Evidence map›Paper›PMID 40689531›Full record

ArticleJournal of the American Heart Association2025

Sleep Duration Irregularity and Risk for Incident Cardiovascular Disease in the UK Biobank.

Tianyi Huang, Sina Kianersi, Heming Wang, Kaitlin S Potts, Raymond Noordam, Tamar Sofer, Martin K Rutter, Susan Redline

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Modeling the Exposome in Murine Cardiovascular Disease.JACC. Basic to translational science · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Sleep in myalgic encephalomyelitis/chronic fatigue syndrome shows marked night-to-night fluctuation under free-living conditions-results from a matched case-control study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  6. Sleep and Risk for Heart Disease and Stroke.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  7. Article
  8. Article
  9. Fluctuations in Sleep Duration and Timing and Cardiometabolic Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Tianyi HuangLaboratory of Epidemiology and Population Sciences, Intramural Research Program National Institute on Aging Baltimore MD USA.ORCID 0000-0001-8420-9167
Sina KianersiDivision of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital Boston MA USA.ORCID 0000-0003-0950-2675
Heming WangDivision of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital Boston MA USA.ORCID 0000-0002-1486-7495
Kaitlin S PottsDivision of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital Boston MA USA.ORCID 0000-0001-7778-4884
Raymond NoordamDepartment of Internal Medicine, Section of Gerontology and Geriatrics Leiden University Medical Center Leiden The Netherlands.ORCID 0000-0001-7801-809X
Tamar SoferDivision of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital Boston MA USA.ORCID 0000-0001-8520-8860
Martin K RutterDivision of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences University of Manchester United Kingdom.ORCID 0000-0001-6380-539X
Susan RedlineDivision of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital Boston MA USA.ORCID 0000-0002-6585-1610

Funding

The role of irregular sleep schedules as a ubiquitous marker of chronic circadian disruption in cardiometabolic disease developmentR01HL155395 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2021 to 2025
$3.5M
Multi-Dimensional Sleep Health and Aging-Related Chronic Disease RiskZIAAG000530 · NIA · NATIONAL INSTITUTE ON AGING · PI HUANG, TIANYI · 2024 to 2025
$539k
Intramural NIH HHS ZIA AG000530NHLBI NIH HHS R01 HL155395
6 · The paper itself

Abstract

backgroundEmerging evidence supports a link between circadian disruption as measured by higher night-to-night variation in sleep duration and increased risk of cardiovascular disease (CVD). It remains unclear whether this association varies by CVD types or may be modified by average sleep duration and genetic risk for CVD.

methodsOur prospective analysis included 86 219 UK Biobank participants who were free from CVD when completing 7 days of accelerometer measurement from 2013 to 2015. Sleep irregularity was evaluated by the SD of accelerometer-measured sleep duration over 7 days. Incident major CVD events, defined as fatal or nonfatal myocardial infarction and stroke, were identified through linkage to Hospital Episode Statistics data until May 31, 2022. Multivariable-adjusted Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% CIs for associations of sleep duration SD with risk for major CVD events overall and for myocardial infarction and stroke separately.

resultsWe documented 2310 incident cases of major CVD events (myocardial infarction: 1183, stroke: 1175) over 636 258 person-years of follow-up. After adjusting for sociodemographic factors and family history of CVD, the HR associated with a 1-hour increase in sleep duration SD was 1.19 (95% CI, 1.10-1.27) for CVD (

conclusionsHigher night-to-night variation in accelerometer-measured sleep duration was associated with consistently higher risks for major CVD events. The association did not seem to be modified by genetic risk for CVD and was more pronounced in long sleepers.

Indexed as

Cardiovascular DiseasesSleepSleep Wake DisordersAccelerometryAgedBiological Specimen BanksFemaleHumansIncidenceMaleMiddle AgedMyocardial InfarctionProspective StudiesRisk AssessmentRisk FactorsSleep Durationcardiovascular diseasegene–environment interactionmyocardial infarctionprospective studiessleep hygienesleep irregularitystroke

Identifiers

PMID40689531
PMCPMC12449928

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.