Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults

Purpose: Insomnia, a frequent geriatric syndrome, is thought to be linked with coronary artery disease and increased mortality. The aim of our study was to examine the relationship between sleep duration and coronary artery disease (CAD) and cardiovascular risk factors. Materials and Methods: In...

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Main Authors: Pelin ÜNSAL, Mert EŞME, Cafer BALCI, Gözde ŞENGÜL AYÇİÇEK, Burcu BALAM YAVUZ, Meltem HALİL, Mustafa CANKURTARAN
Format: Article
Language:English
Published: Kirsehir Ahi Evran University 2023-08-01
Series:Ahi Evran Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/2587036
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author Pelin ÜNSAL
Mert EŞME
Cafer BALCI
Gözde ŞENGÜL AYÇİÇEK
Burcu BALAM YAVUZ
Meltem HALİL
Mustafa CANKURTARAN
author_facet Pelin ÜNSAL
Mert EŞME
Cafer BALCI
Gözde ŞENGÜL AYÇİÇEK
Burcu BALAM YAVUZ
Meltem HALİL
Mustafa CANKURTARAN
author_sort Pelin ÜNSAL
collection DOAJ
description Purpose: Insomnia, a frequent geriatric syndrome, is thought to be linked with coronary artery disease and increased mortality. The aim of our study was to examine the relationship between sleep duration and coronary artery disease (CAD) and cardiovascular risk factors. Materials and Methods: In this study, patients who applied to the geriatric outpatient clinic for comprehensive geriatric assessment were retrospectively evaluated. Patients were divided into two groups according to the six hours of ideal sleep assumption: those who slept less than six hours and those who slept six hours or more. Results: A total of 2255 patients (age 72±6 years, 63.3% female) were included in this study. Patients who were sleeping less than 6 hours were older (14.4% vs. 10.3%; p=0.005) and most of them were female (69.5% vs. 60.2%; p<001). Coronary artery disease (31.9% vs. 25.9%; p= 0.003), falls (31.8% vs. 25.3%; p=0.002) and depression (25.7% vs. 21.3%; p=0.022) were more common, while hypertension ( 68.5% and 72.5%; p=0.049) were less common in the short sleep duration group. The regression analysis showed that short sleep duration was significantly associated with CAD (OR:1.39; 95% CI:1.14-1.7; p=0.001), falls history (OR:1.25; 95% CI:1.02-1.5; p=0.026), age (OR:1.01; 95% CI:1.01-1.04; p=0.001), male gender (OR:0.63; 95% CI:0.51-0.76; p<0.001), and hypertension (OR:0.74; %95 CI:0.6-0.9; p=0.003). Conclusion: Similar to the literature, CAD was observed more frequently in patients who slept less than 6 hours in our results. Considering this relationship between short sleep duration and CAD, it is important to question sleep duration in comprehensive geriatric assessment.
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spelling doaj.art-82e63ad198b64bc9a7ccee8874b0a44f2023-09-04T08:50:43ZengKirsehir Ahi Evran UniversityAhi Evran Medical Journal2619-92032023-08-017219820410.46332/aemj.1159731Relationship Between Sleep Duration and Coronary Artery Disease in Older AdultsPelin ÜNSAL0https://orcid.org/0000-0002-0145-806XMert EŞME1https://orcid.org/0000-0003-3617-2077Cafer BALCI2https://orcid.org/0000-0002-1478-1106Gözde ŞENGÜL AYÇİÇEK3https://orcid.org/0000-0003-0528-8851Burcu BALAM YAVUZ4https://orcid.org/0000-0002-4430-6146Meltem HALİL5https://orcid.org/0000-0001-7597-8140Mustafa CANKURTARAN6https://orcid.org/0000-0002-8213-7515HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIHACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIHACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIKIRIKKALE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALIHACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIHACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIHACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, GERİATRİ BİLİM DALIPurpose: Insomnia, a frequent geriatric syndrome, is thought to be linked with coronary artery disease and increased mortality. The aim of our study was to examine the relationship between sleep duration and coronary artery disease (CAD) and cardiovascular risk factors. Materials and Methods: In this study, patients who applied to the geriatric outpatient clinic for comprehensive geriatric assessment were retrospectively evaluated. Patients were divided into two groups according to the six hours of ideal sleep assumption: those who slept less than six hours and those who slept six hours or more. Results: A total of 2255 patients (age 72±6 years, 63.3% female) were included in this study. Patients who were sleeping less than 6 hours were older (14.4% vs. 10.3%; p=0.005) and most of them were female (69.5% vs. 60.2%; p<001). Coronary artery disease (31.9% vs. 25.9%; p= 0.003), falls (31.8% vs. 25.3%; p=0.002) and depression (25.7% vs. 21.3%; p=0.022) were more common, while hypertension ( 68.5% and 72.5%; p=0.049) were less common in the short sleep duration group. The regression analysis showed that short sleep duration was significantly associated with CAD (OR:1.39; 95% CI:1.14-1.7; p=0.001), falls history (OR:1.25; 95% CI:1.02-1.5; p=0.026), age (OR:1.01; 95% CI:1.01-1.04; p=0.001), male gender (OR:0.63; 95% CI:0.51-0.76; p<0.001), and hypertension (OR:0.74; %95 CI:0.6-0.9; p=0.003). Conclusion: Similar to the literature, CAD was observed more frequently in patients who slept less than 6 hours in our results. Considering this relationship between short sleep duration and CAD, it is important to question sleep duration in comprehensive geriatric assessment.https://dergipark.org.tr/tr/download/article-file/2587036insomniageriatricscardiovascular diseasesleep disorders
spellingShingle Pelin ÜNSAL
Mert EŞME
Cafer BALCI
Gözde ŞENGÜL AYÇİÇEK
Burcu BALAM YAVUZ
Meltem HALİL
Mustafa CANKURTARAN
Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
Ahi Evran Medical Journal
insomnia
geriatrics
cardiovascular disease
sleep disorders
title Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
title_full Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
title_fullStr Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
title_full_unstemmed Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
title_short Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults
title_sort relationship between sleep duration and coronary artery disease in older adults
topic insomnia
geriatrics
cardiovascular disease
sleep disorders
url https://dergipark.org.tr/tr/download/article-file/2587036
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