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Mortality Risk Associated with Sleeping Patterns Among Adults
Abstract
The mortality risk associated with different sleeping patterns was assessed by use of the 1965 Human Population Laboratory survey of a random sample of 6928 adults in Alameda County, CA and a subsequent 9-year mortality follow-up. The analysis indicates that mortality rates from ischemic heart disease, cancer, stroke, and all causes combined were lowest for individuals sleeping 7 or 8 h per night. Men sleeping 6 h or less or 9 h or more had 1.7 times the total age-adjusted death rate of men sleeping 7 or 8 h per night. The comparable relative risk for women was 1.6. The association between sleeping patterns and all causes of mortality was found to be independent of self-reported trouble sleeping and self-reported physical health status at the time of the 1965 survey. Simultaneous adjustment for age, sex, race, socioeconomic status, physical health status, smoking history, physical inactivity, alcohol consumption, weight status, use of health services, social networks, and life satisfaction reduced the relative mortality risk associated with sleeping patterns to 1.3 (p less than or equal to 0.04).
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In the citing paper
“those who sleep 7 hours have lower risks of death than those who sleep 8 hours (14,(16)(17)(18).”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [17]
In the citing paper
“Self-reported sleep duration is widely used in epidemiologic studies and is the basis of research on the relation between sleep duration and mortality (13)(14)(15)(16)(17)(18)(19).”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [17]
In the citing paper
“Multinomial logistic regression models used 7 hours of sleep as the comparison group, because that sleep duration is associated with the lowest mortality risk (14,(16)(17)(18)”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [17]
In the citing paper
“Many of our covariates have established relations with the risk of death (25,65) and might account for the relation between sleep duration and mortality (13)(14)(15)(16)(17)(18).”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [17]
In the citing paper
“Prior studies have shown that those who sleep 8 hours have 12%-35% increased risks of death compared with those who sleep 7 hours (14,(16)(17)(18)”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [17]
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“…et al., 2011); (2) insufficient sleep of short or long duration is associated with an increased all-cause mortality risk (Kripke et al., 1979; Wingard and Berkman, 1983), including risk of heart disease (Ayas et al., 2003); (3) evening chronotypes are more at risk for some cardiovascular…”
BackgroundEguchi, K., Pickering, T. G., Schwartz, J. E., Hoshide, S., Ishikawa, J., Ishikawa, S., Shimada, K., & Kario, K. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.20.2225 · Cited by 127
Amagai, Y., Ishikawa, S., Gotoh, T., Kayaba, K., Nakamura, Y., & Kajii, E. (2010) · Journal of Epidemiology · doi:10.2188/jea.je20090053 · Cited by 123
Morin, C. M., Savard, J., Ouellet, M., & Daley, M. (2003) · Handbook of Psychology · doi:10.1002/0471264385.wei0914 · Cited by 123
Devins, G. M., Edworthy, S. M., Paul, L. C., Mandin, H., Seland, T. P., Klein, G., Costello, C. G., & Shapiro, C. M. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90083-r · Cited by 120
“There is also increasing evidence that sleep disruption leads to increased mortality [5] and an increase in psychiatric morbidity [6] .”
BackgroundErtel, K. A., Berkman, L. F., & Buxton, O. M. (2011) · SLEEP · doi:10.1093/sleep/34.4.509 · Cited by 120
Self-citationWolff, B., Völzke, H., Schwahn, C., Robinson, D. M., Kessler, C., & John, U. (2007) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2006.12.023 · Cited by 115
A Twin Study of Sleep Duration and Body Mass Index
Watson, N. F., Buchwald, D., Vitiello, M. V., Noonan, C., & Goldberg, J. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27704 · Cited by 116
Relationships of Occupational Stress to Insomnia and Short Sleep in Japanese Workers
Utsugi, M. T., Saijo, Y., Yoshioka, E., Horikawa, N., Sato, T., Gong, Y., & Kishi, R. (2005) · SLEEP · doi:10.1093/sleep/28.6.728 · Cited by 114
Kim, Y.-J., Wilkens, L. R., Schembre, S. M., Henderson, B. E., Kolonel, L. N., & Goodman, M. T. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.06.017 · Cited by 113
“Introduction A number of prospective studies have shown that longer or shorter sleep times are positively associated with all-cause mortality (Chien et al., 2010; Ferrie et al., 2007; Gangwisch et al., 2008; Hammond, 1964; Heslop et al., 2002; Hublin et al., 2007; Ikehara et al., 2009; Kripke et al., 2002; Kripke et a…”
BackgroundSleep duration is a potential risk factor for newly diagnosed type 2 diabetes mellitus
Chao, C.-Y., Wu, J.-S., Yang, Y.-C., Shih, C.-C., Wang, R.-H., Lu, F.-H., & Chang, C.-J. (2011) · Metabolism · doi:10.1016/j.metabol.2010.07.031 · Cited by 110
“U-shaped patterns have been observed for the relationships between sleep duration and all-cause mortality [2-4], coronary heart disease [5], hypertension [6,7], obesity [7,8], and diabetes [9-13].”
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Sleep duration and obesity-related risk factors in the rural Midwest
Stamatakis, K. A., & Brownson, R. C. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2007.11.008 · Cited by 104
Metadata
- Authors
- Wingard, D. L., & Berkman, L. F.
- Affiliations
- University of California San Diego (US)
- Yale University (US)
- ORCID
- Berkman, Lisa F.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1983-09
- Volume
- 6
- Issue
- 2
- Pages
- 102-107
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2400661044
- Cited by
- 371
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 14 · 2019: 4 · 2018: 9 · 2017: 6 · 2016: 12 · 2015: 13 · 2014: 8 · 2013: 13 · 2012: 17
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, mortality risk, ischemic heart disease, cancer mortality, stroke mortality, all-cause mortality, sex differences, confounding adjustment
- MeSH terms
- Adult, Aged, California, Cerebrovascular Disorders, Coronary Disease, Female, Humans, Male, Middle Aged, Mortality, Neoplasms, Risk, Sleep Stages
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