The 2016 American Heart Association Scientific Statement on sleep duration and cardiovascular
risk suggested that optimal sleep duration is critical for cardiovascular health,
with both long and short sleep duration associated with adverse health outcomes. We
examined the relation between sleep duration and cardiovascular health among the general
population in the United States from 2005 to 2016. We sought to investigate associations
between sleep duration and the prevalence of coronary artery disease, heart failure
(HF), stroke, hypertension, diabetes mellitus (DM), and hyperlipidemia. Using the
National Health and Nutrition Examination Survey, we identified all patients with
HF, coronary artery disease, hypertension, hyperlipidemia, DM, and stroke from 2005
to 2016. Multivariable logistic regression analyses were performed to adjust for age,
sex, body mass index (BMI), marital status, educational level, physical activity,
sedentary activity, depression, blood pressure, lipid profiles, and hemoglobin. In
total, 32,152 National Health and Nutrition Examination Survey participants responded
to the sleep survey. Both short sleepers (<7 hours, n = 12,027) and long sleepers
(>9 hours, n = 1,058) were older and more likely to have a higher BMI than optimal
sleepers (7 to 9 hours, n = 19,067; all p values <0.05). After adjusting for confounding
variables and in comparison to those with optimal sleep duration, short sleep duration
was associated with a higher prevalence of previous stroke (odds ratio [OR] 1.45;
95% confidence intervals [CI] 1.23 to 1.70), HF (OR 1.65; 95% CI 1.40 to 1.95), DM
(OR 1.35; 95% CI 1.23 to 1.49), and hyperlipidemia (OR 1.12; 95% CI 1.04 to 1.22),
whereas long sleep duration was associated with a higher prevalence of previous stroke
(OR 1.81; 95% CI 1.37 to 2.34) and HF (OR 1.47; 95% CI 1.08 to 1.97). In conclusion,
both long and short sleep durations were associated with poor cardiovascular health
in this cross-sectional study.
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Article Info
Publication History
Published online: April 26, 2020
Received in revised form:
April 5,
2020
Received:
February 22,
2020
Footnotes
Funding/Support: There was no funding for this work.
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
