Circadian rhythm, sleep pattern, and metabolic consequences: an overview on cardiovascular risk factors
Abstract
Sleep duration is a risk factor for cardiovascular disease. Alteration in sleep pattern can induce the loss of circadian rhythmicity. Chronically, this desynchronization between endogenous rhythm and behavioral cycles can lead to an adverse metabolic profile, a proinflammatory condition and can increase the risk of cardiovascular disease. The circadian cycle can vary due to environmental cues. The circadian pacemaker is located in the suprachiasmatic nuclei; this central clock coordinates the circadian rhythm in the central nervous system and peripheral tissues. The mechanisms involved in sleep disturbance, circadian misalignment and adverse metabolic effects have yet to be fully elucidated. This review looks over the association among sleep alteration, circadian rhythm and the development of risk factors implicated in cardiovascular disease.
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Candidate mechanisms for elevated cardiovascular disease risk due to shift work include disrupted 24-hour rhythms of blood pressure and vascular function, atherosclerosis, proinflammatory states, and altered lipid and glucose metabolism.
“Candidate mechanisms underlying elevated risk for CVD due to shift work include disrupted 24-hour rhythms of blood pressure [84] and vascular function [85], atherosclerosis [86], proinflammatory states [87], and altered lipid and glucose metabolism [88].”
From Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being (2017) · cites this paper as [87]
Sleep loss is often accompanied with circadian misalignment, also known to cause changes in the regulation of the immune system and metabolism and associate to cardiovascular diseases.
“Sleep loss is often accompanied with circadian misalignment, also known to cause changes in the regulation of the immune system and metabolism and associate to cardiovascular diseases7273.”
From Prolonged sleep restriction induces changes in pathways involved in cholesterol metabolism and inflammatory responses (2016) · cites this paper as [73]
Cites
Coordinated Transcription of Key Pathways in the Mouse by the Circadian Clock
Panda, S., Antoch, M. P., Miller, B. H., Su, A. I., Schook, A. C., Straume, M., Schultz, P. G., Kay, S. A., Takahashi, J. S., & Hogenesch, J. B. (2002) · Cell · doi:10.1016/s0092-8674(02)00722-5 · Cited by 2,272 · see citing works
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 · see citing works
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 · see citing works
Meta-Analysis of Short Sleep Duration and Obesity in Children and Adults
Cappuccio, F. P., Taggart, F. M., Kandala, N.-B., Currie, A., Peile, E., Stranges, S., & Miller, M. A. (2008) · Sleep · doi:10.1093/sleep/31.5.619 · Cited by 2,076 · see citing works
High-Fat Diet Disrupts Behavioral and Molecular Circadian Rhythms in Mice
Kohsaka, A., Laposky, A. D., Ramsey, K. M., Estrada, C., Joshu, C., Kobayashi, Y., Turek, F. W., & Bass, J. (2007) · Cell Metabolism · doi:10.1016/j.cmet.2007.09.006 · Cited by 1,528 · see citing works
Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F., Pickering, T. G., Rundle, A. G., Zammit, G. K., & Malaspina, D. (2006) · Hypertension · doi:10.1161/01.hyp.0000217362.34748.e0 · Cited by 1,284 · see citing works
Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk
Meier-Ewert, H. K., Ridker, P. M., Rifai, N., Regan, M. M., Price, N. J., Dinges, D. F., & Mullington, J. M. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.07.050 · Cited by 1,195 · see citing works
A clockwork web: circadian timing in brain and periphery, in health and disease
Hastings, M. H., Reddy, A. B., & Maywood, E. S. (2003) · Nature reviews. Neuroscience · doi:10.1038/nrn1177 · Cited by 1,189 · see citing works
