ArticleSleep2015
Sleep duration and mortality: a prospective study of 113 138 middle-aged and elderly Chinese men and women.
Article in Sleep, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 12 of them syntheses that pooled it.
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Who cites it
82 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Imbalanced sleep increases mortality risk by 14-34%: a meta-analysis.GeroScience · 2025Pooled it
- Inadequate sleep increases stroke risk: evidence from a comprehensive meta-analysis of incidence and mortality.GeroScience · 2025Pooled it
- The association between sleep duration and lung cancer: a meta-analysis.Sleep & breathing = Schlaf & Atmung · 2024Pooled it
- Meta-analysis of correlation between sleep duration and gender difference in adults with type 2 diabetes.Sleep & breathing = Schlaf & Atmung · 2023Pooled it
- Sleep duration and risk of cardio-cerebrovascular disease: A dose-response meta-analysis of cohort studies comprising 3.8 million participants.Frontiers in cardiovascular medicine · 2022Pooled it
- Behavioral Lifestyles and Survival: A Meta-Analysis.Frontiers in psychology · 2021Pooled it
- Association between periodontal disease and non-apnea sleep disorder: a systematic review.Clinical oral investigations · 2020Pooled it
- Sleep duration and risk of all-cause mortality: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2019Pooled it
- Self-Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose-Response Meta-Analysis.Journal of the American Heart Association · 2018Pooled it
- Sleep Duration and Sleep Patterns in Chinese University Students: A Comprehensive Meta-Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Pooled it
- Relationship of Sleep Duration With All-Cause Mortality and Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies.Journal of the American Heart Association · 2017Pooled it
- Nighttime sleep duration, 24-hour sleep duration and risk of all-cause mortality among adults: a meta-analysis of prospective cohort studies.Scientific reports · 2016Pooled it
- Ashwagandha ( Withania somnifera ) Root Extract Improves General Health in Elderly Men and Women: A Prospective, Randomized, Double-Blind, Placebo-Controlled, Efficacy and Safety Study.Phytotherapy research : PTR · 2026Trial
- Vicarious Racial Discrimination and Sleep Health Among Latina/o/x/Hispanic First-Year College Students: Distinctions From Direct Racial and Ethnic Discrimination and Moderation by Ethnic-Racial Identity.Journal of racial and ethnic health disparities · 2026Article
- Associations between Vicarious Anti-Black and Anti-Asian Racism and Sleep in Black, Asian, and White Young Adults during the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Sleep habits in the pathogenesis and management of diabesity.Journal of diabetes investigation · 2025Review
- Observational
- "Restless Nights, Stressed Hearts": The Link Between Sleep Disorders and Takotsubo Syndrome-A Comprehensive Review.Reviews in cardiovascular medicine · 2025Review
- Circadian syndrome and mortality risk in adults aged ≥ 40 years: a prospective cohort analysis of CHARLS and NHANES.Scientific reports · 2025Article
- Association between sleep characteristics and physical functioning in middle-aged and elderly adults: findings from Chinese cohorts.Aging clinical and experimental research · 2025Article
22 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesTo evaluate associations of sleep duration with total mortality and disease-specific mortality in a Chinese population.
designProspective study conducted from 1996 (for women)/2002 (for men) to 2010.
settingA population-based cohort study in Shanghai, China.
interventionNone. MEASUREMENTS AND
resultsA total of 113,138 participants (68,548 women and 44,590 men) of the Shanghai Women's and Men's Health Studies, aged 44-79 y and 40-75 y (women and men, respectively) at sleep duration assessment, were included in the study. In-person interviews were conducted to collect information on sleep duration, socioeconomic status, living conditions, history of chronic disease, participation in regular exercise, and family history of disease. The cohort has been followed using a combination of biannual in-person interviews and record linkages with Shanghai's population-based death registry. Survival status of participants on December 31, 2010 was included as the study outcome. Relative risks were calculated using a Cox proportional model stratified by sex and comorbidity score. There were 4,277 deaths (2,356 among women; 1,921 among men) during a median follow-up time of 7.12 y for women and 6.07 y for men. Among both women and men, sleep duration showed a J-shaped association with total mortality. Hazard ratios (95% confidence intervals) were 1.15 (1.01-1.32), 1.06 (0.94-1.20), 1.17 (1.04-1.32), 1.36 (1.13-1.64), and 2.11 (1.77-2.52) for women and 1.06 (0.90-1.25), 1.07 (0.94-1.23), 1.13 (1.00-1.28), 1.34 (1.10-1.62), and 1.55 (1.29-1.86) for men who slept 4-5, 6, 8, 9, and ≥ 10 h per day, respectively, compared with those who slept 7 h per day. Associations for disease-specific mortality, including cardiovascular disease, stroke, diabetes, and cancer, also generally followed the same J-shaped pattern. The sleep duration-mortality association was more evident among participants with comorbidities, but varied little by sex.
conclusionIn our study population of Chinese adults, shorter and longer sleep durations were independently associated with increased risk of mortality. But longer sleep duration had a higher mortality risk of cardiovascular disease and diabetes than short sleep.
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