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Sleep Duration, Mortality, and High-Risk Populations: A Nationwide Study in the United States

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Objectives: Both insufficient and excessive sleep durations have been recognized as important risk factors for mortality. Nevertheless, the impact of sleep duration on cause-specific mortality and potential effect modifiers has not been investigated extensively. Therefore, this study aimed to assess the association between sleep duration and mortality categorized by cause of death and potential effect modifiers using data from the National Health and Nutrition Examination Survey (NHANES). Methods: We established a prospective cohort based on NHANES participants aged 50 years or older, linked to the National Death Index (NDI) in the United States between 2009 and 2018. The NDI included all-cause, cardiovascular, and respiratory deaths. Sleep duration was assessed during the NHANES examination period. A survey-weighted Cox proportional hazards model was used to evaluate the association between sleep and mortality. Results: A total of 13,947 participants with available NHANES data were included in this study. A U-shaped association between sleep duration and mortality was observed for all-cause and cardiovascular mortality, meanwhile, respiratory mortality was linked to moderately short sleep (>5 and <7 hours). For total mortality, the association with severe short sleep (5 hours or less; <i>p</i><0.01) was generally stronger than the association with long sleep (>8 hours; <i>p</i>=0.029), with the effect of severe short sleep being significantly prominent in males (<i>p</i><0.01), non-Hispanic White (0.001), high-income (0.056), and those with a body mass index ≥23.0 kg/m<sup>2</sup> (0.001) than those in their counterparts. Conclusions: This study suggests that sleep duration is associated with the mortality risk. Our results provide evidence for a more targeted allocation of public health resources to improve sleep and health.

Abstract

Objectives: Both insufficient and excessive sleep durations have been recognized as important risk factors for mortality. Nevertheless, the impact of sleep duration on cause-specific mortality and potential effect modifiers has not been investigated extensively. Therefore, this study aimed to assess the association between sleep duration and mortality categorized by cause of death and potential effect modifiers using data from the National Health and Nutrition Examination Survey (NHANES). Methods: We established a prospective cohort based on NHANES participants aged 50 years or older, linked to the National Death Index (NDI) in the United States between 2009 and 2018. The NDI included all-cause, cardiovascular, and respiratory deaths. Sleep duration was assessed during the NHANES examination period. A survey-weighted Cox proportional hazards model was used to evaluate the association between sleep and mortality. Results: A total of 13,947 participants with available NHANES data were included in this study. A U-shaped association between sleep duration and mortality was observed for all-cause and cardiovascular mortality, meanwhile, respiratory mortality was linked to moderately short sleep (>5 and <7 hours). For total mortality, the association with severe short sleep (5 hours or less; <i>p</i><0.01) was generally stronger than the association with long sleep (>8 hours; <i>p</i>=0.029), with the effect of severe short sleep being significantly prominent in males (<i>p</i><0.01), non-Hispanic White (0.001), high-income (0.056), and those with a body mass index ≥23.0 kg/m<sup>2</sup> (0.001) than those in their counterparts. Conclusions: This study suggests that sleep duration is associated with the mortality risk. Our results provide evidence for a more targeted allocation of public health resources to improve sleep and health.

참고문헌 (50)

