Relation between Self-Reported Sleep Duration and Arterial Stiffness: A Cross-Sectional Study of Middle-Aged Japanese Civil Servants

Yoshioka, Eiji; Saijo, Yasuaki; Kita, Toshiko; Okada, Emiko; Satoh, Hiroki; Kawaharada, Mariko; Kishi, Reiko

doi:10.5665/sleep.1434

Cited by 38 publications

(41 citation statements)

References 49 publications

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“…Exposure to one night of sleep deprivation increases arterial stiffness as estimated by brachial-ankle pulse-wave velocity 53 . Interestingly, these experimental data are in contrast with those gathered from population studies, which linked greater arterial stiffness to long sleep duration in men 66,67 . Impaired endothelial function reflects poor vascular health and is thought to be a precursor of atherosclerosis 68 .…”

Section: Epidemiologic Evidencecontrasting

confidence: 73%

Sleep Duration and Cardiovascular Disease Risk

Covassin

Singh

2016

Sleep Medicine Clinics

211

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Synopsis Inadequate sleep has become increasingly pervasive, and the impact on health and quality of life remains to be fully understood. The cardiovascular consequences alone appear to be substantial and significant. This brief review summarizes epidemiologic evidence regarding the association between extremes of sleep duration and the prevalence and incidence of cardiovascular diseases. The adverse effects of experimental sleep loss on physiological functions are discussed, along with those cardiovascular risk factors that may underlie the association with increased morbidity and mortality. Current data support the concept that inadequate sleep duration confers heightened cardiovascular risk. Thus implementation of preventative strategies may be needed to reduce the potential disease burden associated with this widespread high-risk behavior.

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Section: Epidemiologic Evidencecontrasting

confidence: 73%

Sleep Duration and Cardiovascular Disease Risk

Covassin

Singh

2016

Sleep Medicine Clinics

211

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“…Alternatively, the observed difference in results of the two studies may be due to differences in the age of participants. Participants were younger and healthier in our study (18–71 years) than those in the previous study (45–81 years), as long sleep and arterial stiffness have been shown to be significantly associated with older age (Woodard et al, 2011; Yoshioka et al, 2011). …”

Section: Discussioncontrasting

confidence: 56%

“…7–8 h/night) as a reference category in the regression model. Independent factors were selected in the regression model based on the factors known to influence arterial stiffness and sleep duration relationship (Tsai et al, 2014; Wolff et al, 2008; Yoshioka et al 2011). The influence of potential confounders was determined by the change in regression coefficient before and after inclusion in the regression models.…”

Section: Methodsmentioning

confidence: 99%

“…However, the few studies that assessed the relationship between sleep duration and arterial stiffness show some degree of inconsistency. For instance, one study found that long sleep, not short sleep duration, was associated with increased pulse-wave velocity (PWV in m/s) but only in men (Yoshioka et al, 2011). By contrast, Sunbul et al (2014) found that sleep deprivation was associated with increased PWV in healthy adults, whereas Wolff and colleagues found that both short and long sleep were associated with increased carotid intima-media thickness (IMT) (Wolff et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Relationship between sleep duration and arterial stiffness in a multi-ethnic population: The HELIUS study

Anujuo

Stronks

Snijder

et al. 2016

Chronobiology International

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We examined the relationship between sleep duration and arterial stiffness among a multi-ethnic cohort, and whether the associations differed among ethnic minority groups in the Netherlands. Data were derived from 10 994 participants (aged 18–71 years) of the Healthy Life in an Urban Setting (HELIUS) study. Self-reported sleep duration was categorized into: short (<7 h/night), healthy (7–8 h/night) and long (≥9 h/night). Arterial stiffness was assessed by duplicate pulse-wave velocity (PWV in m/s) measurements using the Arteriograph system. The association of sleep duration with PWV was analysed using linear regression (β) with 95% confidence interval (CI). Results showed that neither short nor long sleep was related to PWV in all ethnic groups, except for long sleep in Dutch men which was associated with higher PWV (indicating stiffer arteries) after adjustment for potential confounders (β = 0.67, 95%CI, 0.23–1.11). Our study showed no convincing evidence that sleep duration was related to arterial stiffness among various ethnic groups. The link between sleep duration and cardiovascular outcomes does not seem to operate through arterial stiffness. Further research is needed to consolidate these findings.

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“…Hypertension is the single most important risk factor for stroke and the mechanism linking sleep duration to stroke risk could be through the effects of blood pressure. 22 Recent studies suggest that short or long sleep durations may be related to arterial stiffening 23,24 and subclinical atherosclerosis manifested by increased carotid intima media thickness, 25 both of which are known to be induced by high blood pressure as well. 26,27 Meanwhile, arterial stiffness and increased carotid intima media thickness have been shown to be potential mechanisms for stroke development.…”

Section: Discussionmentioning

confidence: 99%

Sleep Duration and Risk of Stroke Mortality Among Chinese Adults

Pan

Silva

Yuan

et al. 2014

Stroke

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Background and Purpose Prospective relation between sleep duration and stroke risk is less studied, particularly in Asians. We examined the association between sleep duration and stroke mortality among Chinese adults. Methods The Singapore Chinese Health Study is a population-based cohort of 63,257 Chinese adults aged 45-74 years enrolled during 1993 through 1998. Sleep duration at baseline was assessed via in-person interview, and death information during follow-up was ascertained via record linkage with the death registry up to December 31, 2011. Cox proportional hazard models were used to calculate hazard ratios (HRs) with adjustment for other comorbidities and lifestyle risk factors of stroke mortality. Results During 926,752 person-years of follow-up, we documented 1,381 stroke deaths (322 from hemorrhagic and 1,059 from ischemic or non-specified strokes). Compared to individuals with 7 hours/day of sleep, the multivariate-adjusted HR (95% confidence interval) of total stroke mortality was 1.25 (1.05-1.50) for ≤5 hours/day (short duration), 1.01 (0.87-1.18) for 6 hours/day, 1.09 (0.95-1.26) for 8 hours/day, and 1.54 (1.28-1.85) for ≥9 hours/day (long duration). The increased risk of stroke death with short (1.54; 1.16-2.03) and long duration of sleep (1.95; 1.48-2.57) was seen among subjects with a history of hypertension, but not in those without hypertension. These findings were limited to risk of death from ischemic or non-specified stroke, but not observed for hemorrhagic stroke. Conclusions Both short and long sleep durations are associated with increased risk of stroke mortality in a Chinese population, particularly among those with a history of hypertension.

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Relation between Self-Reported Sleep Duration and Arterial Stiffness: A Cross-Sectional Study of Middle-Aged Japanese Civil Servants

Abstract: Daily sleep duration ≥ 9 h was found to be associated with elevated values of baPWV. This suggests that there is an association between long sleep duration and arterial stiffness.

Cited by 38 publications

References 49 publications

Sleep Duration and Cardiovascular Disease Risk

Sleep Duration and Cardiovascular Disease Risk

Relationship between sleep duration and arterial stiffness in a multi-ethnic population: The HELIUS study

Sleep Duration and Risk of Stroke Mortality Among Chinese Adults

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