Sleep duration and risk of stroke mortality among Chinese adults: the Singapore Chinese Health Study
Identifieur interne : 001271 ( Main/Exploration ); précédent : 001270; suivant : 001272Sleep duration and risk of stroke mortality among Chinese adults: the Singapore Chinese Health Study
Auteurs : An Pan ; Deidre Anne De Silva ; Jian-Min Yuan ; Woon-Puay KohSource :
- Stroke; a journal of cerebral circulation [ 0039-2499 ] ; 2014.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (mortalité), Accident vasculaire cérébral (étiologie), Adulte, Adulte d'âge moyen, Enregistrements, Facteurs de risque, Femelle, Humains, Hypertension artérielle (), Hypertension artérielle (mortalité), Mâle, Population d'origine asiatique, Privation de sommeil (), Privation de sommeil (mortalité), Singapour (épidémiologie), Sommeil, Sujet âgé, Études de suivi, Études prospectives.
- MESH :
- mortalité : Accident vasculaire cérébral, Hypertension artérielle, Privation de sommeil.
- épidémiologie : Singapour.
- étiologie : Accident vasculaire cérébral.
- Adulte, Adulte d'âge moyen, Enregistrements, Facteurs de risque, Femelle, Humains, Hypertension artérielle, Mâle, Population d'origine asiatique, Privation de sommeil, Sommeil, Sujet âgé, Études de suivi, Études prospectives.
- Wicri :
- geographic : Singapour.
English descriptors
- KwdEn :
- Adult, Aged, Asian Continental Ancestry Group, Female, Follow-Up Studies, Humans, Hypertension (complications), Hypertension (mortality), Male, Middle Aged, Prospective Studies, Registries, Risk Factors, Singapore (epidemiology), Sleep, Sleep Deprivation (complications), Sleep Deprivation (mortality), Stroke (etiology), Stroke (mortality).
- MESH :
- geographic , epidemiology : Singapore.
- complications : Hypertension, Sleep Deprivation.
- etiology : Stroke.
- mortality : Hypertension, Sleep Deprivation, Stroke.
- Adult, Aged, Asian Continental Ancestry Group, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Registries, Risk Factors, Sleep.
Abstract
Prospective relation between sleep duration and stroke risk is less studied, particularly in Asians. We examined the association between sleep duration and stroke mortality among Chinese adults.
The Singapore Chinese Health Study is a population-based cohort of 63,257 Chinese adults aged 45-74 years enrolled during 1993 through 1998. Sleep duration at baseline was assessed via in-person interview, and death information during follow-up was ascertained via record linkage with the death registry up to December 31, 2011. Cox proportional hazard models were used to calculate hazard ratios (HRs) with adjustment for other comorbidities and lifestyle risk factors of stroke mortality.
During 926,752 person-years of follow-up, we documented 1,381 stroke deaths (322 from hemorrhagic and 1,059 from ischemic or non-specified strokes). Compared to individuals with 7 hours/day of sleep, the multivariate-adjusted HR (95% confidence interval) of total stroke mortality was 1.25 (1.05-1.50) for ≤5 hours/day (short duration), 1.01 (0.87-1.18) for 6 hours/day, 1.09 (0.95-1.26) for 8 hours/day, and 1.54 (1.28-1.85) for ≥9 hours/day (long duration). The increased risk of stroke death with short (1.54; 1.16-2.03) and long duration of sleep (1.95; 1.48-2.57) was seen among subjects with a history of hypertension, but not in those without hypertension. These findings were limited to risk of death from ischemic or non-specified stroke, but not observed for hemorrhagic stroke.
Both short and long sleep durations are associated with increased risk of stroke mortality in a Chinese population, particularly among those with a history of hypertension.
Url:
DOI: 10.1161/STROKEAHA.114.005181
PubMed: 24743442
PubMed Central: 4102627
Affiliations:
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Le document en format XML
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<author><name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hypertension (complications)</term>
<term>Hypertension (mortality)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Registries</term>
<term>Risk Factors</term>
<term>Singapore (epidemiology)</term>
<term>Sleep</term>
<term>Sleep Deprivation (complications)</term>
<term>Sleep Deprivation (mortality)</term>
<term>Stroke (etiology)</term>
<term>Stroke (mortality)</term>
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<term>Accident vasculaire cérébral (étiologie)</term>
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<term>Adulte d'âge moyen</term>
<term>Enregistrements</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hypertension artérielle ()</term>
<term>Hypertension artérielle (mortalité)</term>
<term>Mâle</term>
<term>Population d'origine asiatique</term>
<term>Privation de sommeil ()</term>
<term>Privation de sommeil (mortalité)</term>
<term>Singapour (épidémiologie)</term>
<term>Sommeil</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Sleep Deprivation</term>
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<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Hypertension</term>
<term>Sleep Deprivation</term>
<term>Stroke</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background and Purpose</title>
<p id="P1">Prospective relation between sleep duration and stroke risk is less studied, particularly in Asians. We examined the association between sleep duration and stroke mortality among Chinese adults.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The Singapore Chinese Health Study is a population-based cohort of 63,257 Chinese adults aged 45-74 years enrolled during 1993 through 1998. Sleep duration at baseline was assessed via in-person interview, and death information during follow-up was ascertained via record linkage with the death registry up to December 31, 2011. Cox proportional hazard models were used to calculate hazard ratios (HRs) with adjustment for other comorbidities and lifestyle risk factors of stroke mortality.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">During 926,752 person-years of follow-up, we documented 1,381 stroke deaths (322 from hemorrhagic and 1,059 from ischemic or non-specified strokes). Compared to individuals with 7 hours/day of sleep, the multivariate-adjusted HR (95% confidence interval) of total stroke mortality was 1.25 (1.05-1.50) for ≤5 hours/day (short duration), 1.01 (0.87-1.18) for 6 hours/day, 1.09 (0.95-1.26) for 8 hours/day, and 1.54 (1.28-1.85) for ≥9 hours/day (long duration). The increased risk of stroke death with short (1.54; 1.16-2.03) and long duration of sleep (1.95; 1.48-2.57) was seen among subjects with a history of hypertension, but not in those without hypertension. These findings were limited to risk of death from ischemic or non-specified stroke, but not observed for hemorrhagic stroke.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Both short and long sleep durations are associated with increased risk of stroke mortality in a Chinese population, particularly among those with a history of hypertension.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="De Silva, Deidre Anne" sort="De Silva, Deidre Anne" uniqKey="De Silva D" first="Deidre Anne" last="De Silva">Deidre Anne De Silva</name>
<name sortKey="Koh, Woon Puay" sort="Koh, Woon Puay" uniqKey="Koh W" first="Woon-Puay" last="Koh">Woon-Puay Koh</name>
<name sortKey="Pan, An" sort="Pan, An" uniqKey="Pan A" first="An" last="Pan">An Pan</name>
<name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name>
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