  1. Svensson T, "Association of sleep duration with all-and major-cause mortality among adults in Japan, China, Singapore, and Korea", JAMA Netw Open, 4, pp.e2122837~ (2021)[DOI]
  2. da Silva AA, "Sleep duration and mortality in the elderly : a systematic review with meta-analysis", BMJ Open, 6, pp.e008119~ (2016)[DOI]
  3. Cappuccio FP, "Sleep duration predicts cardiovascular outcomes : a systematic review and metaanalysis of prospective studies", Eur Heart J, 32, pp.1484~1492 (2011)[DOI]
  4. Gangwisch JE, "Short sleep duration as a risk factor for hypertension : analyses of the first national health and nutrition examination survey", Hypertension, 47, pp.833~839 (2006)[DOI]
  5. Cappuccio FP, "Quantity and quality of sleep and incidence of type 2 diabetes : a systematic review and meta-analysis", Diabetes Care, 33, pp.414~420 (2010)[DOI]
  6. Hossin MZ, "From habitual sleep hours to morbidity and mortality : existing evidence, potential mechanisms, and future agenda", Sleep Health, 2, pp.146~153 (2016)[DOI]
  7. Gavrilov YV, "Modern understanding of the consequences of lack of sleep", Med Acad J, 22, pp.61~72 (2022)[DOI]
  8. Gallicchio L, "Sleep duration and mortality : a systematic review and meta-analysis", J Sleep Res, 18, pp.148~158 (2009)[DOI]
  9. Jin Q, "Association of sleep duration with all-cause and cardiovascular mortality : a prospective cohort study", Front Public Health, 10, pp.880276~ (2022)[DOI]
  10. Du M, "U-shaped association between sleep duration and the risk of respiratory diseases mortality : a large prospective cohort study from UK Biobank", J Clin Sleep Med, 19, pp.1923~1932 (2023)[DOI]
  11. Janson C, "Insomnia is more common among subjects living in damp buildings", Occup Environ Med, 62, pp.113~118 (2005)[DOI]
  12. Björnsdóttir E, "Insomnia in untreated sleep apnea patients compared to controls", J Sleep Res, 21, pp.131~138 (2012)[DOI]
  13. Bjornsdottir E, "Are symptoms of insomnia related to respiratory symptoms? Cross-sectional results from 10 European countries and Australia", BMJ Open, 10, pp.e032511~ (2020)[DOI]
  14. Budhiraja R, "Sleep disorders in chronic obstructive pulmonary disease : etiology, impact, and management", J Clin Sleep Med, 11, pp.259~270 (2015)[DOI]
  15. Leivseth L, "Lung function and respiratory symptoms in association with mortality : the HUNT study", COPD, 11, pp.59~80 (2014)[DOI]
  16. Frostad A, "Respiratory symptoms as predictors of all-cause mortality in an urban community : a 30-year follow-up", J Intern Med, 259, pp.520~529 (2006)[DOI]
  17. GBD 2019 Chronic Respiratory Diseases Collaborators, "Global burden of chronic respiratory diseases and risk factors, 1990-2019 : an update from the global burden of disease study 2019", ClinicalMedicine, 59, pp.101936~ (2023)[DOI]
  18. Liu TZ, "Sleep duration and risk of all-cause mortality : a flexible, non-linear, meta-regression of 40 prospective cohort studies", Sleep Med Rev, 32, pp.28~36 (2017)[DOI]
  19. Gangwisch JE, "Sleep duration associated with mortality in elderly, but not middle-aged, adults in a large US sample", Sleep, 31, pp.1087~1096 (2008)[DOI]
  20. Cappuccio FP, "Meta-analysis of short sleep duration and obesity in children and adults", Sleep, 31, pp.619~626 (2008)[DOI]
  21. Zheng W, "Association between bodymass index and risk of death in more than 1 million Asians", N Engl J Med, 364, pp.719~729 (2011)[DOI]
  22. Bhaskaran K, "Association of BMI with overall and cause-specific mortality : a population-based cohort study of 3·6 million adults in the UK", Lancet Diabetes Endocrinol, 6, pp.944~953 (2018)[DOI]
  23. Chetty R, "The association between income and life expectancy in the United States, 2001-2014", JAMA, 315, pp.1750~1766 (2016)[DOI]
  24. Fakhouri TH, "Physical activity and screen-time viewing among elementary school-aged children in the United States from 2009 to 2010", JAMA Pediatr, 167, pp.223~229 (2013)[DOI]
