Association of sleep disorders with non-lab-based CVD risk score among Indian population aged above 45 years: insight from Longitudinal Aging Study in India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20242172Keywords:
Sleep disorders, Elderly population, LASI, Non-lab CVD riskAbstract
Background: Both sleep disorders and cardiovascular events have been found to increase with age. The current study aimed to find an association between the two.
Methods: The current analysis used data from Longitudinal Aging Study in India (LASI) (1st) conducted from April 2017 to December 2018 with sleep disorder as the output variable. Non-lab-based CVD risk score, defined by the WHO (2019) was explanatory variable. Possible confounders were also included in the secondary analysis.
Results: Sleep disorder was seen among 11.69%, higher in females, elderly >60 years, rural population, unemployed and those with limited physical activity and self-reported poor health. Increased CVD risk score was associated with higher odds of having sleep disorder [5-9: 1.19 (1.12-1.28), 10-19: 1.31 (1.22-1.40), 20-29: 1.24 (1.09-1.41)]. On stratified analysis, similar results were seen in males but showed higher odds in the highest risk score category in females.
Conclusions: Recognition and management of sleep disorders, especially those with cardiovascular comorbidities and risk factors is important.
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References
Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MS, Morrell MJ, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019;7(8):687-98.
Ramrakhiyani V, Gandhi N, Deshmukh S. Sleep Disorders Prevalence Studies in Indian Population. In: Proceedings of the 11th International Conference on Soft Computing and Pattern Recognition (SoCPaR 2019). Springer International Publishing; 2021:187-94.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th edn. American Psychiatric Publishing; 2013.
American Psychiatric Association. What are sleep disorders? Available from: https://www.psychiatry. org:443/patients-families/sleep-disorders/what-are-sleep-disorders. Accessed on 9 October 2023.
Prabhakaran D, Jeemon P, Roy A. cardiovascular diseases in India: current epidemiology and future directions. Circulation. 2016;133(16):1605-20.
Drager LF, McEvoy RD, Barbe F, Lorenzi-Filho G, Redline S. Sleep apnea and cardiovascular disease. Circulation. 2017;136(19):1840-50.
Calandra-Buonaura G, Provini F, Guaraldi P, Plazzi G, Cortelli P. Cardiovascular autonomic dysfunctions and sleep disorders. Sleep Med Rev. 2016;26:43-56.
Nagai M, Hoshide S, Kario K. Sleep duration as a risk factor for cardiovascular disease- a review of the recent literature. Curr Cardiol Rev. 2010;6(1):54-61.
Laksono S, Yanni M, Iqbal M, Prawara AS. Abnormal sleep duration as predictor for cardiovascular diseases: a systematic review of prospective studies. Sleep Disord. 2022;2022:9969107.
Ge L, Guyatt G, Tian J, Pan B, Chang Y, Chen Y, et al. Insomnia and risk of mortality from all-cause, cardiovascular disease, and cancer: Systematic review and meta-analysis of prospective cohort studies. Sleep Med Rev. 2019;48:101215.
Belloir J, Makarem N, Shechter A. Sleep and circadian disturbance in cardiovascular risk. Curr Cardiol Rep. 2022;24(12):2097-107.
Kadier K, Qin L, Ainiwaer A, Rehemuding R, Dilixiati D, Du Y-Y, et al. Association of sleep-related disorders with cardiovascular disease among adults in the United States: A cross-sectional study based on national health and nutrition examination survey 2005–2008. Front Cardiovasc Med. 2022;9:954238.
Covassin N, Singh P. Sleep duration and cardiovascular disease risk: epidemiologic and experimental evidence. Sleep Med Clin. 2016;11(1):81-9.
Terzaghi M, Toscano G, Manni R. Sleep disorders and cardiovascular disease. In: Govoni S, Politi P, Vanoli E, eds. Brain and Heart Dynamics. Springer International Publishing; 2020:575-84.
Gleeson M, McNicholas WT. Bidirectional relationships of comorbidity with obstructive sleep apnoea. Eur Respir Rev. 2022;31(164):210256.
Wang Q, Wang X, Yang C, Wang L. The role of sleep disorders in cardiovascular diseases: Culprit or accomplice? Life Sci. 2021;283:119851.
