How Are Sleep Characteristics Related to Cardiovascular Health? Results From the Population-Based HypnoLaus study.

Détails

Ressource 1Télécharger: 30898062.pdf (573.63 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
Document(s) secondaire(s)
Télécharger: 30898062AM.pdf (473.77 [Ko])
Etat: Public
Version: Author's accepted manuscript
Licence: Non spécifiée
Télécharger: 20190111Supplementary files.pdf (282.58 [Ko])
Etat: Public
Version: Supplementary document
Licence: Non spécifiée
ID Serval
serval:BIB_7F72897907B9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
How Are Sleep Characteristics Related to Cardiovascular Health? Results From the Population-Based HypnoLaus study.
Périodique
Journal of the American Heart Association
Auteur(s)
Häusler N., Marques-Vidal P., Heinzer R., Haba-Rubio J.
ISSN
2047-9980 (Electronic)
ISSN-L
2047-9980
Statut éditorial
Publié
Date de publication
02/04/2019
Peer-reviewed
Oui
Volume
8
Numéro
7
Pages
e011372
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Background Although sleep characteristics have been linked to cardiovascular disease and cardiovascular risk factors, the association between sleep characteristics measured by polysomnography and cardiovascular health ( CVH ) remains unknown. Methods and Results In a population-based sample (n=1826), sleep characteristics were assessed by both sleep questionnaires and polysomnography. Global, behavioral, and biological CVH were defined according to the American Heart Association. Multinomial logistic regressions were performed to estimate relative risk ratios and 95% CI . Strong dose-response associations were found between all oxygen saturation-related variables (oxygen desaturation index, mean oxygen saturation, and percentage of total sleep time spent under 90% oxygen saturation) and obstructive sleep apnea (severity categories and apnea/hypopnea index) and global, behavioral, and biological CVH . Mean oxygen saturation had the strongest positive association (relative risk ratios 1.31 [ CI 1.22-1.41]; 1.78 [ CI 1.55-2.04] for intermediate relative to ideal CVH ), and oxygen desaturation index had the strongest negative association (relative risk ratios 0.71 [ CI 0.65-0.78]; 0.45 [ CI 0.34-0.58] for intermediate relative to ideal CVH ) with global CVH , and these associations were also the most robust in sensitivity analyses. The impacts of sleep architecture and sleep fragmentation were less consistent. Conclusions Mean oxygen saturation, oxygen desaturation index, and apnea/hypopnea index were associated with CVH . Conversely, most variables related to sleep architecture and sleep fragmentation were not consistently related to CVH . Sleep-disordered breathing and the associated oxygen (de)saturation were associated with CVH more strongly than with sleep fragmentation.
Mots-clé
cardiovascular disease prevention, cardiovascular health, mean oxygen saturation, oxidative stress, oxygen desaturation index, polysomnography, sleep
Pubmed
Open Access
Oui
Création de la notice
25/03/2019 9:51
Dernière modification de la notice
20/08/2019 15:40
Données d'usage