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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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Parhami, I., Siani, A., Rosenthal, R. J., Lin, S., Collard, M., & FONG, T. W. (2012) · Journal of Addictive Diseases · doi:10.1080/10550887.2011.642754 · Cited by 38
Schechtman, K. B., Kutner, N. G., Wallace, R. B., Büchner, D. M., & Ory, M. G. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00117-7 · Cited by 39
Basnet, S., Merikanto, I., Lahti, T. A., Männistö, S., Laatikainen, T. K., Vartiainen, E. A., & Partonen, T. (2016) · Sleep Science · doi:10.1016/j.slsci.2016.11.003 · Cited by 38
“relative risk for all-cause mortality by double compared to shorter and longer durations [48].”
Cardiovascular Implications of Poor Sleep
Bonnet, M. H., & Arand, D. L. (2007) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2007.07.007 · Cited by 38
Hvistendahl, G. M., Frøkiær, J., Nielsen, S. M., et al. (2007) · The Journal of Urology · doi:10.1016/j.juro.2007.07.123 · Cited by 37
Sleep quality and duration – Potentially modifiable risk factors for Coronary Artery Disease?
Sharma, M., Sawhney, J. P. S., & Panda, S. (2014) · Indian Heart Journal · doi:10.1016/j.ihj.2014.10.412 · Cited by 35
Yan, Y., Zhang, H., Kang, M., Lan, L., Wang, Z., & Lin, Y. (2022) · Indoor Air · doi:10.1111/ina.13159 · Cited by 35
Daytime Sleep Accelerates Cardiovascular Recovery after Psychological Stress
Brindle, R. C., & Conklin, S. M. (2011) · International Journal of Behavioral Medicine · doi:10.1007/s12529-011-9150-0 · Cited by 34
“nocturnal sleep with increased cardiovascular morbidity and mortality and total mortality [5, 6, 22, 23] while the other has reliably established cardiovascular reactivity and”
BackgroundJacobsen, H. B., Rème, S. E., Sembajwe, G. N., Hopcia, K. L., Stiles, T. C., Sorensen, G., Porter, J. H., Marino, M., & Buxton, O. M. (2014) · American Journal of Industrial Medicine · doi:10.1002/ajim.22340 · Cited by 35
“Perhaps most importantly, past research has shown that short sleep (<6 hours per day) predicts premature mortality [Dew, et al. 2003, Grandner, et al. 2010, Kripke, et al. 2002, Patel, et al. 2004, Wingard and Berkman 1983].”
BackgroundSleep quality among elderly high-altitude dwellers in Ladakh
Sakamoto, R., Okumiya, K., Norboo, T., Norboo, T., Yamaguchi, T., Nose, M., TAKEDA, S., Tsukihara, T., Ishikawa, M., Nakajima, S., et al. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.12.043 · Cited by 32
“…smoking and drinking habit, hypertension, obesity, diabetes, respiratory symptoms, body pain, depression, physical dis- ability, and so on (Wingard and Berkman, 1983; Morgan et al., 1989; van Diest, 1990; Breslau et al., 1996; Ohayon, 2002; Suka et al., 2003; Ancoli-Israel and Cooke…”
BackgroundLandis, C. A., & Moe, K. E. (2004) · Nursing Clinics of North America · doi:10.1016/j.cnur.2003.11.006 · Cited by 33
Analyses of melatonin, cytokines, and sleep in chronic renal failure
Pinto, A. R., da Silva, N. C., & Pinato, L. (2015) · Sleep And Breathing · doi:10.1007/s11325-015-1240-9 · Cited by 31
Sleep disturbances in pediatric depression
Rao, U. (2011) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2011.09.001 · Cited by 34
“Persistent insomnia also has been linked to increased risk of relapse and suicide (Agargun et al., 2007; Breslau et al., 1996; Wingard and Berkman, 1983).”
Health Practices and Mortality in a Rural Japanese Population.
Tsubono, Y., Fukao, A., & Hisamichi, S. (1993) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.171.339 · Cited by 32
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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