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Cited by 1,044Sleep and related disordersObstructive Sleep Apnea ResearchSleep and Work-Related Fatigue

Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health: A Scientific Statement From the American Heart Association

Open access
St-Onge, Marie-Pierre, Grandner, Michael A., Brown, Devin, Conroy, Molly B., Jean-Louis, Girardin, Coons, Michael, Bhatt, Deepak L.·2016·Circulation
DOI 10.1161/cir.0000000000000444PMC PMC5567876
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Abstract

Sleep is increasingly recognized as an important lifestyle contributor to health. However, this has not always been the case, and an increasing number of Americans choose to curtail sleep in favor of other social, leisure, or work-related activities. This has resulted in a decline in average sleep duration over time. Sleep duration, mostly short sleep, and sleep disorders have emerged as being related to adverse cardiometabolic risk, including obesity, hypertension, type 2 diabetes mellitus, and cardiovascular disease. Here, we review the evidence relating sleep duration and sleep disorders to cardiometabolic risk and call for health organizations to include evidence-based sleep recommendations in their guidelines for optimal health.

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Crossref · 10.1161/cir.0000000000000444

Cites

203 of 203 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 76 cited sources checked · 0 supported · 0 flagged

  • Premisecitation

    Studies examining resting metabolic rate using indirect calorimetry found either no difference or a lower resting metabolic rate with sleep restriction relative to habitual sleep.

    “Studies that have examined the impact of sleep duration on resting metabolic rate using indirect calorimetry have found either no difference57,62,79–81 or a lower resting metabolic rate69 with sleep restriction relative to habitual sleep.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [57] Bosy-Westphal A Hinrichs S Jauch-Chara K Hitze B Later W Wilms B Settler U Peters A Kiosz D Muller MJ Influence of partial sleep deprivation on energy balance and insulin sensitivity in healthy women Obes Facts 2008 1 266 273 10.1159/000158874 20054188 PMC6515888 source

      Not checked in the free run.

    • cites [62] St-Onge MP Roberts AL Chen J Kelleman M O’Keeffe M Roy-Choudhury A Jones PJ Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals Am J Clin Nutr 2011 94 410 416 10.3945/ajcn.111.013904 21715510 PMC3142720 source

      Not checked in the free run.

    • cites [69] Buxton OM Cain SW O’Connor SP Porter JH Duffy JF Wang W Czeisler CA Shea SA Adverse metabolic consequences in humans of prolonged sleep restriction combined with circadian disruption Sci Transl Med 2012 4 129ra43 10.1126/scitranslmed.3003200 PMC3678519 22496545 source

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  • Premisecitation

    In a study of male Japanese workers, habitual sleep duration of less than 6 hours was associated with increased likelihood of developing obesity over 1 year.

    “In a study of male Japanese workers,46 habitual sleep duration of <6 hours was associated with increased likelihood of developing obesity over the course of 1 year.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [46] Watanabe M Kikuchi H Tanaka K Takahashi M Association of short sleep duration with weight gain and obesity at 1-year follow-up: a large-scale prospective study Sleep 2010 33 161 167 20175399 PMC2817903 source

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  • Premisecitation

    Analysis of 7 studies found that for every increased hour of sleep, body mass index was reduced by 0.35 points.

    “Furthermore, analysis of 7 studies that examined linear relationships between sleep duration and body mass index as a continuous variable showed that for every increased hour of sleep, body mass index was reduced by 0.35 points.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [29] Cappuccio FP Taggart FM Kandala NB Currie A Peile E Stranges S Miller MA Meta-analysis of short sleep duration and obesity in children and adults Sleep 2008 31 619 626 18517032 PMC2398753 source

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  • Premisecitation

    Short sleep duration is consistently associated with metabolic syndrome.

