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August 19, 2022Frontiers in Public HealthOpen Access

Association between sleep duration and chest pain in US adults: A cross-sectional study

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Key result

Sleep duration demonstrated a U-shaped relationship with chest pain incidence, where both insufficient (<6.5 hours) and excessive (≥6.5 hours) sleep increased the risk of chest pain.

Why the study?

The study was conducted to explore the association between sleep duration and chest pain among adults in the US.

Does sleep duration affect the incidence of chest pain in US adults?

Population

13,274 subjects in the NHANES from 2011 to 2018

Comparison

Varying sleep durations

Design

Cross-sectional study

Authors

WCWei ChenJWJiping WangZWZimin Wang

Discussion

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Member takes

Overview

No practice change warranted; leaves open causal effects of sleep duration on chest pain in prospective studies.

Study Design

Type

Cross-Sectional (n=13,274)

Structured PICO

Does sleep duration affect the incidence of chest pain in US adults?

P
Population
13,274 US adults aged 18 and older from the NHANES 2011-2018 database were evaluated for the association between self-reported sleep duration and chest pain.
E
Exposure
Sleep duration (self-reported, categorized as <6 h, 6-8 h, ≥8 h, or continuous)
C
Comparator
Different sleep duration categories (e.g., comparing <6.5 h and ≥6.5 h, or mid-range/long vs short)
O
Outcome
Incident chest pain (self-reported via Rose questionnaire)patient reported

Main Result

Odds Ratio: 0.95 (95% CI 0.93–0.98)

p-value: p=0.0004

Both insufficient (<6.5 hours) and excessive (≥6.5 hours) sleep durations are independently associated with an increased risk of self-reported chest pain in US adults, forming a U-shaped relationship.

Limitations

  • Cross-sectional design prevents inferring causation due to a potential bi-directional link between sleep time and chest pain.
  • Data from the Rose Questionnaire could be affected by interviewer bias.
  • Unable to investigate the reasons behind people's short or long sleep or the various types of sleep disorders they suffer from.
  • Cross-sectional design cannot infer causation
  • Potential interviewer bias from the Rose Questionnaire
  • Only one question inquired about average sleep length
  • Unable to investigate the reasons behind short or long sleep or the various types of sleep disorders

Cite This Study

Chen et al. (2022) conducted a cross-sectional in Chest pain (n=13,274). Sleep duration vs. Different sleep durations was evaluated on Chest pain incidence per 1 hour increase in sleep duration (OR 0.95, 95% CI 0.93-0.98, p=0.0004). Sleep duration demonstrated a U-shaped relationship with chest pain incidence, where both insufficient (<6.5 hours) and excessive (≥6.5 hours) sleep increased the risk of chest pain.

synapsesocial.com/papers/6a2ea4a866e347ad8cd63bbfhttps://doi.org/10.3389/fpubh.2022.952075
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association between sleep duration and CVD mortality: a prospective cohort study based on middle-aged and elderly chest pain patients2025
  2. 2Association between sleep duration and chronic musculoskeletal pain in US adults: a cross-sectional study2024 · 12 citations
  3. 3Association between sleep and gallstone disease in US adult: A population- based study2024
  4. 4Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study2022 · 44 citations
  5. 5Sleeping &lt;6.55 h per day was associated with a higher risk of low back pain in adults aged over 50 years: a Korean nationwide cross-sectional study2024 · 2 citations