Relation of C-Reactive Protein and Coronary Heart Disease in the MRFIT Nested Case-Control Study
Kuller, L. H., Tracy, R. P., Shaten, J., & Meilahn, E. N. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008963 · Cited by 1,098 · see citing works
Inflammation and cardiovascular disease mechanisms
Libby, P. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/83.2.456s · Cited by 1,095 · see citing works
Adverse Effects of Modest Sleep Restriction on Sleepiness, Performance, and Inflammatory Cytokines
Vgontzas, A. N., Zoumakis, E., Bixler, E. O., Lin, H.-M., Follett, H., Kales, A., & Chrousos, G. P. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031562 · Cited by 1,050 · see citing works
Sleep duration and mortality: a systematic review and meta-analysis
GALLICCHIO, L., & KALESAN, B. (2009) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00732.x · Cited by 979 · see citing works
Light at night increases body mass by shifting the time of food intake
Fonken, L. K., Workman, J. L., Walton, J. C., Weil, Z. M., Morris, J. S., Haim, A., & Nelson, R. J. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1008734107 · Cited by 796 · see citing works
Hoevenaar‐Blom, M. P., Spijkerman, A. M. W., Kromhout, D., van den Berg, J. F., & Verschuren, W. M. M. (2011) · SLEEP · doi:10.5665/sleep.1382 · Cited by 554 · see citing works
Mullington, J. M., Simpson, N. S., Meier-Ewert, H. K., & Haack, M. (2010) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2010.08.014 · Cited by 519 · see citing works
Sleep Loss Activates Cellular Inflammatory Signaling
Irwin, M. R., Wang, M., Ribeiro, D., Cho, H. J., Olmstead, R., Breen, E. C., Martinez-Maza, O., & Cole, S. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.05.004 · Cited by 467 · see citing works
Spaeth, A. M., Dinges, D. F., & Goel, N. (2013) · Sleep · doi:10.5665/sleep.2792 · Cited by 457 · see citing works
Invited Review: Integration of human sleep-wake regulation and circadian rhythmicity
Dijk, D., & Lockley, S. W. (2002) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00924.2001 · Cited by 394 · see citing works
Biological Clocks and Shift Work: Circadian Dysregulation and Potential Long-term Effects
Haus, E. L., & Smolensky, M. H. (2006) · Cancer Causes & Control · doi:10.1007/s10552-005-9015-4 · Cited by 391 · see citing works
Menotti, A., Kromhout, D., BLACKBURN, H. W., Fidanza, F., Buzina, R., & Nissinen, A. M. (1999) · European Journal of Epidemiology · doi:10.1023/a:1007529206050 · Cited by 373 · see citing works
The Circadian<i>Clock</i>Mutation Alters Sleep Homeostasis in the Mouse
Naylor, E., Bergmann, B. M., Krauski, K., Zee, P. C., Takahashi, J. S., Vitaterna, M. H., & Turek, F. W. (2000) · The Journal of Neuroscience · doi:10.1523/jneurosci.20-21-08138.2000 · Cited by 367 · see citing works
Field, M. D., Maywood, E. S., O'Brien, J. A., Weaver, D. R., Reppert, S. M., & Hastings, M. H. (2000) · Neuron · doi:10.1016/s0896-6273(00)80906-x · Cited by 343 · see citing works
Nielsen, L. S., Danielsen, K. V., & Sørensen, T. I. A. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00724.x · Cited by 338 · see citing works
Sleep duration, cardiovascular disease, and proinflammatory biomarkers
Grandner, M., Sands-Lincoln, Pak, & Garland (2013) · Nature and Science of Sleep · doi:10.2147/nss.s31063 · Cited by 246 · see citing works
A sense of time: how molecular clocks organize metabolism
Kohsaka, A., & Bass, J. T. (2006) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2006.11.005 · Cited by 233 · see citing works
Inflammation, sleep, obesity and cardiovascular disease
Miller, M., & Cappuccio, F. (2007) · Current Vascular Pharmacology · doi:10.2174/157016107780368280 · Cited by 233 · see citing works