Cooper CB, Neufeld EV, Dolezal BA, Martin JL. Sleep deprivation and obesity in adults: a brief narrative review. BMJ Open Sport Exercise Med. 2018;4(1):e000392.
Cheraghian B, Heybar H, Saki N, Raeisizadeh M, Hashemi SJ, Bitaraf S. Sleep duration and Framingham’s cardiovascular risk score: results from the Hoveyzeh Cohort Study (HCS). BMC Cardiovasc Disord. 2023;23:570.
Yazdanyar A, Newman AB. The burden of cardiovascular disease in the elderly: morbidity, mortality, and costs. Clin Geriatr Med. 2009;25(4):563-77,vii.
North BJ, Sinclair DA. The intersection between aging and cardiovascular disease. Circ Res. 2012;110(8):1097-108.
Li J, Vitiello MV, Gooneratne N. Sleep in normal aging. Sleep Med Clin. 2018;13(1):1-11.
Cooke JR, Ancoli-Israel S. Normal and abnormal sleep in the elderly. Handb Clin Neurol. 2011;98:653-65.
United Nations. World Population Prospects. Department of Economic and Social Affairs Population Division. Available from: https://population.un.org/wpp/Download/Standard/Population/. Accessed on 29 November 2023.
Giridhar G, Sathyanarayana KM, Kumar S, James KS, Alam M, eds. Population Ageing in India. Cambridge University Press; 2014.
Jenkins CD, Stanton BA, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol. 1988;41(4):313-21.
Cho E, Chen TY. The bidirectional relationships between effort-reward imbalance and sleep problems among older workers. Sleep Health. 2020;6(3):299-305.
Fabbri M, Beracci A, Martoni M, Meneo D, Tonetti L, Natale V. Measuring subjective sleep quality: a review. Int J Environ Res Public Health. 2021;18(3):1082.
The WHO CVD Risk Chart Working Group. World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. Lancet Glob Health. 2019;7(10):e1332-45.
Kravitz HM, Joffe H. Sleep during the perimenopause: a SWAN story. Obstet Gynecol Clin North Am. 2011;38(3):567-86.
Jehan S, Masters-Isarilov A, Salifu I, Zizi F, Jean-Louis G, Pandi-Perumal SR, et al. Sleep disorders in postmenopausal women. J Sleep Disord Ther. 2015;4(5).
Guidozzi F. Gender differences in sleep in older men and women. Climacteric. 2015;18(5):715-21.
Carrier J, Paquet J, Morettini J, Touchette É. Phase advance of sleep and temperature circadian rhythms in the middle years of life in humans. Neurosci Lett. 2002;320(1):1-4.
Gulia KK, Kumar VM. Sleep disorders in the elderly: a growing challenge. Psychogeriatrics. 2018;18(3):155-65.
Honarvar B, Lankarani KB, Azadegan M, Khaksar E, Jafari F, Fard TR. The prevalence and predictors of sleep disturbance in the elderly: a population-based study in Shiraz, Iran. Shiraz E-Med J. 2019;20(11).
Resnick HE, Redline S, Shahar E, Gilpin A, Newman A, Walter R, et al. Diabetes and Sleep Disturbances. Diabetes Care. 2003;26(3):702-9.
Draelants L, Point C, Wacquier B, Lanquart JP, Loas G, Hein M. 10-year risk for cardiovascular disease associated with COMISA (co-morbid insomnia and sleep apnea) in hypertensive subjects. Life. 2023;13(6):1379.
Gleeson M, McNicholas WT. Bidirectional relationships of comorbidity with obstructive sleep apnoea. Eur Respir Rev. 2022;31(164).
Kim KS, Kim JH, Park SY, Won HR, Lee HJ, Yang HS, et al. Smoking induces oropharyngeal narrowing and increases the severity of obstructive sleep apnea syndrome. J Clin Sleep Med. 2012;8(4):367-74.
Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. Interrelationship between sleep and exercise: a systematic review. Adv Prev Med. 2017;2017:1364387.
Tang J, Liao Y, Kelly BC, Xie L, Xiang YT, Qi C, et al. Gender and regional differences in sleep quality and insomnia: a general population-based study in Hunan Province of China. Sci Rep. 2017;7(1):43690.