Sleep duration and mortality: a systematic review and meta‐analysis

Lisa Gallicchio; Bindu Kalesan

doi:10.1111/j.1365-2869.2008.00732.x

journal article May 19, 2009

Sleep duration and mortality: a systematic review and meta‐analysis

Lisa Gallicchio

Bindu Kalesan

Journal of Sleep Research Vol. 18 No. 2 pp. 148-158 · Wiley

View at Publisher Save 10.1111/j.1365-2869.2008.00732.x

Abstract

SummaryEpidemiologic studies have shown that sleep duration is associated with overall mortality. We conducted a systematic review of the associations between sleep duration and all‐cause and cause‐specific mortality. PubMed was systematically searched up to January, 2008 to identify studies examining the association between sleep duration and mortality (both all‐cause and cause‐specific) among adults. Data were abstracted serially in a standardized manner by two reviewers and analyzed using random‐effects meta‐analysis. Twenty‐three studies assessing the associations between sleep duration and mortality were identified. All examined sleep duration measured using participant self‐report. Among the 16 studies which had similar reference categories and reported sufficient data on short sleep and mortality for meta‐analyses, the pooled relative risk (RR) for all‐cause mortality for short sleep duration was 1.10 [95% confidence interval (CI): 1.06, 1.15]. For cardiovascular‐related and cancer‐related mortality, the RRs associated with short sleep were 1.06 (95% CI: 0.94, 1.18) and 0.99 (95% CI: 0.88, 1.13), respectively. Similarly, among the 17 studies reporting data on long sleep duration and mortality, the pooled RRs comparing the long sleepers with medium sleepers were 1.23 (95% CI: 1.17, 1.30) for all‐cause mortality, 1.38 (95% CI: 1.13, 1.69) for cardiovascular‐related mortality, and 1.21 (95% CI: 1.11, 1.32) for cancer‐related mortality. Our findings indicate that both short sleepers and long sleepers are at increased risk of all‐cause mortality. Further research using objective measures of sleep duration is needed to fully characterize these associations.

Topics

No keywords indexed for this article. Browse by subject →

References

51

[1]

10.1046/j.1365-2796.2003.01195.x

[2]

10.1016/s1389-9457(02)00077-1

[3]

10.2188/jea.14.124

[4]

10.2337/diacare.26.2.380

[5]

10.1001/archinte.163.2.205

[6]

10.1016/0091-7435(73)90009-1

[7]

10.2105/ajph.74.10.1126

[8]

10.1016/0091-7435(80)90042-0

[9]

Burazeri G. "Over 8 hours of sleep: marker of increased mortality in Mediterranean population: follow‐up population study" Croat. Med. J. (2003)

[10]

10.1161/strokeaha.108.521773

[11]

10.1097/01.psy.0000039756.23250.7c

[12]

10.1093/sleep/30.12.1659

[13]

10.1136/bmj.317.7174.1675

[14]

10.1007/bf03327366

[15]

10.1016/j.smrv.2007.03.010

[16]

10.2105/ajph.54.1.11

[17]

10.1016/s1389-9457(02)00016-3

[18]

10.1093/sleep/30.10.1245

[19]

10.1017/s0033291700037569

[20]

Institute of Medicine (2006)

[21]

10.2105/ajph.77.3.307

[22]

10.1371/journal.pmed.0050012

[23]

10.1016/j.smrv.2007.01.002

[24]

10.1001/archinte.166.16.1701

[25]

10.2188/jea.10.87

[26]

10.1126/science.451583

[27]

10.1001/archpsyc.59.2.131

[28]

10.1093/sleep/30.9.1105

[29]

10.1093/aje/kwj199

[30]

10.1046/j.1365-2796.2002.00941.x

[31]

10.1016/j.smrv.2008.03.001

[32]

10.1016/j.annepidem.2004.05.012

[33]

10.1016/j.jacc.2003.07.050

[34]

10.1016/0165-1781(92)90005-n

[35]

10.1002/0471264385.wei0914

[36]

Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis

Marc Nocon, Theresa Hiemann, Falk Müller-Riemenschneider et al.

