Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study
Background: Inadequate sleep behaviors may confer a higher risk of premature death, however, evidence in patients with chronic noncommunicable disease (NCD) is scarce. To investigate the relationship between sleep duration and mortality from all-cause and heart diseases in NCD patients from a prospe...
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| Format: | Article |
| Language: | English |
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Komiyama Printing Co. Ltd
2024-02-01
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| Series: | Environmental Health and Preventive Medicine |
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| Online Access: | https://www.jstage.jst.go.jp/article/ehpm/29/0/29_23-00249/_html/-char/en |
| _version_ | 1797291980255920128 |
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| author | Lin Wu Ruyi Chen Yuqin Zhang Huiying Pan Ying Wang Xiaowen Wang |
| author_facet | Lin Wu Ruyi Chen Yuqin Zhang Huiying Pan Ying Wang Xiaowen Wang |
| author_sort | Lin Wu |
| collection | DOAJ |
| description | Background: Inadequate sleep behaviors may confer a higher risk of premature death, however, evidence in patients with chronic noncommunicable disease (NCD) is scarce. To investigate the relationship between sleep duration and mortality from all-cause and heart diseases in NCD patients from a prospective cohort. Methods: Totally, 14,171 participants with at least one NCD, including 8275 with hypertension, 7547 with high cholesterol, 4065 with diabetes, and 5815 with chronic renal failure were enrolled from the National Health and Nutrition Examination Survey during 2005–2014. Cox proportional hazard models were performed to estimate the hazard ratio (HR) for sleep duration and mortality after adjusting for potential confounding factors. Results: After a median follow-up of 9 years, 2514 all-cause deaths were identified. Compared with sleeping 7–8 h/day, sleeping over 8 h/day was significantly associated with a higher risk of all-cause mortality, where the multivariable-HRs were 1.29 (1.11, 1.50) for hypertension, 1.23 (1.01, 1.51) for high cholesterol, 1.44 (1.13, 1.82) for diabetes, and 1.36 (1.10, 1.68) for chronic renal failure. Similar patterns were observed for heart disease mortality. A nonlinear association was detected between sleep duration and mortality in patients with NCD. Age modified the association in patients with hypertension (P-interaction: 0.036). Trouble sleeping modified the association in patients with diabetes (P-interaction: 0.042). Conclusions: Long sleep duration was associated with higher risks of all-cause and heart disease mortality in patients with chronic NCD. Our findings highlight that improving sleep behaviors may decrease the risk of premature deaths and help to NCD tertiary prevention. |
| first_indexed | 2024-03-07T19:45:36Z |
| format | Article |
| id | doaj.art-95bf8a1093664e50bd84dc2ba69558c3 |
| institution | Directory Open Access Journal |
| issn | 1342-078X 1347-4715 |
| language | English |
| last_indexed | 2024-03-07T19:45:36Z |
| publishDate | 2024-02-01 |
| publisher | Komiyama Printing Co. Ltd |
| record_format | Article |
| series | Environmental Health and Preventive Medicine |
| spelling | doaj.art-95bf8a1093664e50bd84dc2ba69558c32024-02-29T02:13:31ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152024-02-01299910.1265/ehpm.23-00249ehpmSleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort studyLin Wu0Ruyi Chen1Yuqin Zhang2Huiying Pan3Ying Wang4Xiaowen Wang5https://orcid.org/0000-0003-4623-1608School of Medicine, Jinhua Polytechnic CollegeSchool of Medicine, Jinhua Polytechnic CollegeDepartment of Medical Statistics, School of Public Health, Sun Yat-sen UniversitySchool of Medicine, Jinhua Polytechnic CollegeDepartment of Medical Statistics, School of Public Health, Sun Yat-sen UniversityCenter for Public Health and Epidemic Preparedness & Response, Peking UniversityBackground: Inadequate sleep behaviors may confer a higher risk of premature death, however, evidence in patients with chronic noncommunicable disease (NCD) is scarce. To investigate the relationship between sleep duration and mortality from all-cause and heart diseases in NCD patients from a prospective cohort. Methods: Totally, 14,171 participants with at least one NCD, including 8275 with hypertension, 7547 with high cholesterol, 4065 with diabetes, and 5815 with chronic renal failure were enrolled from the National Health and Nutrition Examination Survey during 2005–2014. Cox proportional hazard models were performed to estimate the hazard ratio (HR) for sleep duration and mortality after adjusting for potential confounding factors. Results: After a median follow-up of 9 years, 2514 all-cause deaths were identified. Compared with sleeping 7–8 h/day, sleeping over 8 h/day was significantly associated with a higher risk of all-cause mortality, where the multivariable-HRs were 1.29 (1.11, 1.50) for hypertension, 1.23 (1.01, 1.51) for high cholesterol, 1.44 (1.13, 1.82) for diabetes, and 1.36 (1.10, 1.68) for chronic renal failure. Similar patterns were observed for heart disease mortality. A nonlinear association was detected between sleep duration and mortality in patients with NCD. Age modified the association in patients with hypertension (P-interaction: 0.036). Trouble sleeping modified the association in patients with diabetes (P-interaction: 0.042). Conclusions: Long sleep duration was associated with higher risks of all-cause and heart disease mortality in patients with chronic NCD. Our findings highlight that improving sleep behaviors may decrease the risk of premature deaths and help to NCD tertiary prevention.https://www.jstage.jst.go.jp/article/ehpm/29/0/29_23-00249/_html/-char/ensleepmortalitycohortchronic diseasenoncommunicable disease |
| spellingShingle | Lin Wu Ruyi Chen Yuqin Zhang Huiying Pan Ying Wang Xiaowen Wang Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study Environmental Health and Preventive Medicine sleep mortality cohort chronic disease noncommunicable disease |
| title | Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study |
| title_full | Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study |
| title_fullStr | Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study |
| title_full_unstemmed | Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study |
| title_short | Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study |
| title_sort | sleep duration and mortality in patients with chronic noncommunicable disease a population based cohort study |
| topic | sleep mortality cohort chronic disease noncommunicable disease |
| url | https://www.jstage.jst.go.jp/article/ehpm/29/0/29_23-00249/_html/-char/en |
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