Sleep Duration and Cardiovascular Disease Risk
Open accessAbstract
Inadequate sleep is increasingly pervasive, and the impact on health remains to be fully understood. The cardiovascular consequences alone appear to be substantial. This 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 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 reduce the potential disease burden associated with this high-risk behavior.
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The relationship between self-reported sleep duration and prevalent hypertension follows a U-shaped association with the nadir of the U being between 7 and 8 hours of uninterrupted sleep per night.
“The relationship between self-reported sleep duration and prevalent hypertension follows a U-shaped association with the nadir of the U being between 7 and 8 hours of uninterrupted sleep per night.256,264,265”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [264]
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Ramos, A. R., Jin, Z., Rundek, T., Russo, C. A., Homma, S., Elkind, M. S. V., Sacco, R. L., & Tullio, M. R. D. (2013) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2013.04.029 · Cited by 28 · see citing works
The impact of sleep deprivation on the coronary circulation
Sekine, T., Daimon, M., Hasegawa, R., Toyoda, T., Kawata, T., Funabashi, N., & Komuro, I. (2009) · International Journal of Cardiology · doi:10.1016/j.ijcard.2009.01.013 · Cited by 26 · see citing works
Liu, J., Yuen, J., & Kang, S. (2014) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2013.12.012 · Cited by 12 · see citing works
Covassin, N., Bukartyk, J., Sahakyan, K., Svatikova, A., Calvin, A. D., Louis, E. K. S., & Somers, V. K. (2015) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(15)61352-3 · Cited by 11 · see citing works
Self-citationYang, H., Haack, M., Lamanna, M., & Mullington, J. M. (2015) · The FASEB Journal · doi:10.1096/fasebj.29.1_supplement.957.8 · Cited by 5 · see citing works
Association Between Sleep and Blood Pressure in Midlife
Knutson, K. L., Cauter, E. V., Rathouz, P. J., Yan, L. L., Hulley, S. B., Liu, K., & Lauderdale, D. S. (2017) · Cited by 4 · see citing works
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Carnethon, M. R., Pu, J., Howard, G., Albert, M. A., Anderson, C. A. M., Bertoni, A. G., Mujahid, M. S., Palaniappan, L., Taylor, H. A., Willis, M., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000534 · Cited by 1,147 · see citing works
Carey, R. M., Calhoun, D. A., Bakris, G. L., Brook, R. D., Daugherty, S. L., Dennison-Himmelfarb, C. R., Egan, B. M., Flack, J. M., Gidding, S. S., Judd, E., et al. (2018) · Hypertension · doi:10.1161/hyp.0000000000000084 · Cited by 1,153 · see citing works
Smith, M. T., McCrae, C. S., Cheung, J., Martin, J. L., Harrod, C. G., Heald, J. L., & Carden, K. A. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7228 · Cited by 518 · see citing works
The need to promote sleep health in public health agendas across the globe
Lim, D. C., Najafi, A., Afifi, L., Bassetti, C. L., Buysse, D. J., Han, F., Högl, B., Melaku, Y. A., Morin, C. M., Pack, A. I., et al. (2023) · The Lancet Public Health · doi:10.1016/s2468-2667(23)00182-2 · Cited by 373 · see citing works
“20 The loss of even 1 h of sleep during the transition to Daylight Saving Time is followed by a significant increase in risk of a heart attack over the next 3 days, which supports recommendations to adopt permanent standard time in countries that engage in clock changes, such as the USA.”
BackgroundSleep Irregularity and Risk of Cardiovascular Events
Huang, T., Mariani, S., & Redline, S. S. (2020) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.12.054 · Cited by 371 · see citing works
“A large amount of experimental and epidemiological evidence also supports the importance of adequate sleep duration for cardiovascular health (20,21).”