    “In fact, emerging cross-sectional data have shown that SSD is consistently associated with metabolic syndrome (a constellation of symptoms, including elevated waist circumference, lipids, fasting glucose, and blood pressure).”
    Quote in the paperSubstantial claim0 of 7 sources checked
    • cites [85] Arora T Jiang CQ Thomas GN Lam KB Zhang WS Cheng KK Lam TH Taheri S Self-reported long total sleep duration is associated with metabolic syndrome: the Guangzhou Biobank Cohort Study Diabetes Care 2011 34 2317 2319 10.2337/dc11-0647 21873559 PMC3177714 source

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    • cites [86] Chaput JP McNeil J Després JP Bouchard C Tremblay A Short sleep duration as a risk factor for the development of the metabolic syndrome in adults Prev Med 2013 57 872 877 10.1016/j.ypmed.2013.09.022 24099879 source

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    • cites [87] Choi KM Lee JS Park HS Baik SH Choi DS Kim SM Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001 Int J Obes (Lond) 2008 32 1091 1097 10.1038/ijo.2008.62 18475274 source

      Not checked in the free run.

    • cites [88] Choi JK Kim MY Kim JK Park JK Oh SS Koh SB Association between short sleep duration and high incidence of metabolic syndrome in midlife women Tohoku J Exp Med 2011 225 187 193 22001675 source

      Not checked in the free run.

    • cites [89] Hall MH Muldoon MF Jennings JR Buysse DJ Flory JD Manuck SB Self-reported sleep duration is associated with the metabolic syndrome in midlife adults Sleep 2008 31 635 643 18517034 PMC2398755 source

      Not checked in the free run.

    • cites [90] Kobayashi D Takahashi O Deshpande GA Shimbo T Fukui T Relation between metabolic syndrome and sleep duration in Japan: a large scale cross-sectional study Intern Med 2011 50 103 107 21245632 source

      Not checked in the free run.

    • cites [91] McCanlies EC Slaven JE Smith LM Andrew ME Charles LE Burchfiel CM Violanti JM Metabolic syndrome and sleep duration in police officers Work 2012 43 133 139 10.3233/WOR-2012-1399 22927620 source

      Not checked in the free run.

  • Premisecitation

    In the National Institutes of Health-AARP Diet and Health Study, short sleep duration predicted cardiovascular disease mortality, especially among overweight and obese people.

    “In an analysis of data from the National Institutes of Health–AARP Diet and Health Study, SSD predicted CVD mortality, especially among overweight and obese people, and the combination of SSD, low physical activity, and overweight status was associated with an increased likelihood of all-cause, cardiovascular, and cancer-related mortality.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [55] Xiao Q Keadle SK Hollenbeck AR Matthews CE Sleep duration and total and cause-specific mortality in a large US cohort: interrelationships with physical activity, sedentary behavior, and body mass index Am J Epidemiol 2014 180 997 1006 10.1093/aje/kwu222 25281691 PMC4224361 source

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  • May combine two claims. 18
  • Classified as probably not a substantial claim. 3
  • The quote only partly states this claim. 1

  • May combine two claims.

    Premisecitation

    Data on leptin and ghrelin after sleep restriction are mixed, with studies showing increased, reduced, or no difference in leptin and increased or not different ghrelin.

    “However, data in this area are mixed,34 with studies showing increased,57,59,65–68 reduced,69,70 or no difference in 56,63,64,71,72 leptin levels with sleep restriction. Similarly, ghrelin levels have been reported to be increased69,70,72–74 or not different56,60,64,71 with sleep restriction relative to habitual sleep.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] St-Onge MP The role of sleep duration in the regulation of energy balance: effects on energy intakes and expenditure J Clin Sleep Med 2013 9 73 80 10.5664/jcsm.2348 23319909 PMC3525993 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Overall, there is good agreement that sleep restriction increases energy intake, and this is not accompanied by adequate compensation via increased energy expenditure.

    “Overall, there is good agreement that sleep restriction increases energy intake, and evidence shows that this is not accompanied by an adequate compensation via increased energy expenditure.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Premisecitation

    Both obstructive sleep apnea and insomnia are associated with insufficient sleep durations, which may have independent effects on chronic diseases.

