https://scholars.lib.ntu.edu.tw/handle/123456789/608955
標題: | Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: Report from a community-based cohort | 作者: | KUO-LIONG CHIEN Chen, Pei-Chung Hsu, Hsiu-Ching TA-CHEN SU Sung, Fung-Chang MING-FONG CHEN Lee, Yuan-Teh |
關鍵字: | Cardiovascular disease; Cohort study; Sleep | 公開日期: | 1-二月-2010 | 出版社: | Associated Professional Sleep Societies,LLC | 卷: | 33 | 期: | 2 | 起(迄)頁: | 177-184 | 來源出版物: | Sleep | 摘要: | Study Objectives: To investigate the relationship between sleep duration and insomnia severity and the risk of all-cause death and cardiovascular disease (CVD) events Design: Prospective cohort study Setting: Community-based Participants: A total of 3,430 adults aged 35 years or older Intervention: None Measurements and Results: During a median 15.9 year (interquartile range, 13.1 to 16.9) follow-up period, 420 cases developed cardiovascular disease and 901 cases died. A U-shape association between sleep duration and all-cause death was found: the age and gender-adjusted relative risks (95% confidence interval [CI]) of all-cause death (with 7 h of daily sleep being considered for the reference group) for individuals reporting ≤ 5 h, 6 h, 8 h, and ≥ 9 h were 1.15 (0.91-1.45), 1.02 (0.85-1.25), 1.05 (0.88-1.27), and 1.43 (1.16-1.75); P for trend, 0.019. However, the relationship between sleep duration and risk of CVD were linear. The multivariate-adjusted relative risk (95% CI) for all-cause death (using individuals without insomnia) were 1.02 (0.86-1.20) for occasional insomnia, 1.15 (0.92-1.42) for frequent insomnia, and 1.70 (1.16-2.49) for nearly everyday insomnia (P for trend, 0.028). The multivariate adjusted relative risk (95% CI) was 2.53 (1.71-3.76) for all-cause death and 2.07 (1.11-3.85) for CVD rate in participants sleeping ≥9 h and for those with frequent insomnia. Conclusions: Sleep duration and insomnia severity were associated with all-cause death and CVD events among ethnic Chinese in Taiwan. Our data indicate that an optimal sleep duration (7-8 h) predicted fewer deaths. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77649202563&doi=10.1093%2fsleep%2f33.2.177&partnerID=40&md5=878c3fe6f4a40c3fe50400f727cf169b https://scholars.lib.ntu.edu.tw/handle/123456789/608955 |
ISSN: | 0161-8105 | DOI: | 10.1093/sleep/33.2.177 |
顯示於: | 流行病學與預防醫學研究所 |
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