BackgroundAssociation between sleep duration and depression in US adults: A cross-sectional study
Dong, L., Xie, Y., & Zou, X. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.09.075 · Cited by 343 · see citing works
The epidemiology of sleep and obesity
Ogilvie, R. P., & Patel, S. R. (2017) · Sleep Health · doi:10.1016/j.sleh.2017.07.013 · Cited by 327 · see citing works
“include environment lighting, new technologies, and for adults, long working hours.(17)”
Lao, X. Q., Liu, X., Deng, H.-B., Chan, T.-C., Ho, K. F., Wang, F., Vermeulen, R., Tam, T., Wong, M. C. S., Tse, L. A., et al. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6894 · Cited by 317 · see citing works
“Similar results were observed in the series of sensitivity analyses: (1) excluding participants with follow-up duration less than 2 years (Table S2 in the supplemental material), (2) excluding participants aged 75 years or older (Table S3 in the supplemental material), (3) excluding participants who had family history…”
Sleep deprivation and its association with diseases- a review
Liew, S. C., & Aung, T. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.07.048 · Cited by 318 · see citing works
Gao, X., Huang, N., Guo, X., & Huang, T. (2022) · Aging Cell · doi:10.1111/acel.13610 · Cited by 136 · see citing works
Repetitive transcranial magnetic stimulation in primary sleep disorders
Lanza, G., Fisicaro, F., Cantone, M., Pennisi, M., Cosentino, F., Lanuzza, B., Tripodi, M., Bella, R., Paulus, W., & Ferri, R. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101735 · Cited by 129 · see citing works
Willoughby, A. R., Alikhani, I., Karsikas, M., Chua, X. Y., & Chee, M. W. L. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.08.010 · Cited by 134 · see citing works
Lifestyle Medicine and the Management of Cardiovascular Disease
Doughty, K. N., Pilar, N. X. D., Audette, A., & Katz, D. L. (2017) · Current Cardiology Reports · doi:10.1007/s11886-017-0925-z · Cited by 104 · see citing works
Nikbakhtian, S., Reed, A. B., Obika, B. D., Morelli, D., Cunningham, A. C., Aral, M., & Plans, D. (2021) · European Heart Journal - Digital Health · doi:10.1093/ehjdh/ztab088 · Cited by 96 · see citing works
“Both short and long self-reported sleep durations are associated with higher CVD risk.(18) Sensitivity analyses concerning age categories or and preexisting conditions did not impact the overall association.”
BackgroundGordon, N. P., Yao, J., Brickner, L. A., & Lo, J. C.-M. (2022) · BMC Public Health · doi:10.1186/s12889-022-14443-8 · Cited by 98 · see citing works
Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
Reis, C., Dias, S. S., Rodrigues, A. M., de Sousa, R. D., Gregório, M. J., Branco, J., Canhão, H. M., & Paiva, T. (2018) · Sleep Science · doi:10.5935/1984-0063.20180036 · Cited by 93 · see citing works
Effects of sleep deprivation on endothelial function in adult humans: a systematic review
Holmer, B. J., Lapierre, S., Jake‐Schoffman, D. E., & Christou, D. D. (2021) · GeroScience · doi:10.1007/s11357-020-00312-y · Cited by 81 · see citing works
Mizuno, A., Changolkar, S., & Patel, M. S. (2020) · Annual Review of Medicine · doi:10.1146/annurev-med-050919-031534 · Cited by 80 · see citing works
Sex differences in frailty among older adults
Zeidan, R. S., McElroy, T., Rathor, L., Martenson, M. S., Lin, Y., & Mankowski, R. T. (2023) · Experimental Gerontology · doi:10.1016/j.exger.2023.112333 · Cited by 77 · see citing works
“…can have positive effects on health and immunity, sleep apnea can lead to daytime fatigue and increased the risk of other health problems, such as high blood pressure, heart disease, and stroke, all which contribute to frailty (Besedovsky et al., 2019; Bah et al., 2019; Covassin and Singh, 2016).”