Effects of Method, Duration, and Sleep Stage on Rebounds from Sleep Deprivation in the Rat
Rechtschaffen, A., Bergmann, B. M., Gilliland, M. A., & Bauer, K. (1999) · SLEEP · doi:10.1093/sleep/22.1.11 · Cited by 231 · see citing works
Reddy, A. B., Field, M. D., Maywood, E. S., & Hastings, M. H. (2002) · Journal of Neuroscience · doi:10.1523/jneurosci.22-17-07326.2002 · Cited by 220 · see citing works
Scheer, F. A. J. L., Michelson, A. D., Frelinger, A. L., Evoniuk, H., Kelly, E. E., McCarthy, M., Doamekpor, L. A., Barnard, M. R., & Shea, S. A. (2011) · PLoS ONE · doi:10.1371/journal.pone.0024549 · Cited by 206 · see citing works
Effects of Experimental Sleep Restriction on Caloric Intake and Activity Energy Expenditure
Calvin, A. D., Carter, R. E., Adachi, T., Macedo, P. G., Albuquerque, F. N., van der Walt, C., Bukartyk, J., Davison, D. E., Levine, J. A., & Somers, V. K. (2013) · Chest · doi:10.1378/chest.12-2829 · Cited by 196 · see citing works
Chennaoui, M., Sauvet, F., Drogou, C., Van Beers, P., Langrume, C., Guillard, M., Gourby, B., Bourrilhon, C., Florence, G., & Gomez-Merino, D. (2011) · Cytokine · doi:10.1016/j.cyto.2011.06.002 · Cited by 186 · see citing works
COPPING, A. M. (1970) · British Journal Of Nutrition · doi:10.1079/bjn19700003 · Cited by 41 · see citing works
The properties of trichloracetic acid-ethanol extracts of human plasma
Cameron, J. S., Boyns, D. R., Jarrett, R. J., & KEEN, H. (1966) · Diabetologia · doi:10.1007/bf01222074 · Cited by 8 · see citing works
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Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being
James, S. M., Honn, K. A., Gaddameedhi, S., & Van Dongen, H. P. A. (2017) · Current Sleep Medicine Reports · doi:10.1007/s40675-017-0071-6 · Cited by 517 · see citing works
Chronotype and circadian rhythm in bipolar disorder: A systematic review
Melo, M. C. A., Abreu, R. L. C., Linhares Neto, V. B., de Bruin, P. F. C., & de Bruin, V. M. S. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.06.007 · Cited by 324 · see citing works
Aho, V., Ollila, H. M., Kronholm, E., Bondia-Pons, I., Soininen, P., Kangas, A. J., Hilvo, M., Seppälä, I., Kettunen, J., Oikonen, M., et al. (2016) · Scientific Reports · doi:10.1038/srep24828 · Cited by 126 · see citing works
Kruisbrink, M., Robertson, W., Ji, C., Miller, M. A., Geleijnse, J. M., & Cappuccio, F. P. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018585 · Cited by 71 · see citing works
“Disruptions in the circadian rhythm have also been shown to be associated with metabolic alterations.(55) Sleep disturbances are important to consider in the light of other CVD risk factors, such as obesity, hypertension and diabetes.”
Cash, R. E., Anderson, S. E., Lancaster, K. E., Lü, B., Rivard, M. K., Camargo, C. A., & Panchal, A. R. (2020) · Prehospital Emergency Care · doi:10.1080/10903127.2020.1758259 · Cited by 32 · see citing works
Cash, R. E., Hery, C. M. B., Panchal, A. R., & Bower, J. K. (2020) · Preventing Chronic Disease · doi:10.5888/pcd17.190424 · Cited by 29 · see citing works
“Potential mechanisms for this association with short sleep include dysregulation of appetite hormones (7), glucose intolerance (4), the upand-down regulation of gene expression (8), and circadian rhythm misalignment (9), which may result in inflammatory conditions and development of other CVD risk factors such as hype…”
McDermott, J., Jacobs, J., Merrill, N. J., Mitchell, H. D., Arshad, O. A., McClure, R., Teeguarden, J., Gajula, R. P., Porter, K. I., Satterfield, B. C., et al. (2024) · Journal of Proteome Research · doi:10.1021/acs.jproteome.3c00418 · Cited by 15 · see citing works
Barone, D. A., & Krieger, A. C. (2015) · AIMS neuroscience · doi:10.3934/neuroscience.2015.2.71 · Cited by 18 · see citing works
“sleep duration recommended for adults of 7-8 hours [196].”
