Self-reported sleep duration and coronary heart disease mortality: A large cohort study of 400,000 Taiwanese adults

Strand, Linn Beate; Tsai, Min Kuang; Gunnell, David; Janszky, Imre; Wen, Chi Pang; Chang, Shu‐Sen

doi:10.1016/j.ijcard.2016.01.044

Cited by 60 publications

(37 citation statements)

References 36 publications

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“…A total of 74 studies met the inclusion criteria; the process of study selection is shown in Figure 1 8, 9, 11, 12, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89,...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 537, 47, 49, 75, 78 and 12*** studies were included in spline analysis for CHD mortality and CHD, respectively. Linear spline analysis failed to demonstrate any significant difference for both outcomes for self‐reported shorter and longer sleep durations (Figure 3, cubic model in Data S8).…”

Section: Resultsmentioning

confidence: 99%

“…For the meta‐analysis, there were 7 studies37, 47, 49, 51, 61, 75, 78 (Data S11) and 15 studies**** (Data S12) for CHD mortality and CHD, respectively. Although there were fewer studies, a similar J‐shaped pattern was observed where there was greater risk of CHD mortality and events with incremental deviation from the reference 7 to 8 hours of self‐reported sleep (a modest increase for 6 hours and greater increase for ≤5 hours; Data S10).…”

Section: Resultsmentioning

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

331

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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

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

331

227

View full text Add to dashboard Cite

show abstract

“…Epidemiologic studies have showed that sleep duration abnormity is significantly associated with CVD and stroke [14,[31][32]. In addition, sleep duration abnormity has been recently identified as an important independent risk factor for Hhcy [33][34].…”

Section: Discussionmentioning

confidence: 99%

Daytime sleepiness is associated with hyperhomocysteinemia in rural area of China: A cross-sectional study

Zhang

Chen

et al. 2016

European Journal of Internal Medicine

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“…We read Dr. Kawada`s commentary (1) on our article (2) with great interest, and we value his thoughts and suggestion for moving this field forward.…”

mentioning

confidence: 94%

Sleep duration, sleep quality and coronary heart disease mortality

Strand

Tsai

Gunnell

et al. 2016

International Journal of Cardiology

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Self-reported sleep duration and coronary heart disease mortality: A large cohort study of 400,000 Taiwanese adults

Cited by 60 publications

References 36 publications

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

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

Daytime sleepiness is associated with hyperhomocysteinemia in rural area of China: A cross-sectional study

Sleep duration, sleep quality and coronary heart disease mortality

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