Sleep Deprivation and Gut Microbiota Dysbiosis: Current Understandings and Implications
Sun, J., Fang, D., Wang, Z., & Liu, Y. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24119603 · Cited by 79 · see citing works
“Moreover, sleep takes part in nearly all systems of the whole body: for example, the autonomic nervous system [8,9], cardiovascular system [8,10], immune system [11,12], and metabolism [13,14].”
BackgroundPotential Cardiometabolic Health Benefits of Full-Fat Dairy: The Evidence Base
Hirahatake, K. M., Astrup, A. V., Hill, J. O., Slavin, J. L., Allison, D. B., & Maki, K. C. (2019) · Advances in Nutrition · doi:10.1093/advances/nmz132 · Cited by 70 · see citing works
Okely, J. A., Corley, J., Welstead, M., Taylor, A. M., Page, D., Skarabela, B., Redmond, P. H., Cox, S. R., & Russ, T. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18010210 · Cited by 66 · see citing works
Chiang, P.-H., Wong, M., & Dey, S. (2021) · IEEE Journal of Translational Engineering in Health and Medicine · doi:10.1109/jtehm.2021.3098173 · Cited by 64 · see citing works
Syauqy, A., Hsu, C., Rau, H.-H., Kurniawan, A. L., & Chao, J. C.-J. (2019) · Nutrients · doi:10.3390/nu11081848 · Cited by 60 · see citing works
“Sleep, one of the most important factors, leads to several health-related issues [12].”
BackgroundZhu, K., Qian, F., Lu, Q., Li, R., Qiu, Z., Li, L., Li, R., Yu, H., Deng, Y., YANG, K. Y., et al. (2024) · Diabetes Care · doi:10.2337/dc23-1503 · Cited by 59 · see citing works
Teo, J. X., Dávila, S., Yang, C., Hii, A. A., Pua, C. J., Yap, J. J. L., Tan, S. Y., Sahlén, A., Chin, C. W.-L., Teh, B. T., et al. (2019) · Communications Biology · doi:10.1038/s42003-019-0605-1 · Cited by 57 · see citing works
Matsuo, M., Masuda, F., Sumi, Y., Takahashi, M., Yamada, N., Ohira, M., Fujiwara, K., Kanemura, T., & Kadotani, H. (2016) · Frontiers in Neurology · doi:10.3389/fneur.2016.00110 · Cited by 55 · see citing works
Wallace, D. A., Johnson, D. A., Redline, S. S., Sofer, T., & Kossowsky, J. (2023) · SLEEP · doi:10.1093/sleep/zsad220 · Cited by 53 · see citing works
Shimura, A., Sugiura, K., Inoue, M., Misaki, S., Tanimoto, Y., Oshima, A., Tanaka, T., Yokoi, K., & Inoue, T. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.02.001 · Cited by 49 · see citing works
You, Y., Wei, M., Chen, Y., Fu, Y., Ablitip, A., Liu, J., & Ma, X. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1016619 · Cited by 46 · see citing works
“Nevertheless, there were scarcely 50% of adults in the US reported a habitual sleep time falling within the recommended sleeping hour (Covassin and Singh, 2016), and this trend was also found in other developed countries (Bin et al.”
BackgroundAssociation between sleep duration and depression: A Mendelian randomization analysis
Liu, H. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.05.020 · Cited by 46 · see citing works
Kario, K., Hoshide, S., Nagai, M., Okawara, Y., & Kanegae, H. (2021) · Hypertension Research · doi:10.1038/s41440-021-00709-y · Cited by 45 · see citing works
Addo, P. N. O., Mundagowa, P. T., Zhao, L., Kanyangarara, M., Brown, M. J., & Liu, J. (2024) · BMC Public Health · doi:10.1186/s12889-024-18381-5 · Cited by 44 · see citing works
“Sleep deprivation impairs coronary microcirculation [8], disrupts endothelial functioning and causes early decline of vascular structure and function, which may increase CVD risk [9].”
