Cited by 615Sleep and related disordersSleep and Wakefulness ResearchSleep and Work-Related Fatigue

Sleep Duration and Biomarkers of Inflammation

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Patel, Sanjay R., Zhu, Xiaobei, Storfer-Isser, Amy, Mehra, Reena, Jenny, Nancy S., Tracy, Russell, Redline, Susan·2009·Sleep

Abstract

INTRODUCTION: Extremes of sleep duration have been associated with adverse health outcomes. The mechanism is unclear but may be related to increased inflammation. We sought to assess the association between sleep duration and inflammatory biomarkers. METHODS: A total of 614 individuals from the Cleveland Family Study completed questionnaires about sleep habits and underwent polysomnography. A morning fasting blood sample was assayed for 5 inflammatory cytokines. RESULTS: In this cohort, mean (SD) habitual sleep duration based on self-report was 7.6 (1.6) h and mean sleep duration by polysomnography (PSG) on the night prior to blood sampling was 6.2 (1.3) h. After adjusting for obesity and apnea severity, each additional hour of habitual sleep duration was associated with an 8% increase in C-reactive protein (CRP) levels (P=0.004) and 7% increase in interleukin-6 (IL-6) levels (P=0.0003). These associations were independent of self-reported sleepiness. In contrast, PSG sleep duration was inversely associated with tumor necrosis factor alpha (TNFa) levels. For each hour reduction in sleep, TNFalpha levels increased by 8% on average (P=0.02). Sleep duration was not associated with IL-1 or IL-10. CONCLUSIONS: Increases in habitual sleep durations are associated with elevations in CRP and IL-6 while reduced PSG sleep duration is associated with elevated TNFa levels. Activation of pro-inflammatory pathways may represent a mechanism by which extreme sleep habits affect health.

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Crossref · 10.1093/sleep/32.2.200

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  • The longer sleep duration-mortality relationship is thought to be due to residual confounders such as uncontrolled comorbidities and illness-related longer sleep duration in the last months of life.

    “It is thought to be due to residual confounders, such as uncontrolled comorbidities (429), illness-related longer sleep duration in the last months of life (537), among many other factors”

    From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [429]

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  1. [17]Rechtschaffen A, Kales A. Washington, DC: US Government Printing Office; 1968. A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. [Google Scholar]

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Authors
Patel, S. R., Zhu, X., Storfer-Isser, A., Mehra, R., Jenny, N. S., Tracy, R., & Redline, S.
Affiliations
  • University Hospitals Cleveland Medical Center (US)
  • Case Western Reserve University (US)
  • University of Vermont (US)
Corresponding author
Patel, Sanjay R.
Venue
Sleep
Published
2009-02
Volume
32
Issue
2
Pages
200-204
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
OpenAlex
W199951756
Cited by
615
References
24
Citations by year
2026: 31 · 2025: 40 · 2024: 45 · 2023: 67 · 2022: 42 · 2021: 52 · 2020: 53 · 2019: 28 · 2018: 30 · 2017: 32 · 2016: 32 · 2015: 30 · 2014: 34 · 2013: 42 · 2012: 19
FWCI
23.28
Type
journal article
Language
en
Open access
Locations
  • SLEEP (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5kl2rr024990-05)
  • National Heart, Lung, and Blood Institute (HL 081385, R01HL046380, HL046380, K08HL081385)
  • National Cancer Institute (U54CA116867, CA116867)
  • National Center for Research Resources (KL2-RR-024990, RR024990)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
sleep duration, inflammation, inflammatory markers, C-reactive protein, interleukin-6, TNF-α, interleukin-1, IL-10, cytokines, self-reported sleep, sleepiness, obesity, sleep apnea, pro-inflammatory pathways
MeSH terms
Adult, C-Reactive Protein, Female, Health Surveys, Humans, Disorders of Excessive Somnolence, Interleukin-1, Longitudinal Studies, Male, Middle Aged, Obesity, Phenotype, Sleep Deprivation, Tumor Necrosis Factor-alpha, Cohort Studies, Interleukin-6, Interleukin-10, Polysomnography, Inflammation Mediators, Sleep Apnea, Obstructive

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