Key result
Higher healthy sleep score linked to ~18% lower CVD risk per point.
Why the study?
Does a higher healthy sleep score and its improvement over time reduce incident cardiovascular disease in CVD-free adults?
Cohort (n=11,347)
Yes
Does a higher healthy sleep score and its improvement over time reduce incident cardiovascular disease in CVD-free adults?
Hazard Ratio: 0.82 (95% CI 0.76–0.89)
Higher healthy sleep scores and improvements in sleep patterns over time are associated with a significantly lower risk of incident coronary heart disease and stroke.
BACKGROUND AND AIMS: Evidence on the link between sleep patterns and cardiovascular diseases (CVDs) in the community essentially relies on studies that investigated one single sleep pattern at one point in time. This study examined the joint effect of five sleep patterns at two time points with incident CVD events. METHODS: By combining the data from two prospective studies, the Paris Prospective Study III (Paris, France) and the CoLaus|PsyCoLaus study (Lausanne, Switzerland), a healthy sleep score (HSS, range 0-5) combining five sleep patterns (early chronotype, sleep duration of 7-8 h/day, never/rarely insomnia, no sleep apnoea, and no excessive daytime sleepiness) was calculated at baseline and follow-up. RESULTS: The study sample included 11 347 CVD-free participants aged 53-64 years (44.6% women). During a median follow-up of 8.9 years [interquartile range (IQR): 8.0-10.0], 499 first CVD events occurred (339 coronary heart disease (CHD) and 175 stroke). In multivariate Cox analysis, the risk of CVD decreased by 18% [hazard ratio (HR) 0.82, 95% confidence interval (CI) 0.76-0.89] per one-point increment in the HSS. After a median follow-up of 6.0 years (IQR: 4.0-8.0) after the second follow-up, 262 first CVD events occurred including 194 CHD and 72 stroke. After adjusting for baseline HSS and covariates, the risk of CVD decreased by 16% (HR 0.84, 95% CI 0.73-0.97) per unit higher in the follow-up HSS over 2-5 years. CONCLUSIONS: Higher HSS and HSS improvement over time are associated with a lower risk of CHD and stroke in the community.
No takes yet. Share an insight, caveat, or question.
Nambiema et al. (2023) conducted a cohort in Cardiovascular disease prevention (n=11,347). Healthy sleep score (HSS) vs. Lower healthy sleep score was evaluated on Incident CVD events (HR 0.82, 95% CI 0.76-0.89). A higher healthy sleep score was associated with a lower risk of incident cardiovascular disease (HR 0.82; 95% CI 0.76-0.89 per one-point increment).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: