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January 9, 2025Frontiers in NeuroscienceOpen Access

Poor sleep patterns were significantly associated with an 82% increased risk of cardiovascular disease compared to healthy sleep patterns (OR 1.82).

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Why the study?

The study aimed to evaluate the association between sleep-related factors—including sleep duration, self-reported sleep disturbances, and diagnosed sleep disorders—and the risk of cardiovascular disease in US participants.

Does a poor sleep pattern increase the risk of cardiovascular disease in US adults?

Population

21,115 US participants from NHANES (2007-2014)

Comparison

Poor vs intermediate vs healthy sleep patterns

Design

Cross-sectional survey analysis

Key result

Poor sleep patterns were significantly associated with an 82% increased risk of cardiovascular disease compared to healthy sleep patterns (OR 1.82).

Authors

YWYue WuZLZhi‐Zheng LiPZPeng Zhao

Discussion

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Overview

Supports sleep assessment in CVD risk stratification; leaves open causality and requires prospective trials before practice change.

Key Points

  • This study evaluates how sleep-related factors are associated with cardiovascular disease risk in US participants.
  • Utilized data from the National Health and Nutrition Examination Survey (NHANES) 2007-2014.
  • Classified participants into three sleep pattern groups based on standardized sleep scores.
  • Employed logistic regression to analyze associations between sleep factors and cardiovascular disease.
  • Among 21,115 participants, 2,245 (10.6%) were diagnosed with cardiovascular disease.
  • Participants with poor sleep patterns had a significantly higher risk of cardiovascular disease (OR = 1.82, 95% CI: 1.52–2.16, p < 0.001).
  • Self-reported trouble sleeping and diagnosed sleep disorders significantly increased cardiovascular disease risk (OR = 1.53, p < 0.001) and (OR = 2.09, p < 0.001), respectively.

Study Design

Type

Cross-Sectional (n=21,115)

Structured PICO

Does a poor sleep pattern increase the risk of cardiovascular disease in US adults?

P
Population
21,115 US adults aged 18 and older from the NHANES database were evaluated to assess the association between sleep patterns and the risk of cardiovascular disease.
E
Exposure
Poor sleep pattern (overall sleep score ≤ 1 based on sleep duration, trouble sleeping, and sleep disorders)
C
Comparator
Healthy sleep pattern (overall sleep score = 3)
O
Outcome
Self-reported cardiovascular disease (CVD), defined as at least one diagnosis of congestive heart failure, coronary heart disease, angina, myocardial infarction, or strokecomposite

Main Result

Odds Ratio: 1.82 (95% CI 1.52–2.16)

p-value: p=<0.001

Poor sleep patterns, characterized by trouble sleeping and diagnosed sleep disorders, are significantly associated with an increased risk of cardiovascular disease in US adults.

Limitations

  • Cross-sectional design cannot establish causal relationships
  • Reliance on self-reported sleep data introduces potential memory bias
  • Sleep duration information is confined to weekdays
  • Ambiguities in the categorization of self-reported sleep disorders
  • Possibility of unmeasured confounders
  • Findings stem from US adults, limiting generalizability to other populations

Cite This Study

Wu et al. (2025) conducted a cross-sectional in Cardiovascular disease (n=21,115). Poor sleep pattern vs. Healthy sleep pattern was evaluated on Cardiovascular disease (CVD) (OR 1.82, 95% CI 1.52-2.16, p=<0.001). Poor sleep patterns were significantly associated with an 82% increased risk of cardiovascular disease compared to healthy sleep patterns (OR 1.82).

synapsesocial.com/papers/6a73041cc94dd7409374934ehttps://doi.org/10.3389/fnins.2024.1447543
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Also Consider

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

  1. 1Associations of sleep pattern, sleep duration, bedtime, rising time and cardiovascular disease: Data from NHANES (2017–2020)2025 · 4 citations
  2. 2Associations between sleep duration, sleep disturbance and cardiovascular disease biomarkers among adults in the United States2024 · 44 citations
  3. 3Association of sleep characteristics with cardiovascular disease risk in adults over 40 years of age: a cross-sectional survey2024 · 8 citations
  4. 4Association between sleep duration and CVD mortality: a prospective cohort study based on middle-aged and elderly chest pain patients2025
  5. 5Self‐reported sleep duration and quality and cardiovascular diseases among middle‐aged and older Chinese: A 7‐year longitudinal cohort study2024 · 4 citations