Cardiovascular health and sleep disturbances in two population-based cohort studies.

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State: Public
Version: Author's accepted manuscript
License: CC BY-NC 4.0
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Sous embargo jusqu'au 08/04/2020.
State: Public
Version: Supplementary document
License: Not specified
Serval ID
serval:BIB_EF3E857C37BC
Type
Article: article from journal or magazin.
Collection
Publications
Title
Cardiovascular health and sleep disturbances in two population-based cohort studies.
Journal
Heart
Author(s)
Hausler N., Lisan Q., Van Sloten T., Haba-Rubio J., Perier M.C., Thomas F., Danchin N., Guibout C., Boutouyrie P., Heinzer R., Jouven X., Marques-Vidal P., Empana J.P.
ISSN
1468-201X (Electronic)
ISSN-L
1355-6037
Publication state
Published
Issued date
10/2019
Peer-reviewed
Oui
Volume
105
Number
19
Pages
1500-1506
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
We aimed to investigate the association between cardiovascular health (CVH), as defined by the American Heart Association, and several sleep disturbances.
Two community-based cohorts, the Paris Prospective Study 3 (PPS3, France, n=6441) and the CoLaus study (Switzerland, n=2989) were analysed. CVH includes 7 metrics which all can be classified as poor, intermediate and ideal. Global CVH score was categorised into poor (0-2 ideal metrics), intermediate (3-4 ideal metrics) and ideal (≥5 ideal metrics). Associations between global CVH and self-reported sleep disturbances (proxy of sleep-disordered breathing [SDB], excessive daytime sleepiness, insomnia symptoms and short/long sleep duration) and SDB severity measured by polysomnography (PSG) were investigated. Adjusted OR/relative risk ratio (RRR) and 95% CIs were estimated. Subjects with previous cardiovascular disease were excluded.
Compared with poor CVH, subjects with intermediate and ideal global CVH had lower odds of self-reported SDB in both cohorts (ORs 0.55; 95% CI 0.44 to 0.68 and 0.35; 95% CI 0.22 to 0.53, respectively) and had lower SDB severity measured by PSG (RRR 0.07; 95% CI 0.02 to 0.20) in CoLaus. Subjects with intermediate and ideal global CVH had lower odds of excessive daytime sleepiness in PPS3 (ORs 0.82; 0.72 to 0.95 and 0.80; 0.82 to 1.02, respectively). No consistent associations were found between CVH and sleep duration or insomnia symptoms.
Higher levels of CVH are associated with lower odds of SDB and excessive daytime sleepiness. However, causal interpretation cannot be made and associations might be bidirectional.
Keywords
cardiac risk factors and prevention, epidemiology
Pubmed
Web of science
Create date
11/04/2019 9:57
Last modification date
14/10/2019 6:09
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