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Sleep Duration and Quality in Relation to Autonomic Nervous System Measures: The Multi-Ethnic Study of Atherosclerosis (MESA)
Journal article   Open access   Peer reviewed

Sleep Duration and Quality in Relation to Autonomic Nervous System Measures: The Multi-Ethnic Study of Atherosclerosis (MESA)

Cecilia Castro-Diehl, Ana V Diez Roux, Susan Redline, Teresa Seeman, Paula McKinley, Richard Sloan and Steven Shea
Sleep (New York, N.Y.), v 39(11), pp 1927-1926
01 Nov 2016
PMID: 27568797
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.5665/sleep.6218View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Actigraphy Aged Aged, 80 and over Amylases - metabolism Autonomic Nervous System - physiology Autonomic Nervous System - physiopathology Biomarkers - metabolism Cross-Sectional Studies Female Heart Rate - physiology Humans Male Middle Aged Saliva - chemistry Sleep - physiology Sleep Deprivation - physiopathology Sleep Initiation and Maintenance Disorders - physiopathology
Short sleep duration and poor sleep quality are associated with adverse cardiovascular outcomes. Potential pathophysiological mechanisms include sleep-associated alterations in the autonomic nervous system. The objective of this study was to examine the associations of shorter sleep duration and poorer sleep quality with markers of autonomic tone: heart rate (HR), high-frequency HR variability (HF-HRV) and salivary amylase. Cross-sectional analysis of data from actigraphy-based measures of sleep duration and efficiency and responses to a challenge protocol obtained from 527 adult participants in the Multi-Ethnic Study of Atherosclerosis. Participants who slept fewer than 6 h per night (compared to those who slept 7 h or more per night) had higher baseline HR (fully adjusted model 0.05 log beats/min, 95% confidence interval [CI] 0.01, 0.09) and greater HR orthostatic reactivity (fully adjusted model 0.02 log beats/min, 95% CI 0.002, 0.023). Participants who slept 6 to less than 7 h/night (compared to those who slept 7 h or more per night) had lower baseline HF-HRV (fully adjusted model -0.31 log msec , 95% CI -0.60, -0.14). Participants with low sleep efficiency had lower baseline HF-HRV than those with higher sleep efficiency (fully adjusted model -0.59 log msec , 95% CI -1.03, -0.15). Participants with low sleep efficiency had higher baseline levels of amylase than those with higher sleep efficiency (fully adjusted model 0.45 log U/mL, 95% CI 0.04, 0.86). Short sleep duration, low sleep efficiency, and insomnia combined with short sleep duration were associated with markers of autonomic tone that indicate lower levels of cardiac parasympathetic (vagal) tone and/or higher levels of sympathetic tone.

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UN Sustainable Development Goals (SDGs)

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
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