Association of Sleep Duration with the Morbidity and Mortality of Coronary Artery Disease: A Meta-analysis of Prospective Studies

Yang, Xiaorong; Chen, Hui; Li, Suyun; Pan, Lulu; Jia, Chongqi

doi:10.1016/j.hlc.2015.08.005

Cited by 46 publications

(24 citation statements)

References 39 publications

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“…Previous studies indicated that the associations varied when stratified by gender [55,56] and fatal cases [23], but no differences were detected in association with either short or long sleep duration and CHD in our meta-analysis. Besides, we found a completely inverse result in European for long sleep duration with two studies, which needed to be confirmed further with more studies.…”

Section: Discussioncontrasting

confidence: 79%

“…Several possible reasons are contributed to it, for example, the categories of sleep duration differed across studies [46,47]. A meta-analysis in 2011 showed both short and long sleep duration were associated with an increased risk of CHD [18], but another one in 2015 just found association between long sleep duration and mortality of CHD, not between long sleep duration and morbidity of CHD [23]. However, they did not use a dose-response method to analyze the relationship.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, only short sleep duration were found to affect CHD in some studies [22]. A previous meta-analysis also indicated different results for short and long sleep duration [23]. In addition, the study just simply pooled the relative risks of short or long sleep duration group.…”

Section: Introductionmentioning

confidence: 99%

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Sleep duration and risk of coronary heart disease: A systematic review and meta-analysis of prospective cohort studies

Wang

Cui

et al. 2016

International Journal of Cardiology

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Sleep duration and risk of coronary heart disease: A systematic review and meta-analysis of prospective cohort studies

Wang

Cui

et al. 2016

International Journal of Cardiology

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“…The most extensively studied sleep component is sleep duration (8). Systematic reviews identified shorter and/or longer sleep duration as associated with a wide variety of clinical outcomes, including obesity (9), metabolic syndrome (10), diabetes (11), hypertension (12), cardiovascular disease (13), stroke (14), and mortality (15). Regarding CKD, a few cohort studies identified shorter sleep duration to be associated with proteinuria (16) and GFR decline (17,18) in the general population.…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Sleep Duration with CKD are Associated with Progression to ESKD

Yamamoto

Shinzawa

Isaka

et al. 2018

CJASN

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Background and objectives Shorter or longer sleep duration and poor sleep quality are risk factors for numerous cardio-metabolic diseases, cardiovascular disease, and mortality in subjects with normal kidney function. The association of sleep duration and sleep quality with health outcomes in patients with CKD remains uncertain.Design, setting, participants, & measurements A 4-year prospective cohort study in 17 nephrology centers in Japan, the CKD Japan Cohort (CKD-JAC) Study, assessed an association of self-reported sleep duration and sleep quality, on the basis of the Pittsburgh Sleep Quality Index (PSQI) questionnaire, with incidence of ESKD in 1601 patients with eGFR 10-59 ml/min per 1.73 m 2 using multivariable-adjusted Cox proportional hazards models.Results Baseline sleep duration and PSQI global score for the 1601 patients were mean6SD 7.061.3 hours and median 4 (interquartile range, 3-7), respectively. Poor sleep quality (PSQI global score $6) was common (n=588 [37%]). During a median of 4.0 (2.6-4.3) years of the follow-up period, 282 (18%) patients progressed to ESKD. After adjusting for age, sex, eGFR, urinary albumin excretion, smoking status, body mass index, history of diabetes and cardiovascular disease, systolic BP, blockade of the renin-angiotensin system, use of hypnotics, and Beck depression inventory score, both shorter (#5 hour) and longer (.8 hour) sleep duration were associated with ESKD (adjusted hazard ratios [95% confidence intervals] for #5.0, 5.1-6.0, 6.1-7.0, 7.1-8.0, and $8.0 hours were 2.05 [1.31 to3.21], 0.98 [0.67 to 1.44], 1.00 [reference], 1.22 [0.89 to 1.66], and 1.48 [1.01 to 2.16]), suggesting a U-shaped relationship between sleep duration and ESKD. PSQI global score $6 was also associated with incidence of ESKD (adjusted hazard ratios [95% confidence intervals] for PSQI global score #5 and $6 were 1.00 [reference] and 1.33 [1.03 to 1.71]).Conclusions Shorter (#5 hour) and longer (.8 hour) sleep duration and poor sleep quality (PSQI global score $6) were associated with ESKD in patients with CKD.

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“…Epidemiologic studies have linked markers of circadian disruption (e.g., shift work, extreme/disturbed sleeping patterns, weaker circadian activity rhythms) with adverse health outcomes, including obesity[2, 3], type 2 diabetes[4, 5], cardiovascular disease[6–8], dementia[9], and mortality[10–13]. Because circadian disturbances have been implicated in accelerated aging[14], they have implications for overall health and function in older adults.…”

Section: Introductionmentioning

confidence: 99%

Association of urinary melatonin levels and aging-related outcomes in older men

et al. 2016

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Background Circadian disruptions can contribute to accelerated aging, and the circadian system regulates cognitive and physical functions; therefore, circadian markers (e.g., melatonin) may be associated with key aspects of healthy aging and longevity. Objective To evaluate urinary melatonin levels in relation to cognitive function, physical function, and mortality among 2,821 older men in the Osteoporotic Fractures in Men Study Design Cohort study Measurements In 2003–2005, participants provided first-morning spot urine samples, which were assayed for 6-sulfatoxymelatonin (the primary melatonin metabolite in urine); cognitive and physical function assessments were completed twice, at baseline and an average of 6.5 years later. Participant deaths were confirmed by central review of death certificates over a mean of 9.2 years of follow up. Results In multivariable-adjusted regression models, we observed a significant trend of better Digit Vigilance Test scores (i.e., decreased time to completion) at baseline across increasing melatonin quartiles (p-trend=0.01); however, mean time-to-completion scores did not significantly differ comparing extreme quartiles (group means: 547.1 seconds (95% CI: 533.6, 560.6) versus 561.3 seconds (95% CI: 547.8, 574.9)), and there were no associations of urinary melatonin levels with other cognitive test scores, or any cognitive change scores over time. Furthermore, melatonin levels were not related to physical function scores (p-trends=0.4 for walking speed, 0.7 for chair stands, and 0.6 for grip strength in fully-adjusted models) or mortality risk (p-trend=0.3 in the fully-adjusted model). Conclusion We found little evidence of associations between urinary melatonin levels and key measures of healthy aging and mortality in this cohort of older men. Further research should explore the relation of melatonin, particularly if assessed earlier in life, and other circadian markers with healthy aging outcomes.

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Association of Sleep Duration with the Morbidity and Mortality of Coronary Artery Disease: A Meta-analysis of Prospective Studies

Abstract: Short sleep duration was associated with higher morbidity of CAD, and short sleepers and long sleepers had higher risk for CAD mortality. Keeping normal sleep duration is an appropriate recommendation to prevent and control CAD.

Cited by 46 publications

References 39 publications

Sleep duration and risk of coronary heart disease: A systematic review and meta-analysis of prospective cohort studies

Sleep duration and risk of coronary heart disease: A systematic review and meta-analysis of prospective cohort studies

Sleep Quality and Sleep Duration with CKD are Associated with Progression to ESKD

Association of urinary melatonin levels and aging-related outcomes in older men

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