التفاصيل البيبلوغرافية
| العنوان: |
Sleep duration and risk of stroke and coronary heart disease: a 9-year community-based prospective study of 0.5 million Chinese adults. |
| المؤلفون: |
Chen, Yiping, Kartsonaki, Christiana, Clarke, Robert, Guo, Yu, Du, Huaidong, Yu, Canqing, Yang, Ling, Pei, Pei, Stevens, Rebecca, Burgess, Sushila, Hua, Yujie, Chen, Junshi, Lv, Jun, Li, Liming, Chen, Zhengming, on behalf of the China Kadoorie Biobank Collaborative Group, Collins, Rory, Peto, Richard, Walters, Robin, Avery, Daniel |
| المصدر: |
BMC Neurology; 9/14/2023, Vol. 23 Issue 1, p1-10, 10p |
| مصطلحات موضوعية: |
SLEEP duration, CORONARY disease, STROKE, NAPS (Sleep), ISCHEMIC stroke, INTRACEREBRAL hematoma |
| مستخلص: |
Background: There is uncertainty about the optimum sleep duration for risk of different subtypes of stroke and ischaemic heart disease. Methods: The present analyses involved 409,156 adults in the China Kadoorie Biobank study without a prior history of coronary heart disease or stroke or insomnia symptoms. The mean age of study participants was 52 years and 59% were women. Self-reported sleep duration including daytime napping was recorded using a questionnaire. The adjusted hazard ratios (HRs) for disease outcomes associated with sleep duration were estimated by Cox proportional hazards after adjustment for confounding factors. Results: The overall mean (SD) sleep duration was 7.4 (1.4) hours. The associations of sleep duration with CVD types were U-shaped, with individuals reporting 7–8 h of sleep having the lowest risks. Compared with those who typically slept 7–8 h, individuals with very short sleep duration (≤ 5 h) had adjusted HRs of 1.10 (95% CI 1.04–1.16), 1.07 (1.01–1.13), 1.19 (1.06–1.33) and 1.23 (1.10–1.37) for total stroke, ischaemic stroke (IS), Intracerebral haemorrhage (ICH) and major coronary events (MCE), respectively. Likewise, individuals with very long sleep duration (≥ 10 h) had HRs of 1.12 (1.07–1.17), 1.08 (1.03–1.14), 1.23 (1.12–1.35) and 1.22 (1.10–1.34) for the same diseases, respectively, with little differences by sex and age. The patterns were similar for all-cause mortality. Conclusions: While abnormal sleep duration (≤ 6 h or ≥ 9 h) was associated with higher risks of CVD, the risks were more extreme for those reporting ≤ 5 or ≥ 10 h, respectively and such individuals should be prioritised for more intensive treatment for CVD prevention. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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