BackgroundXu, T., Zhu, G., & Han, S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17030763 · Cited by 45 · see citing works
Nistor, P., Chang-Kit, B., Nicholson, K., Anderson, K. K., & Stranges, S. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.07.002 · Cited by 43 · see citing works
Covassin, N., Singh, P., & Somers, V. K. (2016) · Hypertension · doi:10.1161/hypertensionaha.116.06588 · Cited by 44 · see citing works
“ficient sleep to increased morbidity and mortality, as recently reviewed elsewhere.(50,51) Sleep deficiency enhances vulnerability to weight gain and obesity, mostly abdominal obesity.”
Self-citationWang, X., Wang, R., & Zhang, D. (2024) · BMC Public Health · doi:10.1186/s12889-024-17954-8 · Cited by 41 · see citing works
“Regarding sleep duration and multimorbidity, previous studies have shown that short sleep duration increased the risk of cardiovascular diseases [22], hypertension [23], and asthma [24].”
BackgroundBeydoun, H. A., Beydoun, M. A., Chen, X., Chang, J. J., Gamaldo, A. A., Eid, S. M., & Zonderman, A. B. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.05.006 · Cited by 39 · see citing works
Cardiovascular consequences of obstructive sleep apnea in women: a historical cohort study
Kendzerska, T., Leung, R. S. T., Atzema, C. L., Chandy, G., Meteb, M., Malhotra, A., HAWKER, G. A., & Gershon, A. S. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.08.021 · Cited by 39 · see citing works
“Low sleep efficiency by itself has been shown to be associated with an increased risk of cardiovascular events and all-cause mortality [58].”
BackgroundWang, W., Zhong, C., Zhang, Y., Huang, L., Chen, X., Zhou, X., Chen, R., Li, X., Xiao, M., Hao, L., et al. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.03.013 · Cited by 38 · see citing works
Gao, X., Tian, S., Huang, N., Sun, G., & Huang, T. (2023) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2023.02.002 · Cited by 38 · see citing works
Is exposure to chemical pollutants associated with sleep outcomes? A systematic review
Wallace, D. A., Gallagher, J. P., Peterson, S. R., Gueye‐Ndiaye, S., Fox, K. A., Redline, S. S., & Johnson, D. A. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2023.101805 · Cited by 38 · see citing works
Leitner, J., Chiang, P.-H., Agnihotri, P., & Dey, S. (2024) · JMIR Cardio · doi:10.2196/51916 · Cited by 38 · see citing works
Hossin, M. Z. (2016) · Sleep Health · doi:10.1016/j.sleh.2016.01.006 · Cited by 38 · see citing works
May, R. W., Bauer, K. N., Seibert, G. S., Jaurequi, M. E., & Fincham, F. D. (2020) · Learning and Individual Differences · doi:10.1016/j.lindif.2020.101821 · Cited by 36 · see citing works
Sleep health, diseases, and pain syndromes: findings from an electronic health record biobank
Dashti, H. S., Cade, B. E., Stutaite, G., Saxena, R., Redline, S. S., & Karlson, E. W. (2020) · SLEEP · doi:10.1093/sleep/zsaa189 · Cited by 36 · see citing works
“Our cross-sectional PheWAS for self-reported time in bed, a proxy for sleep duration, supports well-established positive associations between short and long sleep duration and obesity [40], type 2 diabetes [5], hypertension [41], cardiovascular disease [42], and depression [43].”
BackgroundAssociations Between Objective Sleep and Ambulatory Blood Pressure in a Community Sample
Doyle, C. Y., Ruiz, J. M., Taylor, D. J., Smyth, J. W., Flores, M. A., Dietch, J. R., Ahn, C. W., Allison, M., Smith, T. W., & Uchino, B. N. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000711 · Cited by 34 · see citing works
“The association between lower sleep duration and nighttime BP remained significant after both partial (systolic: F(5,222) = 6.”
