MSGID: 1:317/3 63f98eef   
   PID: hpt/lnx 1.9.0-cur 2019-01-08   
   TID: hpt/lnx 1.9.0-cur 2019-01-08   
    Getting good sleep could add years to your life    
    Having five low-risk sleep habits may have long-term benefits    
      
     Date:   
         February 24, 2023   
     Source:   
         American College of Cardiology   
     Summary:   
         Getting good sleep can play a role in supporting your heart and   
         overall health -- and maybe even how long you live -- according   
         to new research.   
      
      
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   FULL STORY   
   ==========================================================================   
   Getting good sleep can play a role in supporting your heart and overall   
   health- -and maybe even how long you live--according to new research   
   being presented at the American College of Cardiology's Annual Scientific   
   Session Together With the World Congress of Cardiology. The study found   
   that young people who have more beneficial sleep habits are incrementally   
   less likely to die early.   
      
   Moreover, the data suggest that about 8% of deaths from any cause could   
   be attributed to poor sleep patterns.   
      
      
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   "We saw a clear dose-response relationship, so the more beneficial   
   factors someone has in terms of having higher quality of sleep, they also   
   have a stepwise lowering of all cause and cardiovascular mortality,"   
   said Frank Qian, MD, an internal medicine resident physician at Beth   
   Israel Deaconess Medical Center, clinical fellow in medicine at Harvard   
   Medical School and co- author of the study. "I think these findings   
   emphasize that just getting enough hours of sleep isn't sufficient. You   
   really have to have restful sleep and not have much trouble falling   
   and staying asleep."  For their analysis, Qian and team included data   
   from 172,321 people (average age 50 and 54% women) who participated in   
   the National Health Interview Survey between 2013 and 2018. This survey   
   is fielded each year by the Centers for Disease Control and Prevention   
   (CDC) and the National Center for Health Statistics to help gauge the   
   health of the U.S. population and includes questions about sleep and   
   sleep habits. Qian said this is the first study to his knowledge to   
   use a nationally representative population to look at how several sleep   
   behaviors, and not just sleep duration, might influence life expectancy.   
      
   About two-thirds of study participants self-reported as being White,   
   14.5% Hispanic, 12.6% Black and 5.5% Asian. Because researchers   
   were able to link participants to the National Death Index records   
   (through December 31, 2019), they could examine the association between   
   individual and combined sleep factors and all-cause and cause-specific   
   mortality. Participants were followed for a median of 4.3 years during   
   which time 8,681 individuals died. Of these deaths, 2,610 deaths (30%)   
   were from cardiovascular disease, 2,052 (24%) were from cancer and 4,019   
   (46%) were due to other causes.   
      
   Researchers assessed ?ve different factors of quality sleep using a   
   low-risk sleep score they created based on answers collected as part of   
   the survey.   
      
   Factors included: 1) ideal sleep duration of seven to eight hours a   
   night; 2) difficulty falling asleep no more than two times a week; 3)   
   trouble staying asleep no more than two times a week; 4) not using any   
   sleep medication; and 5) feeling well rested after waking up at least   
   five days a week. Each factor was assigned zero or one point for each,   
   for a maximum of five points, which indicated the highest quality sleep.   
      
   "If people have all these ideal sleep behaviors, they are more likely   
   to live longer," Qian said. "So, if we can improve sleep overall, and   
   identifying sleep disorders is especially important, we may be able to   
   prevent some of this premature mortality."  For the analysis, researchers   
   controlled for other factors that may have heightened the risk of dying,   
   including lower socioeconomic status, smoking and alcohol consumption   
   and other medical conditions. Compared to individuals who had zero to one   
   favorable sleep factors, those who had all five were 30% less likely to   
   die for any reason, 21% less likely to die from cardiovascular disease,   
   19% less likely to die from cancer, and 40% less likely to die of causes   
   other than heart disease or cancer. Qian said these other deaths are   
   likely due to accidents, infections or neurodegenerative diseases,   
   such as dementia and Parkinson's disease, but more research is needed.   
      
   Among men and women who reported having all five quality sleep measures   
   (a score of five), life expectancy was 4.7 years greater for men and 2.4   
   years greater for women compared with those who had none or only one of   
   the five favorable elements of low-risk sleep. More research is needed   
   to determine why men with all five low-risk sleep factors had double   
   the increase in life expectancy compared with women who had the same   
   quality sleep.   
      
   "Even from a young age, if people can develop these good sleep habits   
   of getting enough sleep, making sure they are sleeping without too many   
   distractions and have good sleep hygiene overall, it can greatly benefit   
   their overall long-term health," Qian said, adding that for the present   
   analysis they estimated gains in life expectancy starting at age 30,   
   but the model can be used to predict gains at older ages too. "It's   
   important for younger people to understand that a lot of health behaviors   
   are cumulative over time. Just like we like to say, `it's never too late   
   to exercise or stop smoking,' it's also never too early. And we should be   
   talking about and assessing sleep more often."  These sleep habits can   
   be easily asked about during clinical encounters, and the researchers   
   hope patients and clinicians will start talking about sleep as part of   
   their overall health assessment and disease management planning.   
      
   One limitation of the study is that sleep habits were self-reported and   
   not objectively measured or verified. In addition, no information was   
   available about the types of sleep aid or medicine used or how often or   
   long participants used them. Future research is needed to understand how   
   these gains in life expectancy might continue as people age, as well as   
   further explore the sex differences that were observed.   
      
   Previous studies have shown that getting too little or too much sleep can   
   negatively affect the heart. It's also been widely reported that sleep   
   apnea, a sleep disorder that causes someone to pause or stop breathing   
   while asleep, can lead to a number of heart conditions, including high   
   blood pressure, atrial fibrillation and heart attacks.   
      
   Qian will present the study, "Low-risk Sleep Patterns, Mortality, and Life   
   Expectancy at Age 30 Years: A Prospective Study of 172,321 U.S. Adults,"   
   on Monday, March 6, at 12:45 p.m. CT / 18:45 UTC in Prevention and Health   
   Promotion Moderated Poster Theater 10, Hall F.   
      
   ACC.23/WCCwill take place March 4-6, 2023, in New Orleans, bringing   
   together cardiologists and cardiovascular specialists from around the   
   world to share the newest discoveries in treatment and prevention. Follow   
   @ACCinTouch, @ACCMediaCenter and #ACC23/#WCCardio for the latest news   
   from the meeting.   
      
   The American College of Cardiology (ACC)is the global leader in   
   transforming cardiovascular care and improving heart health for   
   all. As the preeminent source of professional medical education   
   for the entire cardiovascular care team since 1949, ACC credentials   
   cardiovascular professionals in over 140 countries who meet stringent   
   qualifications and leads in the formation of health policy, standards   
   and guidelines. Through its world-renowned family of JACC Journals, NCDR   
   registries, ACC Accreditation Services, global network of Member Sections,   
   CardioSmart patient resources and more, the College is committed to   
   ensuring a world where science, knowledge and innovation optimize patient   
   care and outcomes. Learn more at ACC.org, ### Media_Contacts Nicole   
   Napoli   Thy-Ann Nguyen 202.669.1465    703.638.2938 nnapoli@acc.org   
   thyann.nguyen@curastrategies.com   
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   Story Source: Materials provided by American_College_of_Cardiology. Note:   
   Content may be edited for style and length.   
      
      
   ==========================================================================   
      
      
   Link to news story:   
   https://www.sciencedaily.com/releases/2023/02/230224135111.htm   
      
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