Sleep duration, cardiovascular disease, and proinflammatory biomarkers
Open accessAbstract
Habitual sleep duration has been associated with cardiometabolic disease, via several mechanistic pathways, but few have been thoroughly explored. One hypothesis is that short and/or long sleep duration is associated with a proinflammatory state, which could increase risk for cardiovascular and metabolic diseases. This hypothesis has been largely explored in the context of experimental sleep deprivation studies which have attempted to demonstrate changes in proinflammatory markers following acute sleep loss in the laboratory. Despite the controlled environment available in these studies, samples tend to lack generalization to the population at large and acute sleep deprivation may not be a perfect analog for short sleep. To address these limitations, population based studies have explored associations between proinflammatory markers and habitual sleep duration. This review summarizes what is known from experimental and cross-sectional studies about the association between sleep duration, cardiovascular disease, and proinflammatory biomarkers. First, the association between sleep duration with both morbidity and mortality, with a focus on cardiovascular disease, is reviewed. Then, a brief review of the potential role of proinflammatory markers in cardiovascular disease is presented. The majority of this review details specific findings related to specific molecules, including tumor necrosis factor-α, interleukins-1, -6, and -17, C-reactive protein, coagulation molecules, cellular adhesion molecules, and visfatin. Finally, a discussion of the limitations of current studies and future directions is provided.
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This was not reported previously by analysis of this wave of NHANES but is consistent with evidence that long sleep duration are generally associated with worse health outcomes.
“This was not reported previously by analysis of this wave of NHANES [14] but it is consistent with evidence that long sleep duration are generally associated with worse health outcomes [50–53].”
Sleep deprivation is associated with increased inflammation.
“Sleep deprivation has been associated with increased inflammation and negative cardiovascular outcomes.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [55]
Laboratory studies have shown that physiologic sleep restriction is associated with a proinflammatory state, including elevations in inflammatory cytokines such as IL-1B, IL-6, IL-17, TNF-α, and C-reactive protein.
“Laboratory studies have shown that physiologic sleep restriction is associated with a proinflamma-tory state, including elevations in inflammatory cytokines, such as interleukin 1B (IL-1B),64,65 IL-6,64,66–68 IL-17,64,69 tumor necrosis factor-α,64,68,70–72 and C-reactive protein.64,69,73–76”
From Sleep, Health, and Society (2017) · cites this paper as [64]
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- Authors
- Grandner, M., Sands-Lincoln, Pak, & Garland
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Grandner, Michael
- ORCID
- Grandner, Michael
- Venue
- Nature and Science of Sleep
- Publisher
- Informa UK Limited
- Published
- 2013-07
- Volume
- 5
- Pages
- 93
- ISSN
- 1179-1608 (ISSN-L)
- PMC
- PMC3724567
- OpenAlex
- W2059259376
- Cited by
- 246
- References
- 190
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 16 · 2023: 19 · 2022: 22 · 2021: 26 · 2020: 20 · 2019: 13 · 2018: 12 · 2017: 18 · 2016: 27 · 2015: 27 · 2014: 14 · 2013: 3
- FWCI
- 31.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nature and Science of Sleep (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- University of Pennsylvania (UL1 RR024134)
- Georgia Clinical and Translational Science Alliance
- National Heart, Lung, and Blood Institute (K23HL110216)
- National Institute of Environmental Health Sciences (R21ES022931)
- National Center for Research Resources (UL1RR024134)
- 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, cardiovascular disease, pro-inflammatory markers, inflammation, cardiometabolic disease, short sleep duration, long sleep, TNF-α, interleukins, C-reactive protein, adhesion molecules, visfatin, sleep deprivation, mortality
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