    “Of note, both OSA and insomnia are associated with insufficient sleep durations, which may have independent effects on these chronic diseases.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [12] Jackson CL Redline S Emmons KM Sleep as a potential fundamental contributor to disparities in cardiovascular health Annu Rev Public Health 2015 36 417 440 10.1146/annurev-publhealth-031914-122838 25785893 PMC4736723 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Insomnia is likely present in 5% to 15% of the US population, with about 30% reporting significant symptoms at any given time.

    “Insomnia, the most common sleep disorder, is likely present in 5% to 15% of the US population, with ≈30% reporting significant symptoms at any given time.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [2] Ohayon MM Epidemiology of insomnia: what we know and what we still need to learn Sleep Med Rev 2002 6 97 111 doi: http://dx.doi.org/10.1053/smrv.2002.0186 12531146 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Approximately 50 to 70 million US adults have a sleep disorder or habitually report insufficient sleep.

    “According to the National Heart, Lung, and Blood Institute of the National Institutes of Health, ≈50 to 70 million US adults suffer from a sleep disorder or report insufficient sleep habitually.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [1] Institute of Medicine Committee on Sleep Medicine and Research Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem Colten HR Altevogt BM Washington, DC National Academies Press 2006 20669438

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In a controlled-feeding weight loss study, participants lost an equivalent amount of weight in both sleep conditions, but in the sleep restriction condition they lost more fat-free mass and less fat mass than with an 8-hour sleep opportunity.

    “Because of the controlled-feeding nature of the study, participants lost an equivalent amount of weight in both sleep conditions. However, in the sleep restriction condition, participants lost more fat-free mass and less fat mass than when the same weight loss treatment was performed with an 8-hour sleep opportunity.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [73] Nedeltcheva AV Kilkus JM Imperial J Schoeller DA Penev PD Insufficient sleep undermines dietary efforts to reduce adiposity Ann Intern Med 2010 153 435 441 10.7326/0003-4819-153-7-201010050-00006 20921542 PMC2951287 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Sleep apnea prevalence is estimated at 27% to 34% among men 30 to 70 years of age and 9% to 28% among women in the same age group.

    “Sleep apnea, another common sleep disorder defined as at least 5 respiratory events (apnea or hypopnea) per hour of sleep on average, has an estimated prevalence of 27% to 34% among men 30 to 70 years of age and 9% to 28% among women in the same age group.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [3] Peppard PE Young T Barnet JH Palta M Hagen EW Hla KM Increased prevalence of sleep-disordered breathing in adults Am J Epidemiol 2013 177 1006 1014 10.1093/aje/kws342 23589584 PMC3639722 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the Québec Family Study, over 6 years, habitual short sleepers were more likely to gain weight and have increased waist circumference and percent body fat compared with normal-duration sleepers, with a U-shaped relationship for long sleepers.

    “These findings were replicated and extended with data from the Québec Family Study showing that over the course of 6 years, habitual short sleepers were more likely to gain weight and to have increased waist circumference and percent body fat compared with normal-duration sleepers. Notably, there was a U-shaped relationship in which a similar pattern was seen for habitual long sleepers.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [45] Chaput JP Després JP Bouchard C Tremblay A The association between sleep duration and weight gain in adults: a 6-year prospective study from the Quebec Family Study Sleep 2008 31 517 523 18457239 PMC2279744 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the Nurses' Health Study, women sleeping 5 hours or less per night gained 1.14 kg more weight over 16 years and women sleeping 6 hours gained 0.71 kg more compared with women sleeping at least 7 hours.

    “In a landmark analysis of data from the Nurses’ Health Study, women sleeping ≤5 hours a night on average gained 1.14 kg more weight over 16 years and women sleeping 6 hours gained 0.71 kg more weight compared with women sleeping at least 7 hours.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [44] Patel SR Malhotra A White DP Gottlieb DJ Hu FB Association between reduced sleep and weight gain in women Am J Epidemiol 2006 164 947 954 10.1093/aje/kwj280 16914506 PMC3496783 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Sleep restriction generally increases 24-hour energy intake relative to habitual sleep, with overeating ranging from about 180 to 559 kcal per day.