European Journal of Cardiovascular Prevention &amp... 10.1097/hjr.0b013e3282f55e09

[37]

10.1093/sleep/27.3.440

[38]

10.1093/sleep/29.7.881

[39]

10.1007/bf01321316

[40]

10.1212/wnl.48.4.904

[41]

10.1093/ageing/24.2.113

[42]

10.1111/j.1532-5415.1992.tb01850.x

[43]

10.1067/mai.2001.112270

[44]

Spiegel K. (2005)

[45]

Tamakoshi A. "Self‐reported sleep duration as a predictor of all‐cause mortality: results from the JACC study, Japan" Sleep (2004)

[46]

10.1620/tjem.171.339

[47]

10.1159/000097543

[48]

10.1093/sleep/27.2.293

[49]

10.1093/sleep/6.2.102

[50]

10.1093/oxfordjournals.aje.a113466

Showing 50 of 51 references

Cited By

805

From alpha diversity to zeitgebers: Bacterial gut microbiome associations with sleep and circadian disruption (Part I)

Katherine A. Maki, Jennifer J. Barb · 2026

Neuroscience & Biobehavioral Re...

Rude Awakening: An Examination of the Incivility-Sleep Relationship via Affect

Mallory A. McCord, Gargi Sawhney · 2026

Occupational Health Science

A sensor-based study on the environmental determinants of sleep in older adults

Andrea Montanari, Giovanna Fancello · 2025

Environmental Research

Sleep Health Disparities

Seyni Gueye-Ndiaye, Susan Redline · 2025

Annual Review of Medicine

Bidirectional associations between sleep and physical activity investigated using large-scale objective monitoring data

Josh Fitton, Duc Phuc Nguyen · 2025

Communications Medicine

Bayesian network analysis of factors influencing type 2 diabetes, coronary heart disease, and their comorbidities

Danli Kong, Rong Chen · 2024

BMC Public Health

Exploring the potential relationship between short sleep risks and cognitive function from the perspective of inflammatory biomarkers and cellular pathways: Insights from population‐based and mice studies

Yanwei You, Yang Zhang · 2024

CNS Neuroscience & Therapeutics

Comorbidity between major depressive disorder and physical diseases: a comprehensive review of epidemiology, mechanisms and management

Michael Berk, Ole Köhler‐Forsberg · 2023

World Psychiatry

Sleep deprivation in two Saskatchewan First Nation communities: a public health consideration

Chandima P. Karunanayake, Mark Fenton · 2021

Sleep Medicine: X

Sleep quality and related factors in postmenopausal women

Stella Maris Valiensi, María Alejandra Belardo · 2019

Maturitas

Insomnia and risk of mortality from all-cause, cardiovascular disease, and cancer: Systematic review and meta-analysis of prospective cohort studies

Long Ge, Gordon Guyatt · 2019

Sleep Medicine Reviews

Gender and racial/ethnic differences in sleep duration in the North Texas heart study

Jessica R. Dietch, Daniel J. Taylor · 2017

Sleep Health

Sleep Disturbance after Hospitalization and Critical Illness: A Systematic Review

Marcus T. Altman, Melissa P. Knauert · 2017

Annals of the American Thoracic Soc...

Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression

Osamu Itani, Maki Jike · 2017

Sleep Medicine

Sleep disparity, race/ethnicity, and socioeconomic position

Michael A. Grandner, Natasha J. Williams · 2016

Sleep Medicine

Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion

Nathaniel F. Watson, M. Safwan Badr · 2015

Sleep

Cardiovascular effects of environmental noise exposure

T. Munzel, T. Gori · 2014

European Heart Journal

Metrics

805

Citations

51

References

Details

Published: May 19, 2009
Vol/Issue: 18(2)
Pages: 148-158
License: View

Authors

L

Lisa Gallicchio

Division of Cancer Control and Population Sciences, National Cancer Institute , Rockville, MD, USA

B

Bindu Kalesan

Cite This Article

Lisa Gallicchio, Bindu Kalesan (2009). Sleep duration and mortality: a systematic review and meta‐analysis. Journal of Sleep Research, 18(2), 148-158. https://doi.org/10.1111/j.1365-2869.2008.00732.x

Sleep duration and mortality: a systematic review and meta‐analysis

You May Also Like