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

Détails

Ressource 1Demande d'une copie Sous embargo jusqu'au 08/04/2020.
Etat: Public
Version: Author's accepted manuscript
Licence: CC BY-NC 4.0
Document(s) secondaire(s)
Sous embargo jusqu'au 08/04/2020.
Etat: Public
Version: Supplementary document
Licence: Non spécifiée
ID Serval
serval:BIB_EF3E857C37BC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Cardiovascular health and sleep disturbances in two population-based cohort studies.
Périodique
Heart
Auteur(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
Statut éditorial
Publié
Date de publication
08/04/2019
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Résumé
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.
Mots-clé
cardiac risk factors and prevention, epidemiology
Pubmed
Création de la notice
11/04/2019 9:57
Dernière modification de la notice
20/08/2019 17:17
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