    “In general, studies reported increases in 24-hour energy intake when participants underwent sleep restriction relative to habitual sleep (Table 1), with the degree of overeating ranging from ≈180 to 559 kcal/d.”
    Quote in the paperSubstantial claim0 of 9 sources checked
    • cites [56] Calvin AD Carter RE Adachi T Macedo PG Albuquerque FN van der Walt C Bukartyk J Davison DE Levine JA Somers VK Effects of experimental sleep restriction on caloric intake and activity energy expenditure Chest 2013 144 79 86 10.1378/chest.12-2829 23392199 PMC3707179 source

      Not checked in the free run.

    • cites [57] Bosy-Westphal A Hinrichs S Jauch-Chara K Hitze B Later W Wilms B Settler U Peters A Kiosz D Muller MJ Influence of partial sleep deprivation on energy balance and insulin sensitivity in healthy women Obes Facts 2008 1 266 273 10.1159/000158874 20054188 PMC6515888 source

      Not checked in the free run.

    • cites [58] Brondel L Romer MA Nougues PM Touyarou P Davenne D Acute partial sleep deprivation increases food intake in healthy men Am J Clin Nutr 2010 91 1550 1559 10.3945/ajcn.2009.28523 20357041 source

      Not checked in the free run.

    • cites [59] Markwald RR Melanson EL Smith MR Higgins J Perreault L Eckel RH Wright KP Jr Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain Proc Natl Acad Sci U S A 2013 110 5695 700 10.1073/pnas.1216951110 23479616 PMC3619301 source

      Not checked in the free run.

    • cites [60] Nedeltcheva AV Kilkus JM Imperial J Kasza K Schoeller DA Penev PD Sleep curtailment is accompanied by increased intake of calories from snacks Am J Clin Nutr 2009 89 126 133 10.3945/ajcn.2008.26574 19056602 PMC2615460 source

      Not checked in the free run.

    • cites [61] Spaeth AM Dinges DF Goel N Effects of experimental sleep restriction on weight gain, caloric intake, and meal timing in healthy adults Sleep 2013 36 981 990 10.5665/sleep.2792 23814334 PMC3669080 source

      Not checked in the free run.

    • cites [62] St-Onge MP Roberts AL Chen J Kelleman M O’Keeffe M Roy-Choudhury A Jones PJ Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals Am J Clin Nutr 2011 94 410 416 10.3945/ajcn.111.013904 21715510 PMC3142720 source

      Not checked in the free run.

    • cites [63] Benedict C Hallschmid M Lassen A Mahnke C Schultes B Schiöth HB Born J Lange T Acute sleep deprivation reduces energy expenditure in healthy men Am J Clin Nutr 2011 93 1229 1236 10.3945/ajcn.110.006460 21471283 source

      Not checked in the free run.

    • cites [64] Schmid SM Hallschmid M Jauch-Chara K Wilms B Benedict C Lehnert H Born J Schultes B Short-term sleep loss decreases physical activity under free-living conditions but does not increase food intake under time-deprived laboratory conditions in healthy men Am J Clin Nutr 2009 90 1476 1482 10.3945/ajcn.2009.27984 19846546 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Sleep loss may lead to increased food intake despite little change in energy expenditure, leading to a positive energy balance.

    “Additionally, sleep loss may lead to increased food intake despite little change in energy expenditure, leading to a positive energy balance.48”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [48] Shechter A Grandner MA St-Onge MP The role of sleep in the control of food intake Am J Lifestyle Med 2014 8 371 374 10.1177/1559827614545315 27065757 PMC4824633 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The net result of sleep restriction seems to be positive energy balance, with studies showing a strong impact on increased food intake, particularly from fat and snacks, at least in the short term.

    “Although data are mixed and somewhat inconclusive in terms of the impact of sleep restriction on energy expenditure, the net result seems to be positive energy balance, with studies showing a strong impact of sleep restriction on increased food intake, particularly from fat and snacks,60,62,64 at least in the short term.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [60] Nedeltcheva AV Kilkus JM Imperial J Kasza K Schoeller DA Penev PD Sleep curtailment is accompanied by increased intake of calories from snacks Am J Clin Nutr 2009 89 126 133 10.3945/ajcn.2008.26574 19056602 PMC2615460 source

      Not checked in the free run.

