Evidence map›Paper›PMID 36653782›Full record

ArticleBMC public health2023

Relationship of sleep duration with incident cardiovascular outcomes: a prospective study of 33,883 adults in a general population.

Hui Cui, Rong Xu, Yiming Wan, Yong Ling, Yonggen Jiang, Yiling Wu, Ying Guan, Qi Zhao, Genming Zhao, Maryam Zaid

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  10. Relationship between activity and sleep, as measured through a wearable accelerometer, and appropriate cardioverter defibrillator interventions: a prospective SafeHeart substudy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hui CuiDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
Rong XuDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
Yiming WanDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
Yong LingDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
Yonggen JiangSongjiang District Center for Disease Control and Prevention, Shanghai, 200032, China.
Yiling WuSongjiang District Center for Disease Control and Prevention, Shanghai, 200032, China.
Ying GuanSongjiang District Center for Disease Control and Prevention, Shanghai, 200032, China.
Qi ZhaoDepartment of Social Medicine, School of Public Health, Fudan University, Shanghai, 200032, China.
Genming ZhaoDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
Maryam ZaidDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China. maryzaid@fudan.edu.cn.

Funding

Key Technologies Research and Development Program 2017 YFC 0907001
6 · The paper itself

Abstract

backgroundStudies on the effect of sleep duration on cardiovascular health have contradictory findings. Underlying health issues may have led to inconsistent results and warrant consideration. We aim to assess the relationship of night sleep duration with incident cardiovascular disease (CVD) in a general population, taking into consideration underlying chronic diseases.

methodsData from Shanghai Suburban Adult Cohort and Biobank with a median follow-up of 5.1 years was used, including 33,883 adults aged 20-74 years old. Incident CVD cases were reported and recorded by the Center for Disease Prevention and Control in Songjiang, Shanghai. We used Cox proportional hazard regression models and restricted cubic spline (RCS) analysis to explore the relationship between different sleep groups and sleep duration with incident CVD outcomes, through stratification by gender and age, as well as different health conditions, with adjustments for potential confounders.

resultsLong sleep duration (> 9 h) compared to > 7 to ≤ 8 h was associated with overall incident CVD in participants aged ≥ 50 years old: HR(95%CI) = 2.07 (1.15, 3.74) for 50-59y and 1.43 (1.04, 1.93) for 60-74y. RCS analysis showed a J-shaped relationship between sleep and CVD risk in those ≥ 50y, which was confirmed only in those with a chronic health condition. Non-linear relationships between sleep and CVD risk factors, such as BMI, blood glucose and glycated haemoglobin, were observed.

conclusionsLong sleep duration is associated with increased risk of CVD in people ≥ 50y. However, CVD risk factors and underlying health conditions such as hypertension, and diabetes, may play a driving role in the relationship.

Indexed as

Cardiovascular DiseasesSleep DurationAdultAgedChinaHumansMiddle AgedProspective StudiesRisk FactorsSleepYoung AdultCardiovascular diseaseCohort studiesEpidemiologySleep duration

Identifiers

PMID36653782
PMCPMC9847128

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.