The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Sufficient sleep duration contributes to lower cardiovascular disease risk in addition to four traditional lifestyle factors: the MORGEN study
Open accessAbstract
BACKGROUND: The contribution of sufficient sleep duration to lower CVD risk in addition to sufficient physical activity, a healthy diet, (moderate) alcohol consumption, and non-smoking has not been investigated yet. DESIGN: The MORGEN study is a prospective cohort study including 8128 men and 9759 women aged 20-65 years, free of CVD at baseline. METHODS: Sufficient physical activity (≥3.5 h/week cycling or sports), a healthy diet (Mediterranean Diet Score ≥5), (moderate) alcohol consumption (≥1 beverage/month), non-smoking, and sufficient sleep duration (≥7 hours) were assessed by self-administered questionnaires between 1994 and 1997. Cardiovascular morbidity and mortality were ascertained through linkage with national registers. Hazard ratios and preventable proportions were calculated adjusted for age, sex, and educational level. RESULTS: During 10-14 years of follow up, 607 composite CVD events (fatal CVD, nonfatal myocardial infarction and stroke) occurred, of which 129 were fatal. Those with the four traditional healthy lifestyle factors had a 57% lower risk of composite CVD (HR 0.43, 95% CI 0.31-0.59) and a 67% lower risk of fatal CVD (HR 0.33, 95% CI 0.16-0.68) compared with those with none or one healthy lifestyle factor. Sleeping sufficiently in addition to the four traditional lifestyle factors resulted in a 65% lower risk of composite CVD (HR 0.35, 95% CI 0.23-0.52), and an 83% lower risk of fatal CVD (HR 0.17, 95% CI 0.07-0.43). CONCLUSIONS: Sufficient sleep and adherence to all four traditional healthy lifestyle factors was associated with lower CVD risk. When sufficient sleep duration was added to the traditional lifestyle factors, the risk of CVD was further reduced.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“those individuals who slept ≤6 hours had a 15% higher risk of CVD incidence and a 23% higher risk of CHD incidence compared to people who slept 7-8 hours.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [22]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Compendium of physical activities: an update of activity codes and MET intensities
AINSWORTH, B. E., HASKELL, W. L., WHITT, M. C., IRWIN, M. L., SWARTZ, A. M., STRATH, S. J., O???BRIEN, W. L., BASSETT, D. R., SCHMITZ, K. H., EMPLAINCOURT, P. O., et al. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009001-00009 · Cited by 8,497
Predicting basal metabolic rate, new standards and review of previous work.
Wn, S. (1985) · PubMed · Cited by 2,955
International Classification of Diseases
Jones, F. A. (1978) · Gut · doi:10.1136/gut.19.12.1175 · Cited by 2,919
Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Sleep · doi:10.1093/sleep/33.5.585 · Cited by 2,224
Cappuccio, F. P., Cooper, D., D'Elia, L., Strazzullo, P., & Miller, M. A. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr007 · Cited by 2,146
International Classification of Diseases, 10th Revision
Tassé, M. J., & Bush, K. (2018) · Sage eBooks · doi:10.4135/9781483392271.n276 · Cited by 1,921
Primary Prevention of Coronary Heart Disease in Women through Diet and Lifestyle
Stampfer, M. J., Hu, F. B., Manson, J. E., Rimm, E. B., & Willett, W. C. (2000) · New England Journal of Medicine · doi:10.1056/nejm200007063430103 · Cited by 1,794
Ronksley, P. E., Brien, S. E., Turner, B. J., Mukamal, K. J., & Ghali, W. A. (2011) · BMJ · doi:10.1136/bmj.d671 · Cited by 1,610
Sofi, F., Abbate, R., Gensini, G. F., & Casini, A. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29673 · Cited by 1,605
Self-Reported and Measured Sleep Duration: How Similar Are They?
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Liu, K., & Rathouz, P. J. (2008) · Epidemiology · doi:10.1097/ede.0b013e318187a7b0 · Cited by 1,565
Research works printed but not linked: 2
- Schofield WN, 1985, Hum Nutr Clin Nutr, 39, 5
- Kemper HCG, 2000, Forum, 78, 180
Cited by
Sorted by citations
Items 101–127 of 127
The association between perceived neighborhood safety and cardiovascular disease risk factors
Tomlinson, M. M., Kerstiens, S., Smith, C., Agbonlahor, O., Clarke, J., Vincent, K., Walker, K. L., McLeish, A. C., Keith, R. J., Smith, T., et al. (2024) · Psychology Health & Medicine · doi:10.1080/13548506.2024.2410418 · Cited by 1
Healthy Lifestyle, Autonomic Nervous System Activity, and Sleep Status for Healthy Aging
Sato, M., Betriana, F., Tanioka, R., Osaka, K., Tanioka, T., & Schoenhofer, S. O. (2022) · Physiology · doi:10.5772/intechopen.101837 · Cited by 1
Full, K. M. (2018) · eScholarship (California Digital Library) · Cited by 1
