Sleep duration and excess heart age among US adults

Details

• Alternative Title:
  Sleep Health
• Personal Author:
  Yang, Quanhe ; Durmer, Julia L. ; Wheaton, Anne G. ; Jackson, Sandra L. ; Zhang, Zefeng
• Description:
  Objectives:
  
  Insufficient sleep negatively impacts the cardiovascular system. No study has examined the association between sleep duration and heart age (person’s predicted vascular age based on cardiovascular disease [CVD] risk profile). This study examines association between sleep duration and excess heart age (EHA; difference between heart age and chronological age) among US adults.
  
  Design and participants:
  
  Cross-sectional 2007-2014 National Health and Nutrition Examination Survey data for respondents aged 30-74 years without CVD or stroke (n = 12,775).
  
  Measurements:
  
  Self-reported sleep duration was classified into 5 categories (≤5, 6, 7, 8, and ≥9 hours). We used sex-specific Framingham heart age algorithm to calculate heart age and multivariable linear regression to examine association between sleep duration and EHA.
  
  Results:
  
  A total of 13.4% (95% confidence interval 12.5-14.3), 24.2% (23.1-25.2), 31.0% (29.8-32.3), 25.9% (25.0-26.9), and 5.5% (5.0-6.1) reported sleeping ≤5, 6, 7, 8, and ≥9 hours, respectively. We observed a nonlinear relationship between sleep duration and EHA using 7 hours as reference: EHA (adjusted for sociodemographics, body mass index, physical activity, Healthy Eating Index-2010, sleep disorder, and depression status) was 5.1 (4.8-5.8), 4.5 (3.9-5.1), 3.7 (3.3-4.0), 4.5 (4.1-5.0), and 4.1 (3.3-4.9) years for sleep durations of ≤5, 6, 7, 8 and ≥9 hours, respectively (P = .015 for quadratic trend). EHA was significantly higher among participants with lower education, lower income, and obesity.
  
  Conclusion:
  
  Mean adjusted EHA was lowest among adults who reported sleeping 7 hours per night and increased as adults reported sleeping fewer or more hours. Discussing sleep duration in the context of EHA may be helpful for patients and clinicians.
  
  
• Subjects:
  Adult Aged Cardiovascular Diseases Cross-Sectional Studies Female Health Surveys Humans Male Middle Aged Risk Factors Sleep Sleep Deprivation Time Factors United States

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• Keywords:
  Cardiovascular Disease Heart Age Risk Factors Sleep Duration
• Source:
  Sleep Health. 4(5):448-455
• Pubmed ID:
  30241660
• Pubmed Central ID:
  PMC10913064
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  4
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:467891f26d1c105fc6ea721f471265ca210d92892e9dcb6f2c541d03afbc3fb9
• Download URL:
  https://stacks.cdc.gov/view/cdc/150410/cdc_150410_DS1.pdf
• File Type:
  [PDF - 399.63 KB ]