BackgroundCash, R. E., Crowe, R. P., Goldberg, S. A., Patrick, C. B., Wells, M., Barger, L. K., & Camargo, C. A. (2021) · Journal of Sleep Research · doi:10.1111/jsr.13497 · Cited by 15 · see citing works
“The biological mechanism by which sleep duration affects CVD risk is unclear but is hypothesized to be partly related to circadian rhythm misalignment that leads to an inflammatory response (Covassin & Singh, 2016; Kuhn, 2001; Machado & Koike, 2014).”
BackgroundSeason and vitamin D status are independently associated with glucose homeostasis in pregnancy
O’Brien, E. C., O’Sullivan, E. J., Kilbane, M. T., Geraghty, A. A., McKenna, M. J., & McAuliffe, F. M. (2017) · Nutrition & Metabolism · doi:10.1186/s12986-017-0203-5 · Cited by 14 · see citing works
“Circadian rhythms follow the daily, 24-h light-dark cycle [14], while seasonal fluc-”
BackgroundIida, M., Fujii, S., Uchida, M., Nakamura, H., Kagami, Y., Agusa, T., Hirano, M., Bak, S.-M., Kim, E., & Iwata, H. (2016) · Aquatic Toxicology · doi:10.1016/j.aquatox.2016.05.014 · Cited by 11 · see citing works
Rentería, I., García‐Suárez, P. C., Moncada‐Jiménez, J., Machado-Parra, J. P., Antunes, B. M., Lira, F. S., & Jiménez‐Maldonado, A. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.876112 · Cited by 10 · see citing works
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Nakayama, N., Hayashi, T., Miyachi, M., Negi, K., Watanabe, K., & Hirai, M. (2019) · Western Journal of Nursing Research · doi:10.1177/0193945918824603 · Cited by 10 · see citing works
Liang, G., Hua, R., & Yang, F. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1638082 · Cited by 3 · see citing works
“Additionally, research on circadian rhythm and sleep patterns has laid a theoretical foundation for understanding how night-shift work may contribute to cancer risk by disrupting physiological rhythms (3).”
Mishima, K. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3450-8_3 · Cited by 2 · see citing works
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Petrenko, O. V. (2015) · DOAJ (DOAJ: Directory of Open Access Journals)
Exercício físico como sincronizador do ritmo circadiano no câncer.
Teixeira, A. A. D. S. (2020) · doi:10.11606/t.42.2020.tde-05052021-134229
Kresna, A., Fuk, L. J., Widyahening, I. S., Soemarko, D. S., & Fitriani, D. Y. (2023) · Occupational and Environmental Medicine Journal of Indonesia · doi:10.7454/oemji.v1i2.1022
Leal, A. L. F., Sampaio, H. A. D. C., Carioca, A. A. F., Barros, A. Q. S., de Araújo, N. A., & Ferreira, F. V. (2023) · Seven Editora eBooks · doi:10.56238/uniknowindevolp-096
- Authors
- Machado, R. M., & Koike, M. K.
- Affiliations
- Instituto de Assistência Médica ao Servidor Público Estadual (BR)
- Venue
- Hormone Molecular Biology and Clinical Investigation
- Publisher
- Walter de Gruyter GmbH
- Published
- 2014-02-21
- Volume
- 18
- Issue
- 1
- Pages
- 47-52
- ISSN
- 1868-1883 (ISSN-L)
- 1868-1891
- OpenAlex
- W2322337240
- Cited by
- 20
- References
- 33
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2017: 4 · 2016: 4 · 2015: 2
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormone Molecular Biology and Clinical Investigation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- circadian rhythm, sleep patterns, sleep duration, cardiovascular risk factors, circadian misalignment, sleep disorders, metabolic effects, inflammation, suprachiasmatic nucleus, circadian clock, cardiovascular disease
- MeSH terms
- Cardiovascular Diseases, Circadian Rhythm, Humans, Inflammation, Risk Factors, Sleep, Sleep Wake Disorders, Suprachiasmatic Nucleus
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