., Conceição da Silva, L. C., Lima, B. S., Marin, K. A., Hunt, E. T., & Nascimento-Ferreira, M. V. (2024). Reliability and validity of the online Pittsburgh Sleep Quality Index in college students from low-income regions. Frontiers in Digital Health, 6, Article 1394901. https://doi.org/10.3389/fdgth.2024.1394901
Hafizhah, D., Delfian, T., Budi, A., Sabri, I., & Haryadi, H. (2024). The relationship between stress levels and sleep quality on blood pressure among medical students. Buletin Kedokteran & Kesehatan Prima, 3(2), 87–91. https://doi.org/10.34012/bkkp.v3i2.5866
Huang, Y., Su, X., Si, M., Xiao, W., Wang, H., Wang, W., Gu, X., Ma, L., Li, J., & Sun, J. (2024). Effects of perceived stress on college students’ sleep quality: A moderated mediation model. BMC Psychology, 12, Article 641. https://doi.org/10.1186/s40359-024-01976-3
Lloyd-Jones, D. M., Allen, N. B., Anderson, C. A. M., Black, T., Brewer, L. C., Foraker, R. E., Grandner, M. A., Lavretsky, H., Perak, A. M., Sharma, G., & Rosamond, W. (2022). Life’s Essential 8: Updating and enhancing the American Heart Association’s construct of cardiovascular health: A presidential advisory from the American Heart Association. Circulation, 146(5), e18–e43. https://doi.org/10.1161/CIR.0000000000001078
Makarem, N., Alcántara, C., Williams, N., Bello, N. A., & Abdalla, M. (2021). Effect of sleep disturbances on blood pressure. Hypertension, 77(4), 1036–1046.
https://doi.org/10.1161/HYPERTENSIONAHA.120.14479
Meher, M., Pradhan, S., & Pradhan, S. R. (2023). Risk factors associated with hypertension in young adults: A systematic review. Cureus, 15(4), Article e37467. https://doi.org/10.7759/cureus.37467
Pérez-Guerrero, E. E., Roldán-Nofuentes, J. A., & Carvajal-Rodríguez, A. (2024). Methodological and statistical considerations for cross-sectional, case-control, and cohort studies. Journal of Clinical Medicine, 13(14), Article 4005. https://doi.org/10.3390/jcm13144005
Satriono, F. D., How, S. L., Islam, T. S., Wishwadewa, W. N., & Habil, M. H. (2024). Prevalence of poor sleep quality based on Pittsburgh Sleep Quality Index (PSQI) among medical students in Southeast Asia: A systematic review and meta-analysis. Journal of Sleep Disorders and Management, 9, Article 046. https://doi.org/10.23937/2572-4053.1510046
Sayed, A. I., Alshammari, T., Almutairi, H., Alotaibi, R., Alqahtani, A., & Alshammari, M. (2024). Effect of stress on sleep quality among medical students. Annals of African Medicine, 23(4), 489–495. https://doi.org/10.4103/aam.aam_77_23
Schmickler, J. M., Blume, C., Cornel, K., Schneider, N., Kohls, E., Peter, L., Schneider, A., & Kauffeld, S. (2023). Determinants of sleep quality: A cross-sectional study in university students. International Journal of Environmental Research and Public Health, 20(3), Article 2019. https://doi.org/10.3390/ijerph20032019
Setyowati, A., & Chung, M.-H. (2021). Validity and reliability of the Indonesian version of the Pittsburgh Sleep Quality Index in adolescents. International Journal of Nursing Practice, 27(5), Article e12856. https://doi.org/10.1111/ijn.12856
Shin, D., Cho, M.-C., Kim, H.-C., Ahn, S. V., Lee, H. Y., Oh, S.-W., Kimm, H., & Hwang, S.-S. (2023). Suboptimal control status of young hypertensive population. Clinical Hypertension, 29, Article 9. https://doi.org/10.1186/s40885-023-00237-6
Song, L., Yan, W., Guo, X., Song, H., Wu, P., & Liang, X. (2023). Body mass index is associated with blood pressure and vital capacity in medical students. Lipids in Health and Disease, 22, Article 173. https://doi.org/10.1186/s12944-023-01920-1
Sulaiman, N., Ali, A., Zakaria, M. K., Abu Shahim, M. R., Sim, W. J., & Mhd Jalil, A. M. (2024). Caffeine consumption, sleep quality and mental health outcomes among Malaysian university students. National Journal of Community Medicine, 15(5), 370–378. https://doi.org/10.55489/njcm.150520243858
Truong, N., Nguyen, H., Pham, T., Chu, D., & Bui, L. (2025). Sleep quality by clinical training status among medical students and its associated factors: A cross-sectional study in Da Nang, Vietnam. Scientific Reports, 15, Article 33671. https://doi.org/10.1038/s41598-025-18256-8
Vidović, S., Rakić, N., Kraštek, S., Pešikan, A., Degmečić, D., Zibar, L., Labak, I., Heffer, M., & Pogorelić, Z. (2025). Sleep quality and mental health among medical students: A cross-sectional study. Journal of Clinical Medicine, 14(7), Article 2274. https://doi.org/10.3390/jcm14072274
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2026 Dian Mutiasari, Shelvi Andina, Nisa Kartika Komara, Abi Bakring Balyas, Trilianty Lestarisa (Author)

Artikel ini berlisensi Creative Commons Attribution 4.0 International License.