Mixed
Longitudinal sleep trajectories characterized by consistently short sleep (<5 hours) or decreasing sleep duration are associated with significantly increased risks of cardiovascular events and all-cause mortality compared to stable normal sleep (7-8 hours).
Monitor your sleep duration over time, not just on a single night. If you consistently sleep less than 5 hours a night, or if your sleep duration is steadily decreasing over months or years, you are at a significantly higher risk for heart disease and early death. Aim for a stable 7-8 hours of sleep. If you are experiencing a decline in sleep, investigate underlying causes (stress, health issues) and seek medical advice, as this pattern is a strong predictor of adverse health outcomes.
Compared with the normal-stable pattern... low-increasing pattern was associated with increased risk of first CVEs... normal-decreasing pattern was associated with increased risk of all-cause mortality... and the low-stable pattern was associated with the highest risk of CVEs... and death.
Why this rating
Large prospective cohort (n=52,599) with long follow-up and rigorous adjustment for confounders, but relies on self-reported sleep data.
Source
Association of Longitudinal Patterns of Habitual Sleep Duration With Risk of Cardiovascular Events and All-Cause Mortality
Yunhe Wang et al. · JAMA Network Open · 2020
DOI 10.1001/jamanetworkopen.2020.5246
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