Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies

Cappuccio, Francesco P.; D’Elia, Lanfranco; Strazzullo, Pasquale; Miller, Michelle A.

doi:10.1093/sleep/33.5.585

Cited by 1,698 publications

(1,423 citation statements)

References 56 publications

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“…The latter was further divided into: 8-14 (sub-threshold insomnia or mild); [15][16][17][18][19][20][21] (moderate insomnia) and 22-28 (severe insomnia). 49 Savard et al 2005 adopted a ROC analysis to identify ISI's capacity to screen for insomnia and provided clinical cut-offs: ≥15 based on optimal sensitivity and specificity among cancer patients.…”

Section: Insomnia Severity Index (Isi)mentioning

confidence: 99%

“…Moreover, only 67% of patients found results useful for clinicians (figure 1). [15][16][17][18][19][20] minutes per patient to complete all measures, feasibility survey and demographic data. We did not have separate data on time to completion of PROMIS items alone but other studies suggest an average of two minutes for completion of PROMIS CAT item banks for an average of 4-8 items, 36 which aligns with our average number of items to complete PROMIS CATs.…”

Section: Participant Characteristics and Completion Ratesmentioning

confidence: 99%

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Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Leung

Brown

Cosio

et al. 2016

Cancer

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This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version record. Please cite this article as doi:10.1002/cncr.30134.This article is protected by copyright. All rights reserved. Accepted Article2 of the study, ethics application, recruitment, data management), Dobriyal A (conceptualization of the study, recruitment), Malik N (conceptualization of the study, recruitment, data collection), Pat V (recruitment, data collection, data analysis), Irwin M (recruitment, data management, data analysis), Tomasini P (conceptualization of the study, recruitment, data collection, data analysis), Liu G ( There is no conflict of interest declared. Page 2 of 44 CancerThis article is protected by copyright. All rights reserved. Accepted Article 3Abstract (word limit: 250; word count: 246)

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Section: Insomnia Severity Index (Isi)mentioning

confidence: 99%

Section: Participant Characteristics and Completion Ratesmentioning

confidence: 99%

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Leung

Brown

Cosio

et al. 2016

Cancer

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“…Whether adults sleep the recommended hours is influenced by cultural, social, psychological, behavioral, pathophysiological, and environmental influences 16, 17. Sleep duration may be reduced because of irregular working and shift‐work patterns and round‐the‐clock availability of commodities of modern society 18.…”

Section: Introductionmentioning

confidence: 99%

“…Although previous reviews have evaluated sleep duration and mortality and cardiovascular outcomes,10, 16 these reviews have not quantified the CVR associated with each hour deviation below or above the recommended sleep duration. In addition, none of the previous reviews assessed the influence of sleep quality 10, 16.…”

Section: Introductionmentioning

confidence: 99%

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Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Kwok

Kontopantelis

Kuligowski

et al. 2018

JAHA

307

227

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BackgroundThere is growing evidence that sleep duration and quality may be associated with cardiovascular harm and mortality.Methods and ResultsWe conducted a systematic review, meta‐analysis, and spline analysis of prospective cohort studies that evaluate the association between sleep duration and quality and cardiovascular outcomes. We searched MEDLINE and EMBASE for these studies and extracted data from identified studies. We utilized linear and nonlinear dose‐response meta‐analysis models and used DerSimonian–Laird random‐effects meta‐analysis models of risk ratios, with inverse variance weighting, and the I2 statistic to quantify heterogeneity. Seventy‐four studies including 3 340 684 participants with 242 240 deaths among 2 564 029 participants who reported death events were reviewed. Findings were broadly similar across both linear and nonlinear dose‐response models in 30 studies with >1 000 000 participants, and we report results from the linear model. Self‐reported duration of sleep >8 hours was associated with a moderate increased risk of all‐cause mortality, with risk ratio, 1.14 (1.05–1.25) for 9 hours, risk ratio, 1.30 (1.19–1.42) for 10 hours, and risk ratio, 1.47 (1.33–1.64) for 11 hours. No significant difference was identified for periods of self‐reported sleep <7 hours, whereas similar patterns were observed for stroke and cardiovascular disease mortality. Subjective poor sleep quality was associated with coronary heart disease (risk ratio, 1.44; 95% confidence interval, 1.09–1.90), but no difference in mortality and other outcomes.ConclusionsDivergence from the recommended 7 to 8 hours of sleep is associated with a higher risk of mortality and cardiovascular events. Longer duration of sleep may be more associated with adverse outcomes compared with shorter sleep durations.

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Assessment of Sleep Disturbances and Exhaustion in Mothers of Children With Atopic Dermatitis

et al. 2019

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Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies

Abstract: Both short and long duration of sleep are significant predictors of death in prospective population studies.

Cited by 1,698 publications

References 56 publications

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Assessment of Sleep Disturbances and Exhaustion in Mothers of Children With Atopic Dermatitis

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