Association of healthy sleep pattern with the risk of cardiovascular disease and all-cause mortality among people with diabetes: A prospective cohort study

被引：22

作者：

Li, Jing ^{[1
,2
]}

Yin, Jinghua ^{[1
,2
]}

Luo, Yi ^{[1
,2
]}

Ma, Tianqi ^{[1
,2
]}

He, Lingfang ^{[1
,2
]}

Xie, Hejian ^{[1
,2
]}

Li, Jinchen ^{[2
,3
]}

Zhang, Guogang ^{[4
,5
]}

Cheng, Xunjie ^{[1
,2
]}

Bai, Yongping ^{[1
,2
]}

机构：

[1] Cent South Univ, Xiangya Hosp, Ctr Coronary Circulat, Dept Geriatr Med, Changsha 410008, Peoples R China

[2] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha 410008, Peoples R China

[3] Cent South Univ, Xiangya Hosp, Dept Geriatr Med, Xiangya Rd 87, Changsha 410008, Peoples R China

[4] Cent South Univ, Xiangya Hosp, Dept Cardiovasc Med, Changsha 410008, Peoples R China

[5] Cent South Univ, Xiangya Hosp 3, Dept Cardiovasc Med, Changsha 410013, Peoples R China

来源：

DIABETES RESEARCH AND CLINICAL PRACTICE | 2022年 / 186卷

关键词：

Sleep pattern; Cardiovascular; Mortality; Diabetes; DAYTIME SLEEPINESS; INSOMNIA SYMPTOMS; DURATION; APNEA; MANAGEMENT; QUALITY; ADULTS; IMPACT;

D O I：

10.1016/j.diabres.2022.109822

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: This study aimed to assess the association of healthy sleep pattern with the risk of cardiovascular disease and all-cause mortality among people with diabetes. Methods: Our study included 12,770 individuals from the UK Biobank at baseline. Sleep patterns were defined by a combination of five sleep behaviors (chronotype, sleep duration, snoring, insomnia, and excessive daytime sleepiness). The competing risk models were used to estimate the relationship between sleep patterns and CVD (including coronary heart disease [CHD] and stroke) in individuals with diabetes. To examine the association between sleep patterns and all-cause mortality risk, we utilized the flexible parametric Royston-Parmar proportion-hazard models. Results: We recorded 2627 CVD events, which includes 1999 CHD and 903 S events, and 1576 all-cause mortality events. Compared to those with poor sleep pattern, individuals having healthy sleep pattern have a 24% lower CVD risk (p < 0.001), a 26% lower CHD risk (p = 0.001), a 25% lower stroke risk (p = 0.036), and a 21% lower all-cause mortality risk (p = 0.020). Conclusions: Adherence to healthy sleep pattern has been significantly related to cardiovascular disease and allcause mortality risk reduction among people with diabetes.

引用

页数：7

共 50 条

[1] Standards of Medical Care in Diabetes-2014 [J].