BackgroundInfluentialTegegne, T. K., Islam, S. M. S., & Maddison, R. (2022) · Scientific Reports · doi:10.1038/s41598-022-22469-6 · Cited by 34 · see citing works
Ivancovsky Wajcman, D., Byrne, C. J., Dillon, J. F., Brennan, P. N., Villota-Rivas, M., Younossi, Z. M., Allen, A. M., Crespo, J., Gerber, L. H., & Lazarus, J. V. (2026) · Hepatology · doi:10.1097/hep.0000000000001058 · Cited by 33 · see citing works
“…of life, [120] and inadequate and disrupted sleep has been associated with various adverse health outcomes, including an increased risk of obesity, T2D, [121] metabolic syndrome, [92] CVD, [122] and associated all-cause mortality, [123] MASLD management guidelines lack a sleep hygiene emphasis.”
Li, Y., Li, X., Zhaung, W., Yu, C., Wei, S., Li, Y., Li, Y., Li, J., Luorui, C., Zheng, C., et al. (2023) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2023.11.002 · Cited by 32 · see citing works
Is post-ischemic stroke insomnia related to a negative functional and cognitive outcome?
Matas, A., Amaral, L., & Pato, M. V. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.03.022 · Cited by 32 · see citing works
Du, Y. J., Wang, M., Wang, Y., Dou, Y., Yan, Y., Fan, H., Fan, N., Yang, X., & Ma, X. (2024) · BMC Public Health · doi:10.1186/s12889-024-20093-9 · Cited by 31 · see citing works
“…to aim for 7 to 9 h of sleep, while older adults ( > 65 years old) should aim for 7 to 8 h. Surpris-ingly, only 48% of adults in the US reported consistently sleeping for the recommended 7–9 h per night, while 26% averaged 6–7 h of sleep per night, and 20% slept less than 6 h per night [26].”
BackgroundSleep Deprivation, Immune Suppression and SARS-CoV-2 Infection
Ragnoli, B., Pochetti, P., Pignatti, P., Barbieri, M., Mondini, L., Ruggero, L., Trotta, L., Montuschi, P., & Malerba, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020904 · Cited by 33 · see citing works
Cash, R. E., Anderson, S. E., Lancaster, K. E., Lü, B., Rivard, M. K., Camargo, C. A., & Panchal, A. R. (2020) · Prehospital Emergency Care · doi:10.1080/10903127.2020.1758259 · Cited by 32 · see citing works
Martinez-Miller, E., Prather, A. A., Robinson, W. R., Avery, C. L., Yang, Y. C., Haan, M. N., & Aiello, A. E. (2018) · SLEEP · doi:10.1093/sleep/zsy246 · Cited by 31 · see citing works
Cash, R. E., Hery, C. M. B., Panchal, A. R., & Bower, J. K. (2020) · Preventing Chronic Disease · doi:10.5888/pcd17.190424 · Cited by 29 · see citing works
“Potential mechanisms for this association with short sleep include dysregulation of appetite hormones (7), glucose intolerance (4), the upand-down regulation of gene expression (8), and circadian rhythm misalignment (9), which may result in inflammatory conditions and development of other CVD risk factors such as hype…”
Is inadequate sleep a potential risk factor for periodontitis?
Alhassani, A. A., & Al‐Zahrani, M. S. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234487 · Cited by 29 · see citing works
Beaman, A., Bhide, M., McHill, A. W., & Thosar, S. S. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.12.011 · Cited by 30 · see citing works
“Lack of sleep and disrupted sleeping patterns can adversely affect CV parameters, and these sleep-related changes can chronically increase overall CV disease risk [6].”
BackgroundLi, R., Zhang, J., Gao, Y., Zhang, Y., Lan, X., Dong, H., Wu, C., Yu, C., Peng, M., & Zeng, G. (2021) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13584 · Cited by 30 · see citing works
Pan, Y., Zhou, Y., Shi, X., He, S., & Lai, W. (2023) · Biomedical Reports · doi:10.3892/br.2023.1660 · Cited by 30 · see citing works
Wang, M., Lu, X., Zheng, X., Xu, C., & Liu, J. (2023) · PLoS ONE · doi:10.1371/journal.pone.0291799 · Cited by 28 · see citing works
“However, millions of Americans suffer from sleeprelated disorders each year, with only 48% of adults reporting a habitual sleep duration within this range [6].”
