Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study
Previous studies have highlighted the importance of sleep patterns for human health. This study aimed to investigate the association of sleep timing with all-cause and cardiovascular disease mortality. Participants were screened from two cohort studies: the Sleep Heart Health Study (SHHS; n = 4,824)...
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| Veröffentlicht in: | Journal of clinical sleep medicine 2024-04, Vol.20 (4), p.545-553 |
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| creator | Ma, Mingfang Fan, Yajuan Peng, Yuan Ma, Qingyan Jia, Min Qi, Zhiyang Yang, Jian Wang, Wei Ma, Xiancang Yan, Bin |
| description | Previous studies have highlighted the importance of sleep patterns for human health. This study aimed to investigate the association of sleep timing with all-cause and cardiovascular disease mortality.
Participants were screened from two cohort studies: the Sleep Heart Health Study (SHHS; n = 4,824) and the Osteoporotic Fractures in Men Study (n = 2,658). Sleep timing, including bedtime and wake-up time, was obtained from sleep habit questionnaires at baseline. The sleep midpoint was defined as the halfway point between the bedtime and wake-up time. Restricted cubic splines and Cox proportional hazards regression analyses were used to examine the association between sleep timing and mortality.
We observed a U-shaped association between bedtime and all-cause mortality in both the SHHS and Osteoporotic Fractures in Men Study groups. Specifically, bedtime at 11:00 pm and waking up at 7:00 am was the nadir for all-cause and cardiovascular disease mortality risks. Individuals with late bedtime (> 12:00 am) had an increased risk of all-cause mortality in SHHS (hazard ratio 1.53, 95% confidence interval 1.28-1.84) and Osteoporotic Fractures in Men Study (hazard ratio 1.27, 95% confidence interval 1.01-1.58). In the SHHS, late wake-up time (> 8:00 am) was associated with increased all-cause mortality (hazard ratio 1.39, 95% confidence interval 1.13-1.72). No significant association was found between wake-up time and cardiovascular disease mortality. Delaying sleep midpoint (> 4:00 am) was also significantly associated with all-cause mortality in the SHHS and Osteoporotic Fractures in Men Study.
Sleep timing is associated with all-cause and cardiovascular disease mortality. Our findings highlight the importance of appropriate sleep timing in reducing mortality risk.
Ma M, Fan Y, Peng Y, et al. Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study.
2024;20(4):545-553. |
| doi_str_mv | 10.5664/jcsm.10926 |
| format | Article |
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Participants were screened from two cohort studies: the Sleep Heart Health Study (SHHS; n = 4,824) and the Osteoporotic Fractures in Men Study (n = 2,658). Sleep timing, including bedtime and wake-up time, was obtained from sleep habit questionnaires at baseline. The sleep midpoint was defined as the halfway point between the bedtime and wake-up time. Restricted cubic splines and Cox proportional hazards regression analyses were used to examine the association between sleep timing and mortality.
We observed a U-shaped association between bedtime and all-cause mortality in both the SHHS and Osteoporotic Fractures in Men Study groups. Specifically, bedtime at 11:00 pm and waking up at 7:00 am was the nadir for all-cause and cardiovascular disease mortality risks. Individuals with late bedtime (> 12:00 am) had an increased risk of all-cause mortality in SHHS (hazard ratio 1.53, 95% confidence interval 1.28-1.84) and Osteoporotic Fractures in Men Study (hazard ratio 1.27, 95% confidence interval 1.01-1.58). In the SHHS, late wake-up time (> 8:00 am) was associated with increased all-cause mortality (hazard ratio 1.39, 95% confidence interval 1.13-1.72). No significant association was found between wake-up time and cardiovascular disease mortality. Delaying sleep midpoint (> 4:00 am) was also significantly associated with all-cause mortality in the SHHS and Osteoporotic Fractures in Men Study.
Sleep timing is associated with all-cause and cardiovascular disease mortality. Our findings highlight the importance of appropriate sleep timing in reducing mortality risk.
Ma M, Fan Y, Peng Y, et al. Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study.