  25. "2019 public-use linked mortality files"[URL]
  26. Cepeda MS, "Clinical relevance of sleep duration : results from a cross-sectional analysis using NHANES", J Clin Sleep Med, 12, pp.813~819 (2016)[DOI]
  27. Fishman EI, "Association between objectively measured physical activity and mortality in NHANES", Med Sci Sports Exerc, 48, pp.1303~1311 (2016)[DOI]
  28. Johnson CL, "National health and nutrition examination survey : analytic guidelines, 1999-2010", Vital Health Stat 2, 161, pp.1~24 (2013)
  29. Taheri S, "Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index", PLoS Med, 1, pp.e62~ (2004)[DOI]
  30. Svensson AK, "Incident diabetes mellitus may explain the association between sleep duration and incident coronary heart disease", Diabetologia, 61, pp.331~341 (2018)[DOI]
  31. Nagai M, "Sleep duration as a risk factor for cardiovascular disease-a review of the recent literature", Curr Cardiol Rev, 6, pp.54~61 (2010)[DOI]
  32. Jaspan VN, "The role of sleep in cardiovascular disease", Curr Atheroscler Rep, 26, pp.249~262 (2024)[DOI]
  33. Patel SR, "Sleep duration and biomarkers of inflammation", Sleep, 32, pp.200~204 (2009)[DOI]
  34. Ruan Z, "The association between sleep duration, respiratory symptoms, asthma, and COPD in adults", Front Med(Lausanne), 10, pp.1108663~ (2023)[DOI]
  35. Prather AA, "Association of insufficient sleep with respiratory infection among adults in the United States", JAMA Intern Med, 176, pp.850~852 (2016)[DOI]
  36. Choudhary SS, "Sleep effects on breathing and respiratory diseases", Lung India, 26, pp.117~122 (2009)[DOI]
  37. Lee JM, "Body mass index as a predictor of mortality in bronchiectasis : a nationwide population-based study", Respir Med, 180, pp.106370~ (2021)[DOI]
  38. Berry-Cabán CS, "Sweet dreams, bright futures : the relationship between sleep duration and health, income and education", Discov Soc Sci Health, 3, pp.26~ (2023)[DOI]
  39. Nagler M, "High-pressure, high-paying jobs?", Rev Econ Stat (2023)[DOI]
  40. Finkelstein DM, "Economic well-being and health : the role of income support programs in promoting health and advancing health equity", Health Aff(Millwood), 41, pp.1700~1706 (2022)[DOI]
  41. Zeller C, "Improving the validity of self-reported sleep duration : experimental comparisons of question format with actigraphy", Sleep, 46(Supplement 1), pp.A123~ (2023)[DOI]
  42. Girschik J, "Reliability of a sleep quality questionnaire for use in epidemiologic studies", J Epidemiol, 22, pp.244~250 (2012)[DOI]
  43. Lauderdale DS, "Self-reported and measured sleep duration : how similar are they?", Epidemiology, 19, pp.838~845 (2008)[DOI]
  44. Girschik J, "Validation of self-reported sleep against actigraphy", J Epidemiol, 22, pp.462~468 (2012)[DOI]
  45. Van Den Berg JF, "Disagreement between subjective and actigraphic measures of sleep duration in a populationbased study of elderly persons", J Sleep Res, 17, pp.295~302 (2008)[DOI]
  46. Muzni K, "Self-reported sleep quality is more closely associated with mental and physical health than chronotype and sleep duration in young adults : a multi-instrument analysis", J Sleep Res, 30, pp.e13152~ (2021)[DOI]
  47. The Editors, "The value of P", Epidemiology, 12, pp.286~ (2001)
  48. Okura Y, "Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure", J Clin Epidemiol, 57, pp.1096~1103 (2004)[DOI]
  49. Barr EL, "Validity of self-reported cardiovascular disease events in comparison to medical record adjudication and a statewide hospital morbidity database : the AusDiab study", Intern Med J, 39, pp.49~53 (2009)[DOI]
  50. Lee W, "Association of long-term exposure to air pollution with chronic sleep deprivation in adults from 141 urban communities in South Korea : a community-level longitudinal study, 2008-2016", Epidemiol Psychiatr Sci, 30, pp.e57~ (2021)[DOI]

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