ArticlePloS one2025
Associations of sleep pattern, sleep duration, bedtime, rising time and cardiovascular disease: Data from NHANES (2017-2020).
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Interpreting heart rate variability in clinical context: a framework for understanding a multidimensional autonomic biomarker.Frontiers in cardiovascular medicine · 2026Review
- Sleep duration and cardiovascular disease risk in type 2 diabetes: A prospective cohort study.PloS one · 2025Article
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3 authors.
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Abstract
backgroundSleep has a significant impact on the incidence of cardiovascular diseases (CVD), but there is no comprehensive research on this topic.
aimsAssess the association between sleep factors and the risk of cardiovascular diseases in terms of comprehensive sleep behavior.
methodsThis study included 8,075 subjects from NHANES 2017-2020, excluding those with missing sleep/CVD data. Poor sleep factors: abnormal sleep duration (<7h or>8h), trouble sleeping, snoring, snort or stop breathing, sleepy during day. Each factor was scored (0-12 total), classifying sleep patterns as healthy (0-4), intermediate (5-8) or poor (9-12). Multivariable logistic regression analyzed the association between unhealthy sleep and CVD. Weighted data were used for restricted cubic spline (RCS) plots to assess the nonlinear relationship between sleep durations, bedtime, rising time and CVD.
resultsAdjusted models showed significant associations between poor sleep and heart failure, myocardial infarction, stroke and hypertension (p < 0.05). Daytime sleepiness also increased stroke and hypertension risks (p < 0.05). RCS plots revealed nonlinear relationships: 7-9 hours sleep/day minimized heart failure, myocardial infarction and hypertension risks; 6-8 hours/day minimized stroke risk. Bedtime showed J-shaped and U-shaped associations with myocardial infarction and hypertension.
conclusionThis nationally representative survey revealed that poor sleep patterns, particularly sleep disorders, daytime sleepiness and reported breathing obstructions were significantly associated with an increased prevalence of cardiovascular diseases. Additionally, there was a nonlinear correlation between sleep duration, bedtime, rising time and the risk of developing cardiovascular diseases.
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