    • cites [62] St-Onge MP Roberts AL Chen J Kelleman M O’Keeffe M Roy-Choudhury A Jones PJ Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals Am J Clin Nutr 2011 94 410 416 10.3945/ajcn.111.013904 21715510 PMC3142720 source

      Not checked in the free run.

    • cites [64] Schmid SM Hallschmid M Jauch-Chara K Wilms B Benedict C Lehnert H Born J Schultes B Short-term sleep loss decreases physical activity under free-living conditions but does not increase food intake under time-deprived laboratory conditions in healthy men Am J Clin Nutr 2009 90 1476 1482 10.3945/ajcn.2009.27984 19846546 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Two meta-analyses showed similar results without evidence of heterogeneity for short sleep duration and hypertension: RR=1.21 (95% CI, 1.05-1.40) based on 6 studies and RR=1.23 (95% CI, 1.06-1.42) based on 5 studies.

    “Two showed similar results without evidence of heterogeneity (RR=1.21; 95% CI, 1.05–1.40 based on 6 studies94; and RR=1.23; 95% CI, 1.06–1.42 based on 5 studies95).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [94] Meng L Zheng Y Hui R The relationship of sleep duration and insomnia to risk of hypertension incidence: a meta-analysis of prospective cohort studies Hypertens Res 2013 36 985 995 10.1038/hr.2013.70 24005775 PMC3819519 source

      Not checked in the free run.

    • cites [95] Guo X Zheng L Wang J Zhang X Zhang X Li J Sun Y Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis Sleep Med 2013 14 324 332 10.1016/j.sleep.2012.12.001 23394772 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    Both short and long sleep durations, as well as sleep disorders including sleep-disordered breathing and insomnia, are linked to unfavorable cardiometabolic risk profiles and outcomes.

    “Both short- and long-duration sleep and sleep disorders such as SDB and insomnia are associated with adverse cardiometabolic risk profiles and outcomes.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Premisecitation

    Experimental sleep restriction in healthy adults results in increases in insulin resistance and decreases in insulin sensitivity.

    “Experimental sleep restriction in healthy adults results in increases in insulin resistance99 and decreases in insulin sensitivity.81”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [99] Broussard JL Ehrmann DA Van Cauter E Tasali E Brady MJ Impaired insulin signaling in human adipocytes after experimental sleep restriction: a randomized, crossover study Ann Intern Med 2012 157 549 557 10.7326/0003-4819-157-8-201210160-00005 23070488 PMC4435718 source

      Not checked in the free run.

    • cites [81] Buxton OM Pavlova M Reid EW Wang W Simonson DC Adler GK Sleep restriction for 1 week reduces insulin sensitivity in healthy men Diabetes 2010 59 2126 2133 10.2337/db09-0699 20585000 PMC2927933 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    A meta-analysis based on 7 studies demonstrated an increased risk of developing or dying of coronary heart disease associated with both short sleep duration (RR=1.48; 95% CI, 1.22-1.80) and long sleep duration (RR=1.38; 95% CI, 1.15-1.66) with some heterogeneity.

    “A meta-analysis based on 7 studies demonstrated an increased risk of developing or dying of CHD associated with both SSD (RR=1.48; 95% CI, 1.22–1.80) and long sleep duration (RR=1.38; 95% CI, 1.15–1.66) with some heterogeneity.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [97] Cappuccio FP Cooper D D’Elia L Strazzullo P Miller MA Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies Eur Heart J 2011 32 1484 1492 10.1093/eurheartj/ehr007 21300732 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    A meta-analysis based on 5 studies corroborated an association between insomnia symptoms such as difficulty initiating sleep and the development of diabetes mellitus (RR=1.57; 95% CI, 1.25-1.97) and difficulty maintaining sleep and incident diabetes mellitus (RR=1.84; 95% CI, 1.39-2.43).

