Cargando…

Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study

To clarify the association of sleep duration with all-cause and cardiovascular mortality, and further estimate the population attributable fraction (PAF) for the 10-year risk of cardiovascular disease (CVD) due to inappropriate sleep duration among US adults, we included data of the National Health...

Descripción completa

Detalles Bibliográficos
Autores principales: Jin, Qiman, Yang, Niannian, Dai, Juan, Zhao, Yuanyuan, Zhang, Xiaoxia, Yin, Jiawei, Yan, Yaqiong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334887/
https://www.ncbi.nlm.nih.gov/pubmed/35910926
http://dx.doi.org/10.3389/fpubh.2022.880276
_version_ 1784759205808308224
author Jin, Qiman
Yang, Niannian
Dai, Juan
Zhao, Yuanyuan
Zhang, Xiaoxia
Yin, Jiawei
Yan, Yaqiong
author_facet Jin, Qiman
Yang, Niannian
Dai, Juan
Zhao, Yuanyuan
Zhang, Xiaoxia
Yin, Jiawei
Yan, Yaqiong
author_sort Jin, Qiman
collection PubMed
description To clarify the association of sleep duration with all-cause and cardiovascular mortality, and further estimate the population attributable fraction (PAF) for the 10-year risk of cardiovascular disease (CVD) due to inappropriate sleep duration among US adults, we included data of the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2014 by linkage to the National Death Index until December 31, 2015 in a prospective design. Cox proportional hazards models were used for multivariate longitudinal analyses. The Pooled Cohort Equations methods was adopted to calculate the predicted 10-year CVD risk. In the current study, sleep <5 h or longer than 9 h per day were significantly associated with elevated risks of all-cause mortality, and the multivariable-adjusted HRs across categories were 1.40 (95% CI, 1.14–1.71), 1.12 (95% CI, 0.91–1.38), 1 (reference), 1.35 (95% CI, 1.12–1.63), and 1.74 (95% CI, 1.42–2.12). Similarly, the HRs of cardiovascular mortality across categories were 1.66 (95% CI, 1.02–2.72), 1.15 (95% CI, 0.77–1.73), 1 (reference), 1.55 (95% CI, 1.05–2.29), and 1.81 (95% CI, 1.09–3.02). Under a causal–effect assumption, we estimated that 187 000 CVD events (PAF 1.8%, 0.9% to 2.3%) were attributable to short sleep duration and 947 000 CVD events (PAF 9.2%, 6.4% to 11.6%) were attributable to long sleep duration from 2018 to 2028. This study informed the potential benefit of optimizing the sleep duration for the primary prevention of CVD in a contemporary population.
format Online
Article
Text
id pubmed-9334887
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-93348872022-07-30 Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study Jin, Qiman Yang, Niannian Dai, Juan Zhao, Yuanyuan Zhang, Xiaoxia Yin, Jiawei Yan, Yaqiong Front Public Health Public Health To clarify the association of sleep duration with all-cause and cardiovascular mortality, and further estimate the population attributable fraction (PAF) for the 10-year risk of cardiovascular disease (CVD) due to inappropriate sleep duration among US adults, we included data of the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2014 by linkage to the National Death Index until December 31, 2015 in a prospective design. Cox proportional hazards models were used for multivariate longitudinal analyses. The Pooled Cohort Equations methods was adopted to calculate the predicted 10-year CVD risk. In the current study, sleep <5 h or longer than 9 h per day were significantly associated with elevated risks of all-cause mortality, and the multivariable-adjusted HRs across categories were 1.40 (95% CI, 1.14–1.71), 1.12 (95% CI, 0.91–1.38), 1 (reference), 1.35 (95% CI, 1.12–1.63), and 1.74 (95% CI, 1.42–2.12). Similarly, the HRs of cardiovascular mortality across categories were 1.66 (95% CI, 1.02–2.72), 1.15 (95% CI, 0.77–1.73), 1 (reference), 1.55 (95% CI, 1.05–2.29), and 1.81 (95% CI, 1.09–3.02). Under a causal–effect assumption, we estimated that 187 000 CVD events (PAF 1.8%, 0.9% to 2.3%) were attributable to short sleep duration and 947 000 CVD events (PAF 9.2%, 6.4% to 11.6%) were attributable to long sleep duration from 2018 to 2028. This study informed the potential benefit of optimizing the sleep duration for the primary prevention of CVD in a contemporary population. Frontiers Media S.A. 2022-07-15 /pmc/articles/PMC9334887/ /pubmed/35910926 http://dx.doi.org/10.3389/fpubh.2022.880276 Text en Copyright © 2022 Jin, Yang, Dai, Zhao, Zhang, Yin and Yan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Jin, Qiman
Yang, Niannian
Dai, Juan
Zhao, Yuanyuan
Zhang, Xiaoxia
Yin, Jiawei
Yan, Yaqiong
Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title_full Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title_fullStr Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title_full_unstemmed Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title_short Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study
title_sort association of sleep duration with all-cause and cardiovascular mortality: a prospective cohort study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334887/
https://www.ncbi.nlm.nih.gov/pubmed/35910926
http://dx.doi.org/10.3389/fpubh.2022.880276
work_keys_str_mv AT jinqiman associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT yangniannian associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT daijuan associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT zhaoyuanyuan associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT zhangxiaoxia associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT yinjiawei associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy
AT yanyaqiong associationofsleepdurationwithallcauseandcardiovascularmortalityaprospectivecohortstudy