Relationship of Sleep Duration With All‐Cause Mortality and Cardiovascular Events: A Systematic Review and Dose‐Response Meta‐Analysis of Prospective Cohort Studies
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- Jiawei Yin
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Xiaoling Jin
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Zhilei Shan
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Shuzhen Li
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Hao Huang
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Peiyun Li
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Xiaobo Peng
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Zhao Peng
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Kaifeng Yu
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Wei Bao
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA
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- Wei Yang
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
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- Xiaoyi Chen
- School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, China
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- Liegang Liu
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
Abstract
<jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en">Effects of extreme sleep duration on risk of mortality and cardiovascular outcomes remain controversial. We aimed to quantify the dose‐response relationships of sleep duration with risk of all‐cause mortality, total cardiovascular disease, coronary heart disease, and stroke.</jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> PubMed and Embase were systematically searched for prospective cohort studies published before December 1, 2016, that examined the associations between sleep duration and at least 1 of the 4 outcomes in generally healthy populations. U‐shaped associations were indicated between sleep duration and risk of all outcomes, with the lowest risk observed for ≈7‐hour sleep duration per day, which was varied little by sex. For all‐cause mortality, when sleep duration was <7 hours per day, the pooled relative risk (RR) was 1.06 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.04–1.07) per 1‐hour reduction; when sleep duration was >7 hours per day, the pooled <jats:styled-content style="fixed-case">RR</jats:styled-content> was 1.13 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.11–1.15) per 1‐hour increment. For total cardiovascular disease, the pooled <jats:styled-content style="fixed-case">RR</jats:styled-content> was 1.06 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.03–1.08) per 1‐hour reduction and 1.12 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.08–1.16) per 1‐hour increment of sleep duration. For coronary heart disease, the pooled <jats:styled-content style="fixed-case">RR</jats:styled-content> was 1.07 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.03–1.12) per 1‐hour reduction and 1.05 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.00–1.10) per 1‐hour increment of sleep duration. For stroke, the pooled <jats:styled-content style="fixed-case">RR</jats:styled-content> was 1.05 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.01–1.09) per 1‐hour reduction and 1.18 (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> , 1.14–1.21) per 1‐hour increment of sleep duration. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en">Our findings indicate that both short and long sleep duration is associated with an increased risk of all‐cause mortality and cardiovascular events.</jats:p> </jats:sec>
Journal
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- Journal of the American Heart Association
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Journal of the American Heart Association 6 (9), e005947-, 2017-09-22
Ovid Technologies (Wolters Kluwer Health)
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Details 詳細情報について
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- CRID
- 1362262946384715648
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- ISSN
- 20479980
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- Data Source
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- Crossref