    “However, a meta-analysis based on 5 studies corroborated an association between insomnia symptoms such as difficulty initiating sleep and the development of diabetes mellitus (RR=1.57; 95% CI, 1.25–1.97) and difficulty maintaining sleep and incident diabetes mellitus (RR=1.84; 95% CI, 1.39–2.43).92”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [92] Cappuccio FP D’Elia L Strazzullo P Miller MA Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis Diabetes Care 2010 33 414 420 10.2337/dc09-1124 19910503 PMC2809295 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    Sleep restriction worsens energy balance, but evidence is less clear on whether treating sleep disorders improves obesity risk.

    “Sleep restriction has a negative impact on energy balance, but it is less clear whether treating sleep disorders has a positive impact on obesity risk.”
    Quote in the paperSubstantial claim

  • May combine two claims. The quote only partly states this claim.

    Interpretationcitation

    Insomnia symptoms are generally associated with coronary heart disease, with some evidence that the association is stronger in women.

    “Studies that have investigated the association between insomnia symptoms and CHD have generally found an association, although sex differences may exist.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [117] Chandola T Ferrie JE Perski A Akbaraly T Marmot MG The effect of short sleep duration on coronary heart disease risk is greatest among those with sleep disturbance: a prospective study from the Whitehall II cohort Sleep 2010 33 739 744 20550013 PMC2880242 source

      Not checked in the free run.

    • cites [118] Laugsand LE Vatten LJ Platou C Janszky I Insomnia and the risk of acute myocardial infarction: a population study Circulation 2011 124 2073 2081 10.1161/CIRCULATIONAHA.111.025858 22025601 source

      Not checked in the free run.

    • cites [119] Meisinger C Heier M Löwel H Schneider A Döring A Sleep duration and sleep complaints and risk of myocardial infarction in middle-aged men and women from the general population: the MONICA/KORA Augsburg cohort study Sleep 2007 30 1121 1127 17910384 PMC1978404 source

      Not checked in the free run.

19 of 19

  • The paper relies on this without support.

    Self-reported sleep duration is sufficiently valid to support associations between sleep duration and cardiometabolic outcomes in epidemiological studies.

    “The lack of objective measures of sleep duration in the majority of large-scale epidemiological studies is certainly a limitation that we wish to acknowledge at the forefront of this review. Nonetheless, despite the potential confounders introduced by the use of self-reports, these studies provide a valuable framework that warrants additional investigation using objective measures of sleep.”

  • The paper relies on this without support.

    Findings from controlled sleep restriction studies generalize to habitual short sleep in free-living populations.

    “Given the association between SSD and obesity, however, the preponderance of evidence suggests a mismatch between energy intake and energy expenditure favoring a positive energy balance. This is assessed in clinical intervention studies.”
2 of 2

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  1. 10.1093/sleep/30.9.1096 · DOI · Paper page

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Authors
St-Onge, M.-P., Grandner, M. A., Brown, D., Conroy, M. B., Jean-Louis, G., Coons, M., & Bhatt, D. L.
ORCID
Venue
Circulation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016-11
Volume
134
Issue
18
Pages
e367-e386
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
DOI
10.1161/cir.0000000000000444
PMC
PMC5567876
OpenAlex
W2497443202
Cited by
1,044
References
205
Citations by year
2026: 115 · 2025: 136 · 2024: 138 · 2023: 143 · 2022: 121 · 2021: 114 · 2020: 101 · 2019: 69 · 2018: 59 · 2017: 44 · 2016: 1 · 2014: 1 · 2013: 1
FWCI
81.28
Type
journal article
Language
en
Open access
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • American Heart Association
  • Amgen
  • Bristol-Myers Squibb
  • Pfizer
  • AstraZeneca
  • Sanofi
  • Brigham and Women's Hospital
  • Amarin Corporation
  • Medicines Company
  • Belvoir Media Group
  • Eisai
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (K23HL110216, R56HL119945)
  • Duke Clinical Research Institute
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
sleep duration, sleep quality, sleep disorders, cardiometabolic risk, lifestyle habits, obesity, hypertension, type 2 diabetes, cardiovascular disease, sleep recommendations
MeSH terms
Activities of Daily Living, Diabetes Mellitus, Type 2, Humans, Hypertension, Life Style, Obesity, Sleep, Sleep Wake Disorders

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