The Role of Sleep in Cardiovascular Disease

Jaspan, Vita N.; Greenberg, Garred S.; Parihar, Siddhant; Park, Christine M.; Somers, Virend K.; Shapiro, Michael D.; Lavie, Carl J.; Virani, Salim S.; Slipczuk, Leandro

doi:10.1007/s11883-024-01207-5

Cited by 7 publications

References 142 publications

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Questionnaire and polysomnographic evaluation of obstructive sleep apnea in a cohort of post-COVID-19 patients

Chibante,

Faria,

Ribeiro-Alves

et al. 2024

Medicine

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To evaluate the efficiency of 5 screening questionnaires for obstructive sleep apnea (OSA), OSA frequency, and the association between OSA and COVID-19 severity in recent COVID-19 cases, and to compare the use of the oxygen desaturation index (ODI) as an alternative measure for the respiratory disturbance index (RDI). This open cohort study recruited patients with recent COVID-19 (within 30–180 days) diagnosed using reverse transcription polymerase chain reaction. Participants were screened for OSA using the following 5 sleep disorder questionnaires prior to undergoing type I polysomnography: the Sleep Apnea Clinical Score (SACS), Epworth Sleepiness Scale (ESS), STOP-Bang score, No-Apnea score, and Berlin questionnaire. Polysomnography revealed that 77.5% of the participants had OSA and that these patients exhibited higher COVID-19-related hospitalization (58%) than those exhibited by non-apneic patients. The Kappa coefficient showed reasonable agreement between RDI > 5/h and No-Apnea score, RDI > 15/h and Berlin questionnaire score, and Epworth Sleepiness Scale and STOP-Bang score, but only moderate agreement between RDI > 15/h and No-Apnea score. An OSA-positive No-Apnea score increased the specificity of the SACS to 100% when RDI > 5/h. The intraclass correlation coefficient showed 95.2% agreement between RDI > 5/h and ODI > 10/h. The sequential application of the No-Apnea score and SACS was the most efficient screening method for OSA, which had a moderately high incidence among the post-COVID-19 group. We demonstrated an association between OSA and COVID-19 related hospitalization and that ODI could be a simple method with good performance for diagnosing OSA in this population.

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Questionnaire and polysomnographic evaluation of obstructive sleep apnea in a cohort of post-COVID-19 patients

Chibante,

Faria,

Ribeiro-Alves

et al. 2024

Medicine

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Associations between sleep parameters and falls among older adults with and without cardiovascular disease: Evidence from the China Health and Retirement Longitudinal Study (CHARLS)

Wu,

Ebihara

2024

Geriatrics Gerontology Int

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AimFalls are a major global public health concern, requiring early screening and prevention. Cardiovascular disease (CVD) is associated with physical impairments and increased fall risk. Despite the link between CVD and sleep parameters, research on falls and sleep in CVD patients is limited. We aimed to compare the correlation between falls and sleep in populations with and without CVD to develop fall prevention strategies.MethodsThis longitudinal cohort study utilized data from the China Health and Retirement Longitudinal Study (CHARLS). Baseline data were collected in 2011, with follow‐up in 2015. Falls and CVD were assessed based on self‐reporting. Sleep parameters, including nighttime and total sleep duration, daytime napping, and sleep disturbance were collected via self‐reported questionnaires. Data analysis was conducted using SPSS and R statistical.ResultsA cohort of 4349 individuals with an average age of 68.00 ± 5.97 years was analyzed. From these individuals, 21.5% reported falls during follow‐up. Baseline CVD was significantly associated with follow‐up falls (P < 0.001). After adjusting for multiple factors, nighttime sleep durations of <6 h (P = 0.004), 8 to 9 h (P = 0.016) and >9 h (P = 0.031) were significantly associated with follow‐up falls among the CVD group. Total sleep duration <7 h was significantly associated with follow‐up falls in both the total and non‐CVD groups (P < 0.05).ConclusionsMaintaining a moderate sleep duration is crucial for preventing falls among older adults. Both excessively short and long sleep durations are associated with fall risks, particularly for individuals with CVD. Geriatr Gerontol Int 2024; ••: ••–••.

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Short sleep duration as a risk factor for cataract in the elderly hypertensive patients in rural China

Yang,

Li,

et al. 2024

Preprint

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Background In an aging society, cataracts continue to significantly impact the quality of life for an increasing number of elderly individuals. As a risk factor for cataract, hypertension is becoming increasingly prevalent among the elderly year by year. The association between sleep duration and cataract in elderly hypertensive demographic remains unclear and warrants further exploration to aid in strategizing early intervention programs. Methods Based on China’s National Basic Public Health Service Project (NBPHSP), a cross-sectional study was conducted in Jia County, Henan Province, China. A total of 17473 cases aged 65 years and over with hypertension were included in this study. Sleep duration was obtained through questionnaires and information on cataracts was derived from NBPHSP. Three logistic regression models were used to assess the association between sleep duration and cataract. Subgroup analysis and interaction tests were performed to address heterogeneity. Results The average self-reported sleep duration was (6.77 ± 1.80) hours, and the prevalence of cataracts was 11.9%. In the adjusted logistic regression model, elderly hypertensive patients with sleep duration < 6 hours had a higher risk of cataract compared to those with sleep duration between 7–8 hours (OR: 1.39, 95%CI: 1.21–1.59). However, non-significant association was found between long sleep duration and cataract. The findings from subgroup analysis indicated no significant interaction effect. Conclusions In rural China, elderly hypertensive patients with a sleep duration of less than 6 hours are at a significantly higher risk of developing cataracts. This finding underscores the importance of monitoring sleep patterns in this population. Promoting adequate sleep duration may be a key strategy in reducing cataract prevalence and improving the overall quality of life for elderly patients with hypertension.

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The Role of Sleep in Cardiovascular Disease

Cited by 7 publications

References 142 publications

Questionnaire and polysomnographic evaluation of obstructive sleep apnea in a cohort of post-COVID-19 patients

Questionnaire and polysomnographic evaluation of obstructive sleep apnea in a cohort of post-COVID-19 patients

Associations between sleep parameters and falls among older adults with and without cardiovascular disease: Evidence from the China Health and Retirement Longitudinal Study (CHARLS)

Short sleep duration as a risk factor for cataract in the elderly hypertensive patients in rural China

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