BackgroundJiang, K., Spira, A. P., Reed, N. S., Lin, F. R., & Deal, J. A. (2021) · The Journals of Gerontology Series A · doi:10.1093/gerona/glab214 · Cited by 28 · see citing works
Ogunbajo, A., Restar, A., Edeza, A., Goedel, W. C., Jin, H., Iwuagwu, S., Williams, R., Abubakari, M. R., Biello, K. B., & Mimiaga, M. J. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.02.010 · Cited by 27 · see citing works
“Sleep-related problems—To assess sleep-related problems, we asked three questions: (1) During the past month, how often have you taken medicine to help you sleep? (2) During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in your daily activities? (3) During the pa…”
BackgroundZhao, J., Yang, F., Zhuo, C., Wang, Q., Qu, Z., Wang, Q., & Zheng, L. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2021.583658 · Cited by 27 · see citing works
“, 2006), cardiovascular diseases (Covassin and Singh, 2016; Li et al., 2020), renal disease (Geng et al.”
BackgroundInteraction of sleep duration and depression on cardiovascular disease: a retrospective cohort study
Jin, B., Zhang, H., Song, F., Wu, G.-J., & Yang, H. (2022) · BMC Public Health · doi:10.1186/s12889-022-14143-3 · Cited by 27 · see citing works
Kouvari, M., Panagiotakos, D. B., Chrysohoou, C. A., Georgousopoulou, E. N., Notara, V., Tousoulis, D. M., Pitsavos, C., & ATTICA GREECS Studies Investigators (2019) · Current Vascular Pharmacology · doi:10.2174/1570161116666180608121720 · Cited by 26 · see citing works
Chiang, P.-H., & Dey, S. (2018) · IEEE International Conference on e-Health Networking, Applications and Services (Healthcom) · doi:10.1109/healthcom.2018.8531109 · Cited by 27 · see citing works
DelRosso, L. M., Bruni, O., & Ferri, R. (2020) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8718 · Cited by 25 · see citing works
Sleeping Late Increases the Risk of Myocardial Infarction in the Middle-Aged and Older Populations
Fan, Y., Wu, Y., Peng, Y. Y., Zhao, B., Yang, J., Bai, L., Ma, X., & Yan, B. (2021) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2021.709468 · Cited by 26 · see citing works
Shin, D., Hur, J., Cho, K.-H., & Cho, E.-H. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.08.008 · Cited by 25 · see citing works
The impact of individual lifestyle and status on the acquisition of COVID-19: A case—Control study
Gao, C., Zhao, Z. G., Li, F., Liu, J., Xu, H., Zeng, Y., Yang, L., Chen, J., Lu, X., Wang, C., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0241540 · Cited by 23 · see citing works
A Clinician’s Guide to Smartwatch “Interrogation”
Gupta, S. K., Mahmoud, A., & Massoomi, M. R. (2022) · Current Cardiology Reports · doi:10.1007/s11886-022-01718-0 · Cited by 22 · see citing works
“This information has utility for clinicians, as it is well established in the literature that inadequate sleep is associated with increased mortality and contributes to the development of cardiovascular disease, as well as other conditions [37].”
BackgroundMazzitelli, M., Trunfio, M., Milinkovic, A., Castelli, E., Sasset, L., Leoni, D., Salvucci, M., Cazzaro, R., Calcinoni, I., Balducci, P., et al. (2023) · AIDS · doi:10.1097/qad.0000000000003493 · Cited by 22 · see citing works
The association between sleep duration and muscle sympathetic nerve activity
Tai, B., Dawood, T., Macefield, V. G., & Yiallourou, S. R. (2023) · Clinical Autonomic Research · doi:10.1007/s10286-023-00965-7 · Cited by 23 · see citing works
WHITESELL, P. L., Obi, J., Tamanna, N., & Sumner, A. E. (2018) · Frontiers in Endocrinology · doi:10.3389/fendo.2018.00140 · Cited by 21 · see citing works
Nuyujukian, D. S., Anton‐Culver, H., Manson, S. M., & Jiang, L. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.02.003 · Cited by 22 · see citing works
Chiang, P.-H., & Dey, S. (2019) · IEEE Access · doi:10.1109/access.2019.2939218 · Cited by 21 · see citing works
“, exercise, nutrition and sleep) has been widely acknowledged to have a large influence on BP [2], [3].”
