Objectively regular sleep patterns and mortality in a prospective cohort: The Multi-Ethnic Study of Atherosclerosis.
mortality
multi-dimensional
regular sleep
sleep
variability
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
26 Sep 2023
26 Sep 2023
Historique:
revised:
05
09
2023
received:
31
05
2023
accepted:
07
09
2023
medline:
27
9
2023
pubmed:
27
9
2023
entrez:
26
9
2023
Statut:
aheadofprint
Résumé
Irregular sleep and non-optimal sleep duration separately have been shown to be associated with increased disease and mortality risk. We used data from the prospective cohort Multi-Ethnic Study of Atherosclerosis sleep study (2010-2013) to investigate: do aging adults whose sleep is objectively high in regularity in timing and duration, and of sufficient duration tend to have increased survival compared with those whose sleep is lower in regularity and duration, in a diverse US sample? At baseline, sleep was measured by 7-day wrist actigraphy, concurrent with at-home polysomnography and questionnaires. Objective metrics of sleep regularity and duration from actigraphy were used for statistical clustering using sparse k-means clustering. Two sleep patterns were identified: "regular-optimal" (average duration: 7.0 ± 1.0 hr obtained regularly) and "irregular-insufficient" (duration: 5.8 ± 1.4 hr obtained with twice the irregularity). Using proportional hazard models with multivariate adjustment, we estimated all-cause mortality hazard ratios. Among 1759 participants followed for a median of 7.0 years (Q1-Q3, 6.4-7.4 years), 176 deaths were recorded. The "regular-optimal" group had a 39% lower mortality hazard than did the "irregular-insufficient" sleep group (hazard ratio [95% confidence interval]: 0.61 [0.45, 0.83]) after adjusting for socio-demographics, lifestyle, medical comorbidities and sleep disorders. In conclusion, a "regular-optimal" sleep pattern was significantly associated with a lower hazard of all-cause mortality. The regular-optimal phenotype maps behaviourally to regular bed and wake times, suggesting sleep benefits of adherence to recommended healthy sleep practices, with further potential benefits for longevity.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14048Subventions
Organisme : NHLBI NIH HHS
ID : 5T32HL007901-23
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01HL155395
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01HL161012
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01AG070867
Pays : United States
Organisme : NHLBI NIH HHS
ID : R35HL135818
Pays : United States
Organisme : NHLBI NIH HHS
ID : 5R21MD012738-02
Pays : United States
Organisme : NHLBI NIH HHS
ID : F32HL15255
Pays : United States
Informations de copyright
© 2023 European Sleep Research Society.
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