Mandigo, T. R., Daya, F. A., Patel, D., Math, S., Ober, L., Maher, M., Melkani, G. C., Walker, J. A., & Saxena, R. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.04.07.647668 · Cited by 1
Die Rolle der Schlafmedizin bei Herz-Kreislauf-Erkrankungen
Oldenburg, O., Bitter, T., Fox, H., Spießhöfer, J., Türoff, A., & Horstkotte, D. (2014) · Der Pneumologe · doi:10.1007/s10405-014-0794-8 · Cited by 1
Providing a document and comprehensive health plans in the air force: An organizational requisite
Asl, A. N., Khademi, A., & Asgari, A. R. (2015) · DOAJ (DOAJ: Directory of Open Access Journals)
Physical Activity Pattern and Sleep Characteristics in Chronic Obstructive Pulmonary Disease (COPD)
Parwanta, Z., Chan-Thim, E., & Pepin, V. (2016) · Spectrum Research Repository (Concordia University)
Kyriacou, A., Evans, J. M. M., & Kyriacou, A. (2017) · Endocrine Abstracts · doi:10.1530/endoabs.49.ep481 · Cited by 1
Chan-Thim, E. (2016) · Spectrum Research Repository (Concordia University)
C URRENT OPINION Dietary patterns, mediterranean diet, and cardiovascular disease
Martínez‐González, M. Á., & Bes‐Rastrollo, M. (2014)
Uddin, M. M. N., Kabir, M. S. H., Al-Amin, M. M., Hasan, M., Emran, T. B., Islam, M. T., Islam, M. A., & Ahmed, S. (2017) · Journal of Applied Pharmaceutical Science · doi:10.7324/japs.2017.70304
Obesity, Diabetes, and Metabolic Syndrome
Shenoy, S., Seixas, A. A., & Grandner, M. A. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813014-8.00007-x
Die Rolle der Schlafmedizin bei Herz-Kreislauf-Erkrankungen
Oldenburg, O., Türoff, A., Spießhöfer, J., Bitter, T., Fox, H., & Horstkotte, D. (2014) · Der Pneumologe · doi:10.1007/s10405-014-0814-8
Sleep-Health Link: Newer Perspectives
Singh, T. D. (2021) · Sleep and Vigilance · doi:10.1007/s41782-021-00172-2
Recent Trends in Sleep Duration
Singh, T. D. (2021) · Sleep and Vigilance · doi:10.1007/s41782-021-00167-z
Sezaki, A., Fujimura, N., Nosaka, S., & Imai, T. (2021) · The Japanese Journal of Nutrition and Dietetics · doi:10.5264/eiyogakuzashi.79.219
de Lima, J. G. R. (2022) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.17.2022.tde-03102022-084228
Gándara, E. (2022) · Deposito Adademico Digital Universidad De Navarra (University of Navarra) · doi:10.15581/10171/65682
Zhao, Y., Zhang, B., Sahakian, B. J., Langley, C., Zhang, R., Li, Y., Yu, J.-T., Feng, J., & Cheng, W. (2024) · Research Square · doi:10.21203/rs.3.rs-4190111/v1
Raikes, A. C. (2024) · Elsevier eBooks · doi:10.1016/b978-0-12-822969-9.00006-7 · Cited by 1
Johnson, K. T., Billmyer, E., Kaja, S. M., & Widome, R. (2025) · Journal of Physical Activity and Health · doi:10.1123/jpah.2025-0247
Zhuang, Z., Gao, M., Yang, R., Li, N., Liu, Z., Cao, W., & Huang, T. (2020) · Figshare · doi:10.6084/m9.figshare.12276971
Wu, J., Feng, Y., Zhao, Y., Guo, Z., Liu, R., Zeng, X., Yang, F., Liu, B., Gu, J., Tarimo, C. S., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26709947
Wu, J., Feng, Y., Zhao, Y., Guo, Z., Liu, R., Zeng, X., Yang, F., Liu, B., Gu, J., Tarimo, C. S., et al. (2024) · Figshare · doi:10.6084/m9.figshare.25670135
Wu, J., Feng, Y., Zhao, Y., Guo, Z., Liu, R., Zeng, X., Yang, F., Liu, B., Gu, J., Tarimo, C. S., et al. (2024) · Figshare · doi:10.6084/m9.figshare.25670336
Wang, Y., Fan, H., Ren, Z., Liu, X., & Niu, X. (2024) · Figshare · doi:10.6084/m9.figshare.26590245
Metadata
- Authors
- Hoevenaar-Blom, M. P., Spijkerman, A. M., Kromhout, D., & Verschuren, W. M.
- Affiliations
- National Institute for Public Health and the Environment, Bilthoven, The Netherlands
- National Institute for Public Health and the Environment (NL)
- Wageningen University & Research (NL)
- Corresponding author
- Verschuren, WM Monique
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-07-03
- Volume
- 21
- Issue
- 11
- Pages
- 1367-1375
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2152370758
- Cited by
- 129
- References
- 44
- Citations by year
- 2025: 4 · 2024: 13 · 2023: 7 · 2022: 9 · 2021: 17 · 2020: 10 · 2019: 11 · 2018: 10 · 2017: 8 · 2016: 17 · 2015: 8 · 2014: 12 · 2013: 2
- FWCI
- 8.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Lifestyle Studies
- Keywords
- sleep duration, cardiovascular risk, healthy lifestyle factors, physical activity, Mediterranean diet, alcohol consumption, non-smoking, fatal cardiovascular events, myocardial infarction, stroke
- MeSH terms
- Smoking Prevention, Adult, Aged, Alcohol Drinking, Cardiovascular Diseases, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Netherlands, Prospective Studies, Surveys and Questionnaires, Registries, Risk Factors, Sleep, Smoking, Time Factors, Incidence, Risk Assessment, Diet, Mediterranean, Risk Reduction Behavior, Young Adult, Protective Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review