BackgroundGeng, Y., Smolensky, M. H., Sum‐Ping, O., Hermida, R. C., & Castriotta, R. J. (2022) · Chronobiology International · doi:10.1080/07420528.2022.2080557 · Cited by 21 · see citing works
“Although studies substantiate relationship between sleep duration and CVD risk (e.g., Covassin and Singh 2016; Kwok et al. 2018; Tao et al. 2021), ones linking it specifically to subclinical atherosclerosis are relatively sparse.”
BackgroundClinical outcomes of light therapy in hospitalized patients – A systematic review
Lindskov, F. O., Iversen, H. K., & West, A. S. (2021) · Chronobiology International · doi:10.1080/07420528.2021.1993240 · Cited by 20 · see citing works
“2018), cardiovascular disease (Covassin and Singh 2016) and mortality (Cappuccio et al.”
BackgroundGiménez, M. C., Luxwolda, M., van Stipriaan, E., Bollen, P. P., Hoekman, R. L., Koopmans, M. A., Arany, P. R., Krames, M. R., Berends, A. C., Hut, R. A., et al. (2022) · Biology · doi:10.3390/biology12010060 · Cited by 25 · see citing works
Sleep disorders related to index and comorbid mental disorders and psychotropic drugs
Merrill, R. M., Ashton, M. K., & Angell, E. (2023) · Annals of General Psychiatry · doi:10.1186/s12991-023-00452-3 · Cited by 23 · see citing works
Deriving Accurate Nocturnal Heart Rate, rMSSD and Frequency HRV from the Oura Ring
Liang, T., Yılmaz, G., & Soon, C. S. (2024) · Sensors · doi:10.3390/s24237475 · Cited by 19 · see citing works
Patel, A. R., Hsu, A., Perez, I. A., Wren, T. A. L., & Edison, B. R. (2020) · Research in Sports Medicine · doi:10.1080/15438627.2020.1716229 · Cited by 19 · see citing works
The Relationship between Sleep Duration and Metabolic Syndrome Severity Scores in Emerging Adults
Chaudhry, B. A., Brian, M. S., & Morrell, J. S. (2023) · Nutrients · doi:10.3390/nu15041046 · Cited by 20 · see citing works
Liu, M., Yadong, W., Song, J., & He, W. W. (2023) · Sleep And Breathing · doi:10.1007/s11325-023-02966-2 · Cited by 19 · see citing works
“Significantly, only 48% of respondents in the United States reported a usual sleep time within this range [11].”
fu, X., Wilson, P., & Chung, W. S. F. (2020) · BMC Emergency Medicine · doi:10.1186/s12873-020-00356-5 · Cited by 19 · see citing works
Koçak, A. T., & Arslan, S. (2020) · Journal of Neuroscience Nursing · doi:10.1097/jnn.0000000000000562 · Cited by 19 · see citing works
Evbayekha, E. O., Aiwuyo, H. O., Dilibe, A., Nriagu, B. N., Idowu, A. B., Eletta, R. Y., & Ohikhuai, E. E. (2022) · Cureus · doi:10.7759/cureus.33005 · Cited by 18 · see citing works
“Some studies have found increased rates of major adverse cardiovascular outcomes among patients with sleep deprivation [16,30].”
