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Habitual Sleep Duration and Insomnia and the Risk of Cardiovascular Events and All-cause Death: Report from a Community-Based Cohort
Open accessAbstract
STUDY OBJECTIVES: To investigate the relationship between sleep duration and insomnia severity and the risk of all-cause death and cardiovascular disease (CVD) events. DESIGN: Prospective cohort study. SETTING: Community-based. PARTICIPANTS: A total of 3,430 adults aged 35 years or older. INTERVENTION: None. MEASUREMENTS AND RESULTS: During a median 15.9 year (interquartile range, 13.1 to 16.9) follow-up period, 420 cases developed cardiovascular disease and 901 cases died. A U-shape association between sleep duration and all-cause death was found: the age and gender-adjusted relative risks (95% confidence interval [CI]) of all-cause death (with 7 h of daily sleep being considered for the reference group) for individuals reporting < or = 5 h, 6 h, 8 h, and > or = 9 h were 1.15 (0.91-1.45), 1.02 (0.85-1.25), 1.05 (0.88-1.27), and 1.43 (1.16-1.75); P for trend, 0.019. However, the relationship between sleep duration and risk of CVD were linear. The multivariate-adjusted relative risk (95% CI) for all-cause death (using individuals without insomnia) were 1.02 (0.86-1.20) for occasional insomnia, 1.15 (0.92-1.42) for frequent insomnia, and 1.70 (1.16-2.49) for nearly everyday insomnia (P for trend, 0.028). The multivariate adjusted relative risk (95% CI) was 2.53 (1.71-3.76) for all-cause death and 2.07 (1.11-3.85) for CVD rate in participants sleeping > or = 9 h and for those with frequent insomnia. CONCLUSIONS: Sleep duration and insomnia severity were associated with all-cause death and CVD events among ethnic Chinese in Taiwan. Our data indicate that an optimal sleep duration (7-8 h) predicted fewer deaths.
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“A study in the US of over 3,400 men and women 35 years of age or older reported a significant increase of cardiovascular disease events in those who complained of insomnia every day compared to those without any insomnia complaint (RR: 1.78, 95%CI 1.03–3.08) [214].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [214]
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“A few studies have examined cardiovascular disease mortality in relation to self-reported sleep duration, but none found a significant association in fully adjusted models [212–214].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [214]
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Cites
DeLong, E. R., DeLong, D. M., & Clarke-Pearson, D. L. (1988) · Biometrics · doi:10.2307/2531595 · Cited by 22,649
Hanley, J. A., & McNeil, B. J. (1983) · Radiology · doi:10.1148/radiology.148.3.6878708 · Cited by 7,016
Pencina, M. J., D' Agostino, R. B., D' Agostino, R. B., & Vasan, R. S. (2008) · Statistics in Medicine · doi:10.1002/sim.2929 · Cited by 6,493
Flexible regression models with cubic splines
Durrleman, S., & Simon, R. M. (1989) · Statistics in Medicine · doi:10.1002/sim.4780080504 · Cited by 2,722
Use and Misuse of the Receiver Operating Characteristic Curve in Risk Prediction
Cook, N. R. (2007) · Circulation · doi:10.1161/circulationaha.106.672402 · Cited by 2,156
Greiner, M., Pfeiffer, D., & Smith, R. D. (2000) · Preventive Veterinary Medicine · doi:10.1016/s0167-5877(00)00115-x · Cited by 1,923
Ridker, P. M., Buring, J. E., Rifai, N., & Cook, N. R. (2007) · JAMA · doi:10.1001/jama.297.6.611 · Cited by 1,814
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614
A Prospective Study of Sleep Duration and Coronary Heart Disease in Women
Ayas, N. T., White, D. P., Manson, J. E., Stampfer, M. J., Speizer, F. E., Malhotra, A., & Hu, F. B. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.2.205 · Cited by 1,155
Association of usual sleep duration with hypertension: the Sleep Heart Health Study
Gottlieb, D. J., Redline, S., Nieto, F. J., Baldwin, C. M., Newman, A. B., Resnick, H. E., & Punjabi, N. M. (2006) · Sleep · doi:10.1093/sleep/29.8.1009 · Cited by 947
Inadequate Sleep as a Risk Factor for Obesity: Analyses of the NHANES I
Gangwisch, J. E., Malaspina, D., Boden-Albala, B., & Heymsfield, S. B. (2005) · Sleep · doi:10.1093/sleep/28.10.1289 · Cited by 905
A prospective study of self-reported sleep duration and incident diabetes in women
Ayas, N. T., White, D. P., Al-Delaimy, W. K., Manson, J. E., Stampfer, M. J., Speizer, F. E., Patel, S., & Hu, F. B. (2003) · Diabetes Care · doi:10.2337/diacare.26.2.380 · Cited by 883
A Prospective Study of Sleep Duration and Mortality Risk in Women
Patel, S. R., Ayas, N. T., Malhotra, M. R., White, D. P., Schernhammer, E. S., Speizer, F. E., Stampfer, M. J., & Hu, F. B. (2004) · Sleep · doi:10.1093/sleep/27.3.440 · Cited by 663
Association between Reduced Sleep and Weight Gain in Women
Patel, S. R., Malhotra, A., White, D. P., Gottlieb, D. J., & Hu, F. B. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj280 · Cited by 617
Racial differences in self-reports of sleep duration in a population-based study
Hale, L., & Do, D. P. (2007) · SLEEP · doi:10.1093/sleep/30.9.1096 · Cited by 523
Cappuccio, F. P., Stranges, S., Kandala, N.-B., Miller, M. A., Taggart, F. M., Kumari, M., Ferrie, J. E., Shipley, M. J., Brunner, E. J., & Marmot, M. G. (2007) · Hypertension · doi:10.1161/hypertensionaha.107.095471 · Cited by 512
Mallon, L., Broman, J. ‐., & Hetta, J. (2002) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2002.00941.x · Cited by 495
JACC Study Group (2004) · SLEEP · doi:10.1093/sleep/27.1.51 · Cited by 449
A simple specific method for precipitation of low density lipoproteins.
