Sleep Quality and its Longitudinal Effects on Cardiovascular Health in Adults: An Observational Study
Authors/Creators
- 1. Professor, Department of Physiology Maharajah's Institute of Medical Sciences Nellimarla Vijayanagaram
- 2. Aerospace Medicine Specialist, Visakhapatnam
Description
Background: Sleep quality has emerged as a significant factor influencing cardiovascular health, yet longitudinal studies elucidating this relationship remain scarce. This study aimed to explore the longitudinal effects of sleep quality on cardiovascular health in adults. Methods: A cohort of 100 adults from Kadapa, Andhra Pradesh, was followed over 24 months. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and cardiovascular health was monitored through clinical assessments. Statistical analyses included logistic and linear regression models to evaluate the association between sleep parameters and cardiovascular events and markers, adjusted for confounders. Results: Poor sleep quality, indicated by higher PSQI scores, was associated with a 12% increase in cardiovascular event odds (Odds Ratio: 1.12, 95% CI: 1.04-1.21, p=0.004). A decline in sleep quality over the study period was observed, with sleep duration and efficiency particularly impacting cardiovascular risk. The effects of poor sleep were more pronounced in individuals under 45 years of age and males. Socioeconomic status also modulated the relationship between sleep quality and cardiovascular health. Conclusion: This study highlights the significant impact of sleep quality on cardiovascular health and suggests that improving sleep quality could be a beneficial component of cardiovascular disease prevention strategies, especially among younger adults and lower socioeconomic groups.
Abstract (English)
Background: Sleep quality has emerged as a significant factor influencing cardiovascular health, yet longitudinal studies elucidating this relationship remain scarce. This study aimed to explore the longitudinal effects of sleep quality on cardiovascular health in adults. Methods: A cohort of 100 adults from Kadapa, Andhra Pradesh, was followed over 24 months. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and cardiovascular health was monitored through clinical assessments. Statistical analyses included logistic and linear regression models to evaluate the association between sleep parameters and cardiovascular events and markers, adjusted for confounders. Results: Poor sleep quality, indicated by higher PSQI scores, was associated with a 12% increase in cardiovascular event odds (Odds Ratio: 1.12, 95% CI: 1.04-1.21, p=0.004). A decline in sleep quality over the study period was observed, with sleep duration and efficiency particularly impacting cardiovascular risk. The effects of poor sleep were more pronounced in individuals under 45 years of age and males. Socioeconomic status also modulated the relationship between sleep quality and cardiovascular health. Conclusion: This study highlights the significant impact of sleep quality on cardiovascular health and suggests that improving sleep quality could be a beneficial component of cardiovascular disease prevention strategies, especially among younger adults and lower socioeconomic groups.
Files
IJPCR,Vol16,Issue3,Article280.pdf
Files
(325.8 kB)
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Additional details
Dates
- Accepted
-
2024-03-15
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue3,Article280.pdf
- Development Status
- Active
References
- 1. Somers VK, White DP, Amin R, et al. Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council On Cardiovascular Nursing. J Am CollCardiol. 2008;52(8):686-717. 2. Cappuccio FP, Cooper D, D'Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J. 2011 Jun;32(12):1484-92. 3. Grandner MA, Hale L, Moore M, Patel NP. Mortality associated with short sleep duration: The evidence, the possible mechanisms, and thefuture. Sleep Med Rev. 2010 Jun;14(3):191- 203. 4. Meisinger C, Heier M, Löwel H, Schneider A, Döring A. Sleep duration and sleep complaints and risk of myocardial infarction in middleaged men and women from the general population: the MONICA/KORA Augsburg cohort study. Sleep. 2007 Oct;30(10):1121-7. 5. Tobaldini E, Fiorelli EM, Solbiati M, Costantino G, Nobili L, Montano N. Short sleep duration and cardiometabolic risk: from pathophysiology to clinical evidence. Nat Rev Cardiol. 2019 Apr;16(4):213-224. 6. Hoevenaar-Blom MP, Spijkerman AM, Kromhout D, van den Berg JF, Verschuren WM. Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. Sleep. 2011 Nov 1;34(11):1487-92. 7. Aggarwal B, Makarem N, Shah R, et al. Sleep duration and quality in relation to non-alcoholic fatty liver disease in middle-aged workers and their spouses. J Hepatol. 2017 Aug;67(2):320- 327. 8. Laugsand LE, Vatten LJ, Platou C, Janszky I. Insomnia and the risk of acute myocardial infarction: a population study. Circulation. 2011 Nov 8;124(19):2073-81. 9. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013 May 1;177(9):1006-14. 10. Jackson CL, Redline S, Emmons KM. Sleep as a potential fundamental contributor to disparities in cardiovascular health. Annu Rev Public Health. 2015; 36:417-40. 11. Wang H, Parker JD, Newton GE, et al. Influence of sleep quality on cardiovascular health in sedentary patients with type 2 diabetes mellitus. Diabetes Res ClinPract. 2006 Feb;71(2):109- 14. 12. Mallon L, Broman JE, Hetta J. High incidence of diabetes in men with sleep complaints or short sleep duration: a 12-year follow-up study of a middle-aged population. Diabetes Care. 2005 Nov;28(11):2762-7. 13. Arzt M, Young T, Finn L, Skatrud JB, Bradley TD. Association of sleep-disordered breathing and the occurrence of stroke. Am J Respir Crit Care Med. 2005 Dec 15;172(12):1447-51. 14. St-Onge MP, Grandner MA, Brown D, et al. Sleep duration and quality: impact on lifestyle behaviors and cardiometabolic health: a scientific statement from the American Heart Association. Circulation. 2016 Nov 1;134(18):e367- e386. 15. Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010 May;33(5):585- 92. 16. Quan SF, Howard BV, Iber C, et al. The Sleep Heart Health Study: design, rationale, and methods. Sleep. 1997 Jun;20(6):1077-85. 17. Mallon L, Broman JE, Hetta J. High incidence of diabetes in men with sleep complaints or short sleep duration: a 12-year follow-up study of a middle-aged population. Diabetes Care. 2005 Nov;28(11):2762-7. 18. Hale L, Do DP. Racial differences in self-reports of sleep duration in a population-based study. Sleep. 2007 Sep;30(9):1096-103