BackgroundGao, Y., Tang, W., Mao, D., Chen, L.-L., & Ding, X. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04601-6 · Cited by 19 · see citing works
Relationship between sleep disorders and female infertility among US reproductive-aged women
Zhao, J., Chen, Q., & Xue, X. (2023) · Sleep And Breathing · doi:10.1007/s11325-023-02802-7 · Cited by 19 · see citing works
Disparities in Hypertension Among African-Americans: Implications of Insufficient Sleep
Covassin, N., Greene, E. L., Singh, P., & Somers, V. K. (2018) · Current Hypertension Reports · doi:10.1007/s11906-018-0855-1 · Cited by 18 · see citing works
Self-citationAcute Ramelteon Treatment Maintains the Cardiac Rhythms of Rats during Non-REM Sleep
Yoshimoto, A., Yamashiro, K., Ikegaya, Y., & Matsumoto, N. (2021) · Biological and Pharmaceutical Bulletin · doi:10.1248/bpb.b20-00932 · Cited by 18 · see citing works
Du, J., Chen, Y., Zhou, N., Song, Y., Wang, W., & Hong, X. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.04.004 · Cited by 16 · see citing works
Sleep quality and anxiety levels among university students
Silva, D. N., Lima, A. O., dos Santos, L. A., Barreto, D. M., & Pithon, K. R. (2022) · O Mundo da Saúde · doi:10.15343/0104-7809.202246247254 · Cited by 19 · see citing works
The Benefits of Physical Activity for Older People
Koster, A., Stenholm, S., & Schrack, J. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-71291-8_3 · Cited by 16 · see citing works
Devine, J. K., Collen, J. F., Choynowski, J. J., & Capaldi, V. F. (2020) · Military Medical Research · doi:10.1186/s40779-020-00239-7 · Cited by 17 · see citing works
Health-Risk Behaviors and Dietary Patterns Among Jordanian College Students: A Pilot Study
Alkhalidy, H., Orabi, A., Alzboun, T., Alnaser, K., Al-Shami, I. K., & Al-Bayyari, N. S. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.632035 · Cited by 17 · see citing works
Chappel-Farley, M. G., Mander, B. A., Neikrug, A. B., Stehli, A., Nan, B., Grill, J. D., Yassa, M. A., & Benca, R. M. (2021) · SLEEP · doi:10.1093/sleep/zsab240 · Cited by 16 · see citing works
Reconstruction of Pulse Wave and Respiration From Wrist Accelerometer During Sleep
Zschocke, J., Leube, J., Glos, M., Semyachkina-Glushkovskaya, O., Penzel, T., Bartsch, R. P., & Kantelhardt, J. W. (2021) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2021.3107978 · Cited by 16 · see citing works
Possible association between oral health and sleep duration
Han, S., Jee, D., Kang, Y.-J., Park, Y. J., & Cho, J. (2021) · Medicine · doi:10.1097/md.0000000000028035 · Cited by 15 · see citing works
“Both short and long sleepers are more likely to be in poorer overall health and to have been diagnosed with more medical conditions than normal sleepers.([14,15,17]) Appropriate sleep is important in terms of both general health and quality of life.”
Background
- Authors
- Covassin, N., & Singh, P.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Covassin, Naima
- Venue
- Sleep Medicine Clinics
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 11
- Issue
- 1
- Pages
- 81-89
- ISSN
- 1556-407X (ISSN-L)
- PMC
- PMC4791534
- OpenAlex
- W2293620633
- Cited by
- 314
- References
- 94
- Citations by year
- 2026: 19 · 2025: 48 · 2024: 49 · 2023: 57 · 2022: 41 · 2021: 29 · 2020: 28 · 2019: 15 · 2018: 17 · 2017: 7 · 2016: 4
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine Clinics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Heart Association (11SDG7260046)
- National Heart, Lung, and Blood Institute (R01HL114676)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep duration, cardiovascular disease, insufficient sleep, sleep deprivation, cardiovascular risk factors, cardiovascular mortality, cardiovascular disease incidence, disease prevention
- MeSH terms
- Cardiovascular Diseases, Humans, Sleep
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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