Wieland, H., & Seidel, D. (1983) · Journal of Lipid Research · doi:10.1016/s0022-2275(20)37936-0 · Cited by 433
Chaput, J.-P., Després, J.-P., Bouchard, C., & Tremblay, A. (2008) · Sleep · doi:10.1093/sleep/31.4.517 · Cited by 390
Short sleep duration and incident coronary artery calcification
(2008) · JAMA · doi:10.1001/jama.2008.867 · Cited by 389
Insomnia: Epidemiology, characteristics, and consequences
Roth, T. G., & Roehrs, T. (2003) · Clinical cornerstone · doi:10.1016/s1098-3597(03)90031-7 · Cited by 374
Heslop, P., Smith, G. D., Metcalfe, C., Macleod, J., & Hart, C. (2002) · Sleep Medicine · doi:10.1016/s1389-9457(02)00016-3 · Cited by 335
Habitual sleep patterns and risk for stroke and coronary heart disease
Qureshi, A. I., Giles, W. H., Croft, J. B., & Bliwise, D. L. (1997) · Neurology · doi:10.1212/wnl.48.4.904 · Cited by 334
Chen, M., Wang, E. K., & Jeng, Y.-J. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-59 · Cited by 314
Meisinger, C., Heier, M., Löwel, H., Schneider, A., & Döring, A. (2007) · Sleep · doi:10.1093/sleep/30.9.1121 · Cited by 305
Sleep disturbance, stroke, and heart disease events: evidence from the Caerphilly cohort
Elwood, P. C., Hack, M., Pickering, J., Hughes, J., & Gallacher, J. (2005) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2005.039057 · Cited by 239
Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease?
Phillips, B. A., & Mannino, D. M. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26913 · Cited by 227
Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B. M., Buijs, R. M., Kreier, F., Opler, M. G., Pickering, T. G., Rundle, A., Zammit, G. K., & Malaspina, D. (2008) · SLEEP · doi:10.5665/sleep/31.8.1087 · Cited by 213
van den Berg, J. F., Knvistingh Neven, A., Tulen, J. H. M., Hofman, A., Witteman, J. C. M., Miedema, H. M. E., & Tiemeier, H. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.57 · Cited by 193
The Association Between Obesity and Short Sleep Duration: A Population-Based Study
Singh, M., Drake, C. L., Roehrs, T., Hudgel, D. W., & Roth, A. T. (2005) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26361 · Cited by 184
Sleep Duration and Risk of Ischemic Stroke in Postmenopausal Women
Chen, J., Brunner, R. L., Ren, H., Wassertheil-Smoller, S. W., Larson, J. C., Levine, D. W., Allison, M., Naughton, M. J., & Stefanick, M. L. (2008) · Stroke · doi:10.1161/strokeaha.108.521773 · Cited by 183
Sleep Duration and Mortality in Japan: the Jichi Medical School Cohort Study
Amagai, Y., Ishikawa, S., Gotoh, T., Doi, Y., Kayaba, K., Nakamura, Y., & Kajii, E. (2004) · Journal of Epidemiology · doi:10.2188/jea.14.124 · Cited by 178
Nighttime Sleep, Chinese Afternoon Nap, and Mortality in the Elderly
Lan, T.-Y., Lan, T., Wen, C.-P., Lin, Y., & Chuang, Y.-L. (2007) · SLEEP · doi:10.1093/sleep/30.9.1105 · Cited by 165
A prediction model for type 2 diabetes risk among Chinese people
Chien, K., Cai, T., Hsu, H., Su, T., Chang, W., Chen, M., Lee, Y.-C., & Hu, F. B. (2008) · Diabetologia · doi:10.1007/s00125-008-1232-4 · Cited by 157
Shankar, A., Koh, W., Yuan, J., Hp, L., & Yu, M. C. (2008) · American Journal of Epidemiology · doi:10.1093/aje/kwn281 · Cited by 156
Chien, K., HSU, H., Sung, F. C., Su, T., Chen, M., & Lee, Y. L. (2005) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2005.01.018 · Cited by 126
Lee, Y., Lin, R. S., Sung, F. C., Yang, C.-Y., Chien, K., Chen, W., Su, T., Hsu, H.-C., & Huang, Y.-C. (2000) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00198-0 · Cited by 113
Correlates of Sleep Complaints in Adults: The ARIC Study
Phillips, B., & Mannino, D. M. (2005) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26344 · Cited by 106
Phillips, B. A., & Mannino, D. M. (2005) · SLEEP · doi:10.1093/sleep/28.8.965 · Cited by 103
Chien, K., Hsu, H., Sung, F., Su, T., Chen, M.-F., & Lee, Y. (2006) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2006.07.033 · Cited by 88
