Healthy Lifestyle Score Including Sleep Duration and Cardiovascular Disease Risk
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Healthy Lifestyle Score Including Sleep Duration and Cardiovascular Disease Risk. / Guasch-Ferré, Marta; Li, Yanping; Bhupathiraju, Shilpa N; Huang, Tianyi; Drouin-Chartier, Jean-Philippe; Manson, JoAnn E; Sun, Qi; Rimm, Eric B; Rexrode, Kathryn M; Willett, Walter C; Stampfer, Meir J; Hu, Frank B.
In: American Journal of Preventive Medicine, Vol. 63, No. 1, 2022, p. 33-42.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Healthy Lifestyle Score Including Sleep Duration and Cardiovascular Disease Risk
AU - Guasch-Ferré, Marta
AU - Li, Yanping
AU - Bhupathiraju, Shilpa N
AU - Huang, Tianyi
AU - Drouin-Chartier, Jean-Philippe
AU - Manson, JoAnn E
AU - Sun, Qi
AU - Rimm, Eric B
AU - Rexrode, Kathryn M
AU - Willett, Walter C
AU - Stampfer, Meir J
AU - Hu, Frank B
N1 - Copyright © 2022 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
PY - 2022
Y1 - 2022
N2 - INTRODUCTION: Although insufficient or prolonged sleep duration is associated with cardiovascular disease, sleep duration is not included in most lifestyle scores. This study evaluates the relationship between a lifestyle score, including sleep duration and cardiovascular disease risk.METHODS: A prospective analysis among 67,250 women in the Nurses' Health Study and 29,114 men in Health Professionals Follow-up Study (1986-2016) was conducted in 2021. Lifestyle factors were updated every 2-4 years using self-reported questionnaires. The traditional lifestyle score was defined as not smoking, having a normal BMI, being physically active (≥30 minutes/day of moderate physical activity), eating a healthy diet, and drinking alcohol in moderation. Low-risk sleep duration, defined as sleeping ≥6 to <8 hours/day, was included as an additional component in the updated lifestyle score. Cox proportional hazard regression models were used to estimate cardiovascular disease risk. The likelihood-ratio test and C-statistics were used to compare both scores.RESULTS: A total of 11,710 incident cardiovascular disease cases during follow-up were documented. The multivariable-adjusted hazard ratios comparing 6 with 0 low-risk factors in the healthy lifestyle score including sleep duration were 0.17 (95% CI=0.12, 0.23) for cardiovascular disease, 0.14 (95% CI=0.10, 0.21) for coronary heart disease, and 0.20 (95% CI=0.12, 0.33) for stroke. Approximately 66% (95% CI=56%, 75%) of cardiovascular disease, 67% (95% CI=54%, 77%) of coronary heart disease, and 62% (95% CI=42%, 76%) of stroke cases were attributable to poor adherence to a healthy lifestyle including sleep. Adding sleep duration to the score slightly increased the C-statistics from 0.64 (95% CI=0.63, 0.64) to 0.65 (95% CI=0.64, 0.65) (p<0.001).CONCLUSIONS: Adopting a healthy lifestyle including sleep recommendations could substantially reduce the risk of cardiovascular disease in U.S. adults.
AB - INTRODUCTION: Although insufficient or prolonged sleep duration is associated with cardiovascular disease, sleep duration is not included in most lifestyle scores. This study evaluates the relationship between a lifestyle score, including sleep duration and cardiovascular disease risk.METHODS: A prospective analysis among 67,250 women in the Nurses' Health Study and 29,114 men in Health Professionals Follow-up Study (1986-2016) was conducted in 2021. Lifestyle factors were updated every 2-4 years using self-reported questionnaires. The traditional lifestyle score was defined as not smoking, having a normal BMI, being physically active (≥30 minutes/day of moderate physical activity), eating a healthy diet, and drinking alcohol in moderation. Low-risk sleep duration, defined as sleeping ≥6 to <8 hours/day, was included as an additional component in the updated lifestyle score. Cox proportional hazard regression models were used to estimate cardiovascular disease risk. The likelihood-ratio test and C-statistics were used to compare both scores.RESULTS: A total of 11,710 incident cardiovascular disease cases during follow-up were documented. The multivariable-adjusted hazard ratios comparing 6 with 0 low-risk factors in the healthy lifestyle score including sleep duration were 0.17 (95% CI=0.12, 0.23) for cardiovascular disease, 0.14 (95% CI=0.10, 0.21) for coronary heart disease, and 0.20 (95% CI=0.12, 0.33) for stroke. Approximately 66% (95% CI=56%, 75%) of cardiovascular disease, 67% (95% CI=54%, 77%) of coronary heart disease, and 62% (95% CI=42%, 76%) of stroke cases were attributable to poor adherence to a healthy lifestyle including sleep. Adding sleep duration to the score slightly increased the C-statistics from 0.64 (95% CI=0.63, 0.64) to 0.65 (95% CI=0.64, 0.65) (p<0.001).CONCLUSIONS: Adopting a healthy lifestyle including sleep recommendations could substantially reduce the risk of cardiovascular disease in U.S. adults.
KW - Adult
KW - Cardiovascular Diseases/epidemiology
KW - Coronary Disease
KW - Female
KW - Follow-Up Studies
KW - Healthy Lifestyle
KW - Humans
KW - Life Style
KW - Male
KW - Prospective Studies
KW - Risk Factors
KW - Sleep
KW - Stroke
U2 - 10.1016/j.amepre.2022.01.027
DO - 10.1016/j.amepre.2022.01.027
M3 - Journal article
C2 - 35361505
VL - 63
SP - 33
EP - 42
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
SN - 0749-3797
IS - 1
ER -
ID: 347808866