Association de Formation Médicale Continue - Formation et Informations Médicales - ---------au service des professionnels de santé et de la santé ------------ depuis 1974
18 Décembre 2007
Les deux, selon les résultats d'une étude incluant 10.308 fonctionnaires britanniques à col blanc, de 35-55 ans suivis pendant => 12 ans :
une diminution de la durée du sommeil chez les sujets dormant 6, 7 ou 8 heures lors de leur inclusion a été associée à un doublement de la mortalité cardio-vasculaire.
Mais une augmentation de la durée du sommeil parmi ceux qui dormaient initialement 7 ou 8 heures a été associée à un doublement de la mortalité non cardio-vasculaire.
Participants:
9,781 participants with complete data were included in the analyses at Phase 1, and 7,729 of the same participants were included in the analyses at Phase 3 and the analyses of change in sleep duration.
Interventions: None.
Measurements and Results:
U-shaped associations were observed between sleep (≤5, 6, 7, 8, ≥9 hours) at Phase 1 and Phase 3 and subsequent all-cause, cardiovascular, and non-cardiovascular mortality. A decrease in sleep duration among participants sleeping 6, 7, or 8 hours at baseline was associated with cardiovascular mortality, hazard ratio 2.4 (95% confidence intervals 1.4-4.1). However, an increase in sleep duration among those sleeping 7 or 8 hours at baseline was associated with non-cardiovascular mortality, hazard ratio 2.1 (1.4-3.1). Adjustment for the socio-demographic factors, existing morbidity, and health-related behaviours measured left these associations largely unchanged.
Conclusions:
This is the first study to show that both a decrease in sleep duration and an increase in sleep duration are associated with an increase in mortality via effects on cardiovascular death and non-cardiovascular death respectively.