Association of Usual Sleep Duration With Hypertension: The Sleep Heart Health Study

Gottlieb, Daniel J.; Redline, Susan; Nieto, F. Javier; Baldwin, Carol M.; Newman, Anne B.; Resnick, Helaine E.; Punjabi, Naresh M.

doi:10.1093/sleep/29.8.1009

Cited by 810 publications

(612 citation statements)

References 23 publications

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“…Our metaanalysis did not show the classic U-shaped association between sleep duration and MetS. Several studies have reported a U-shaped association between sleep duration and various medical comorbidities, such as hypertension (45), coronary vascular disease (12), and even mortality (14). However, the data on the U-shaped association between MetS and sleep duration have been rather conflicting.…”

Section: Discussioncontrasting

confidence: 76%

Sleep Duration and Metabolic Syndrome. An Updated Dose–Risk Metaanalysis

et al. 2015

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Rationale: Several studies have reported that both short and long sleep durations are associated with the metabolic syndrome, but whether a dose-response relationship exists is unclear.Objectives: We performed a metaanalysis to study the magnitude of the association between the different durations of sleep and metabolic syndrome. Methods:We searched in the databases of PubMed, Web of Science, and Ovid (all Journals@Ovid) from inception to October 4, 2014 for cross-sectional studies where an association between metabolic syndrome and sleep duration was analyzed. Measurements and Main Results:Eighteen studies with 75,657 participants were included. Daily sleep duration of 7 to 8 hours was used as the reference group. The odds ratio (OR) of having metabolic syndrome for short (,7 h) sleep was 1.23 (95% CI, 1.11-1.37; P , 0.001; I 2 , 71%). The ORs for less than 5 hours, 5 to 6 hours, and 6 to 7 hours of sleep were 1.51 (95% CI, 1.10-2.08; P = 0.01), 1.28 (95% CI, 1.11-1.48; P , 0.001), and 1.16 (95% CI, 1.02-1.31; P = 0.02), respectively. The coefficient of sleep duration on log of ORs was 20.06 6 0.02 (P = 0.02). The OR for long sleep duration was 1.13 (95% CI, 0.97-1.32; P = 0.10; I 2 , 89%).Conclusions: A dose-response relationship exists between short sleep duration and metabolic syndrome. Those who report a sleep duration of less than 5 hours have a 1.5 higher odds of having metabolic syndrome. Our study does not support the notion that long sleep is associated with metabolic syndrome.

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Section: Discussioncontrasting

confidence: 76%

Sleep Duration and Metabolic Syndrome. An Updated Dose–Risk Metaanalysis

et al. 2015

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“…Short sleep was also associated with being single and long working hours, whilst long sleep was also associated with low physical activity levels, pregnancy and ethnicity. These findings extend on smaller scale and less comprehensive community based studies (Mallon et al, 2002, Heslop et al, 2003, Adams, 2006, Gottlieb et al, 2006, Patel et al, 2006a, Patel et al, 2006b, Steptoe et al, 2006and Stranges et al, 2008 in identifying factors associated with short and long sleep.…”

Section: Introductionsupporting

confidence: 61%

“…The findings associated with short sleep have important implications for preventive medicine and public health, given that short sleep is associated with cardiovascular disease (Ayas et al, 2003, Gangwisch et al, 2006, Gottlieb et al, 2006and Shankar et al, 2008, depression (Krueger and Friedman, 2009), obesity (Gangwisch et al, 2005, Singh et al, 2005, Patel and Hu, 2008and van den Berg et al, 2008 and elevated mortality. These chronic health conditions could cause short sleep because of discomfort, pain and/or the side effects of medication (Moldofsky, 2001).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with short and long sleep

Magee

Iverson

Caputi

2009

Preventive Medicine

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Objective: Short (< 7 h) and long sleep durations (≥ 9 h) have recently been linked with increased mortality in the US, Europe and Asia, but little is known about the sleep patterns of Australian adults. The present study examined the sleep habits of Australian adults and identified socio-demographic and health-related factors associated with short and long sleep. Methods: This study analyzed cross-sectional and self-reported data from 49,405 Australian adults aged 45 to 65 years collected between 2006 and 2008. Socio-demographic and health-related factors were entered into multinomial logistic regression models predicting self-reported sleep duration. Results: Short and long sleep were reported by 16.6% and 13.9% of participants respectively. Short sleep was associated with long working hours (odds ratio [OR] = 1.17, 95% confidence interval (CI): 1.08, 1.28) and obesity (OR = 1.29, 95% CI: 1.19, 1.41); long sleep was associated with recent treatment for cancer (OR = 1.64, 95% CI: 1.34, 2.02) and heart attack/angina (OR = 1.58, 95% CI: 1.19, 2.09). Conclusions: Short and long sleep were common in this sample of middle aged Australian adults. The determinants of short sleep have potential public health implications and could be targeted to prevent morbidity and mortality associated with short sleep. confidence interval (CI): 1.08, 1.28) and obesity (OR = 1.29, 95% CI: 1.19, 1.41); long sleep was associated with recent treatment for cancer (OR = 1.64, 95% CI: 1.34, 2.02) and heart attack/angina (OR = 1.58, 95% CI: 1.19, 2.09). Conclusions: Short and long sleep were common in this sample of middle aged Australian adults. The determinants of short sleep have potential public health implications and could be targeted to prevent morbidity and mortality associated with short sleep.

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“…37 Although some research suggests that insomnia does not increase mortality risk, 38 other data indicate that increased frequency of insomnia symptoms is associated with an increased risk for all-cause mortality and cardiovascular events. 39 Frequent diffi culty in initiating and maintaining sleep may be related to increased risk for acute myocardial infarction and coronary cardiovascular disease-related death.…”

Section: Hypertension and Cardiovascular Diseasementioning

confidence: 99%

Cognitive Behavioral Treatment of Insomnia

2005

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Association of Usual Sleep Duration With Hypertension: The Sleep Heart Health Study

Abstract: Usual sleep duration above or below the median of 7 to less than 8 hours per night is associated with an increased prevalence of hypertension, particularly at the extreme of less than 6 hours per night.

Cited by 810 publications

References 23 publications

Sleep Duration and Metabolic Syndrome. An Updated Dose–Risk Metaanalysis

Sleep Duration and Metabolic Syndrome. An Updated Dose–Risk Metaanalysis

Factors associated with short and long sleep

Cognitive Behavioral Treatment of Insomnia

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