Association between sleep behaviors and stroke in Southwest China: a prospective cohort study

Year: 2024

Type: article

Abstract: BACKGROUND: Sleep can function as a potential modifiable risk factor in the control and prevention of stroke. Geography significantly influences sleep patterns. The association of sleep with stroke in population of Southwest China has not so far been investigated. METHODS: A total of 55,001 residents aged from 30 to 79 years in Southwest China were included in this study, obtaining their complete information of baseline survey and follow-up in China Kadoorie Biobank (CKB). Sleep-evaluating score was constructed on the basis of short/long sleep duration, insomnia, and snoring. The multivariate Cox proportional hazards regression was used to analyze the association between sleep behaviors and stroke. RESULTS: During 11.15 years of follow-up, 3410 stroke cases (572.78 cases/100,000 person-years) were documented. There exists no association of sleep-evaluating score with the risk of stroke in the total population. Male-predisposing association between sleep-evaluating score and risk of stroke was observed (for total stroke, HR = 1.52, 95% CI: 1.03-2.23; for hemorrhagic stroke, HR = 2.31, 95% CI: 1.22-4.34), with anisotropism in male residents with overweight and obesity (HR = 1.93, 95% CI: 1.03-3.63), and those without hypertension (HR = 1.76, 95% CI: 1.01-3.07) in the baseline survey. CONCLUSIONS: There exists the male-predisposing association between sleep-evaluating score and the risk of stroke in Southwest China. Improving sleep is required for reducing the risk of stroke.

Source: BMC Public Health

DOI: 10.1186/s12889-024-20361-8

Authors: Xiaoyu Chang, Xiaofang Chen, Xia Wu, Xia Wu, Xiaofang Chen, Ningmei Zhang, Jun Lv, Canqing Yu, Dianjianyi Sun, Pei Pei, Yi Cheng, Yawen Liu, Xianping Wu, Xianping Wu

Institutions: Jilin University, Sichuan Center for Disease Control and Prevention, Chengdu Medical College, Peking University, First Hospital of Jilin University

Language: English

Topic: Sleep and related disorders

Subfield: Experimental and Cognitive Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,190

Funders: Wellcome Trust, National Natural Science Foundation of China, Chinese Center for Disease Control and Prevention, National Health and Family Planning Commission of the People's Republic of China, National Key Research and Development Program of China

OpenAlex ID: W4403686046