The Multiple Logistic Regression Model
Hosmer, D. W., Lemeshow, S. A., & Sturdivant, R. X. (2013) · Wiley series in probability and statistics · doi:10.1002/9781118548387.ch2 · Cited by 76
Chien, K., Su, T., Jeng, J., Hsu, H., Chang, W., Chen, M.-F., Lee, Y., & Hu, F. B. (2008) · PLoS ONE · doi:10.1371/journal.pone.0003435 · Cited by 75
Chien, K., Lee, Y., Sung, F., Hsu, H., Su, T., & Lin, R. S. (1999) · Clinical Chemistry · doi:10.1093/clinchem/45.6.838 · Cited by 47
Chien, K., Hsu, H., Su, T., Sung, F., Chen, M.-F., & Lee, Y. (2007) · Clinical Chemistry · doi:10.1373/clinchem.2007.090969 · Cited by 32
Roehrs, T., & Roth, T. G. (2004) · Clinical cornerstone · doi:10.1016/s1098-3597(04)80043-7 · Cited by 16
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Why Sleep Is Important for Health: A Psychoneuroimmunology Perspective
Irwin, M. R. (2015) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115205 · Cited by 1,325
“…less than seven hours per night entailed increased risk of cardiovascular mortality (Heslop et al. 2002), with a linear relationship between sleep duration and prospective risk of cardiovascular disease (Chien et al. 2010) that indicates an optimal sleep duration between seven and eight hours.”
BackgroundShort sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression
Itani, O., Jike, M., Watanabe, N., & Kaneita, Y. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2016.08.006 · Cited by 1,252
“3 ≤5/day 7/day ☆★☆★/★★/★★★ Chien et al 2010 [75] 3,430 47.”
BackgroundPanel, C. C., Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., et al. (2015) · Sleep · doi:10.5665/sleep.4886 · Cited by 906
Long sleep duration and health outcomes: A systematic review, meta-analysis and meta-regression
Jike, M., Itani, O., Watanabe, N., Buysse, D. J., & Kaneita, Y. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.06.011 · Cited by 772
Yin, J., Jin, X., Shan, Z., Li, S., Huang, H., Li, P., Peng, X., Peng, Z., Yu, K., Bao, W., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.005947 · Cited by 721
“Study quality of studies included in the analysis of sleep duration and all-cause mortality Author, publication year, country Study Selection Comparability Outcome Total Score Nisha Aurora et al, 2016, US1 Sleep Heart Health Study *** ** *** 8 Wei-Ju Lee et al, 2016, Taiwan2 The Social Environment and Biomarkers of Ag…”
Influential
Metadata
- Authors
- Chien, K.-L., Chen, P.-C., Hsu, H.-C., Su, T.-C., Sung, F.-C., Chen, M.-F., & Lee, Y.-T.
- Affiliations
- National Taiwan University (TW)
- National Taiwan University Hospital (TW)
- China Medical University (TW)
- China Medical University Hospital (TW)
- Corresponding author
- Lee, Yuan-Teh
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02
- Volume
- 33
- Issue
- 2
- Pages
- 177-184
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC2817905
- OpenAlex
- W2190946050
- Cited by
- 350
- References
- 46
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 23 · 2023: 24 · 2022: 31 · 2021: 16 · 2020: 21 · 2019: 17 · 2018: 27 · 2017: 20 · 2016: 27 · 2015: 25 · 2014: 28 · 2013: 35 · 2012: 18
- FWCI
- 30.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council
- National Taiwan University Hospital
- 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 (medical) › Obstructive Sleep Apnea Research
- Keywords
- sleep duration, insomnia, all-cause mortality, cardiovascular disease, cardiovascular events, U-shaped relationship, ethnic Chinese, optimal sleep duration, long sleep
- MeSH terms
- Adult, Aged, Cardiovascular Diseases, Cause of Death, Female, Habits, Health Surveys, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Life Style, Male, Middle Aged, Prospective Studies, Risk, Sleep, Sleep Deprivation, Statistics as Topic, Taiwan, Cohort Studies, Health Behavior, Multivariate Analysis
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