2024;20(4):545-553.</description><identifier>ISSN: 1550-9389</identifier><identifier>EISSN: 1550-9397</identifier><identifier>DOI: 10.5664/jcsm.10926</identifier><identifier>PMID: 38561941</identifier><language>eng</language><publisher>United States</publisher><subject>Cardiovascular Diseases - complications ; Cohort Studies ; Humans ; Male ; Osteoporotic Fractures ; Polysomnography ; Sleep</subject><ispartof>Journal of clinical sleep medicine, 2024-04, Vol.20 (4), p.545-553</ispartof><rights>2024 American Academy of Sleep Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c246t-eada46a996bf50b07c006d87bda7c1b32ca5b56b58915aff028029cb4d3b130e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38561941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Mingfang</creatorcontrib><creatorcontrib>Fan, Yajuan</creatorcontrib><creatorcontrib>Peng, Yuan</creatorcontrib><creatorcontrib>Ma, Qingyan</creatorcontrib><creatorcontrib>Jia, Min</creatorcontrib><creatorcontrib>Qi, Zhiyang</creatorcontrib><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Ma, Xiancang</creatorcontrib><creatorcontrib>Yan, Bin</creatorcontrib><title>Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study</title><title>Journal of clinical sleep medicine</title><addtitle>J Clin Sleep Med</addtitle><description>Previous studies have highlighted the importance of sleep patterns for human health. This study aimed to investigate the association of sleep timing with all-cause and cardiovascular disease mortality.
Participants were screened from two cohort studies: the Sleep Heart Health Study (SHHS; n = 4,824) and the Osteoporotic Fractures in Men Study (n = 2,658). Sleep timing, including bedtime and wake-up time, was obtained from sleep habit questionnaires at baseline. The sleep midpoint was defined as the halfway point between the bedtime and wake-up time. Restricted cubic splines and Cox proportional hazards regression analyses were used to examine the association between sleep timing and mortality.
We observed a U-shaped association between bedtime and all-cause mortality in both the SHHS and Osteoporotic Fractures in Men Study groups. Specifically, bedtime at 11:00 pm and waking up at 7:00 am was the nadir for all-cause and cardiovascular disease mortality risks. Individuals with late bedtime (> 12:00 am) had an increased risk of all-cause mortality in SHHS (hazard ratio 1.53, 95% confidence interval 1.28-1.84) and Osteoporotic Fractures in Men Study (hazard ratio 1.27, 95% confidence interval 1.01-1.58). In the SHHS, late wake-up time (> 8:00 am) was associated with increased all-cause mortality (hazard ratio 1.39, 95% confidence interval 1.13-1.72). No significant association was found between wake-up time and cardiovascular disease mortality. Delaying sleep midpoint (> 4:00 am) was also significantly associated with all-cause mortality in the SHHS and Osteoporotic Fractures in Men Study.
Sleep timing is associated with all-cause and cardiovascular disease mortality. Our findings highlight the importance of appropriate sleep timing in reducing mortality risk.
Ma M, Fan Y, Peng Y, et al. Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study.
2024;20(4):545-553.</description><subject>Cardiovascular Diseases - complications</subject><subject>Cohort Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Osteoporotic Fractures</subject><subject>Polysomnography</subject><subject>Sleep</subject><issn>1550-9389</issn><issn>1550-9397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kctOwzAQRS0EolDY8AHIS4QUsOPYidmhilKkIhbAOho7Drhy4mI7oH4Gf0wfwGZmFufexRyEzii54kIU1wsduytKZC720BHlnGSSyXL__67kCB3HuCCkyHnJD9GIVVxQWdAj9H0bo9cWkvU99i2OzpglTraz_Rv-sukdg3OZhiEaDH2DNYTG-k-IenAQcOdDAmfT6gand4Oft-mZgZA2063jz2loVtvoBniKyfilDz5ZjacBdBqCidj2-NH0O_YEHbTgojn93WP0Or17mcyy-dP9w-R2num8ECkz0EAhQEqhWk4UKTUhoqlK1UCpqWK5Bq64ULySlEPbkrwiudSqaJiijBg2Rhe73mXwH4OJqe5s1MY56I0fYs0Io5RRQfM1erlDdfAxBtPWy2A7CKuaknqjoN4oqLcK1vD5b--gOtP8o38_Zz_UT4TN</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Ma, Mingfang</creator><creator>Fan, Yajuan</creator><creator>Peng, Yuan</creator><creator>Ma, Qingyan</creator><creator>Jia, Min</creator><creator>Qi, Zhiyang</creator><creator>Yang, Jian</creator><creator>Wang, Wei</creator><creator>Ma, Xiancang</creator><creator>Yan, Bin</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240401</creationdate><title>Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study</title><author>Ma, Mingfang ; Fan, Yajuan ; Peng, Yuan ; Ma, Qingyan ; Jia, Min ; Qi, Zhiyang ; Yang, Jian ; Wang, Wei ; Ma, Xiancang ; Yan, Bin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c246t-eada46a996bf50b07c006d87bda7c1b32ca5b56b58915aff028029cb4d3b130e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cardiovascular Diseases - complications</topic><topic>Cohort Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Osteoporotic Fractures</topic><topic>Polysomnography</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Mingfang</creatorcontrib><creatorcontrib>Fan, Yajuan</creatorcontrib><creatorcontrib>Peng, Yuan</creatorcontrib><creatorcontrib>Ma, Qingyan</creatorcontrib><creatorcontrib>Jia, Min</creatorcontrib><creatorcontrib>Qi, Zhiyang</creatorcontrib><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Ma, Xiancang</creatorcontrib><creatorcontrib>Yan, Bin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Mingfang</au><au>Fan, Yajuan</au><au>Peng, Yuan</au><au>Ma, Qingyan</au><au>Jia, Min</au><au>Qi, Zhiyang</au><au>Yang, Jian</au><au>Wang, Wei</au><au>Ma, Xiancang</au><au>Yan, Bin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study</atitle><jtitle>Journal of clinical sleep medicine</jtitle><addtitle>J Clin Sleep Med</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>20</volume><issue>4</issue><spage>545</spage><epage>553</epage><pages>545-553</pages><issn>1550-9389</issn><eissn>1550-9397</eissn><abstract>Previous studies have highlighted the importance of sleep patterns for human health. This study aimed to investigate the association of sleep timing with all-cause and cardiovascular disease mortality.
Participants were screened from two cohort studies: the Sleep Heart Health Study (SHHS; n = 4,824) and the Osteoporotic Fractures in Men Study (n = 2,658). Sleep timing, including bedtime and wake-up time, was obtained from sleep habit questionnaires at baseline. The sleep midpoint was defined as the halfway point between the bedtime and wake-up time. Restricted cubic splines and Cox proportional hazards regression analyses were used to examine the association between sleep timing and mortality.
We observed a U-shaped association between bedtime and all-cause mortality in both the SHHS and Osteoporotic Fractures in Men Study groups. Specifically, bedtime at 11:00 pm and waking up at 7:00 am was the nadir for all-cause and cardiovascular disease mortality risks. Individuals with late bedtime (> 12:00 am) had an increased risk of all-cause mortality in SHHS (hazard ratio 1.53, 95% confidence interval 1.28-1.84) and Osteoporotic Fractures in Men Study (hazard ratio 1.27, 95% confidence interval 1.01-1.58). In the SHHS, late wake-up time (> 8:00 am) was associated with increased all-cause mortality (hazard ratio 1.39, 95% confidence interval 1.13-1.72). No significant association was found between wake-up time and cardiovascular disease mortality. Delaying sleep midpoint (> 4:00 am) was also significantly associated with all-cause mortality in the SHHS and Osteoporotic Fractures in Men Study.
Sleep timing is associated with all-cause and cardiovascular disease mortality. Our findings highlight the importance of appropriate sleep timing in reducing mortality risk.
Ma M, Fan Y, Peng Y, et al. Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study.
2024;20(4):545-553.</abstract><cop>United States</cop><pmid>38561941</pmid><doi>10.5664/jcsm.10926</doi><tpages>9</tpages></addata></record> |
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| subjects | Cardiovascular Diseases - complications Cohort Studies Humans Male Osteoporotic Fractures Polysomnography Sleep |
| title | Association of sleep timing with all-cause and cardiovascular mortality: the Sleep Heart Health Study and the Osteoporotic Fractures in Men Study |
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