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Leary EB, Watson KT, Ancoli-Israel S, Redline S, Yaffe K, Ravelo LA, Peppard PE, Zou J, Goodman S, Mignot E, Stone KL. 0048 The Association Between REM Sleep and Risk of Mortality in Three Independent Cohorts. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Sleep disorders and sleep characteristics have been linked to higher risk of mortality. Despite the emerging evidence of a sleep-mortality association, the relationship between sleep architecture and mortality aren’t well understood. We hypothesize that reduced REM is associated with increased mortality risk.
Methods
The Osteoporotic Fractures in Men (MrOS) study is a population-based study of 2,675 older men. Cox regression was used to evaluate the association between %REM and mortality rate. Potential covariates were evaluated using 6-fold cross validation. Sensitivity analyses were performed to rule out alternative explanations. Wisconsin Sleep Cohort (WSC) and Sleep Heart Health Study (SHHS) data were used to replicate the findings.
Results
The MrOS sample mean age was 76.3 years (SD=5.51) and the median follow-up time was 12.1 years. There was a 13% higher rate of mortality for every absolute 5% reduction in REM sleep (HR=1.13, 95%CI, 1.08–1.19) after adjusting for multiple demographic, sleep, and health covariates. The association persisted for cardiovascular disease-related mortality (CVD) (HR=1.18, 95%CI, 1.09–1.28), cancer-related mortality (HR=1.14, 95%CI, 1.03–1.26), and other mortality (HR=1.19, 95%CI, 1.10–1.28). The WSC included 45.7% women. The mean age of the 1,388 individuals analyzed was 51.5 (SD=8.5); the median follow-up time was 20.8 years. The effect size for 5% reduction in REM on rate of all-cause mortality was similar in this cohort despite the younger age, inclusion of women, and longer follow-up period (HR=1.17, 95%CI, 1.03–1.34). SHHS data is still being analyzed; however the unadjusted model is consistent with the other cohorts.
Conclusion
We found an association between reduced REM and mortality in two, possibly three independent cohorts, which persisted across different causes of death and multiple sensitivity analyses. Mechanistic studies are needed and strategies to preserve REM may influence clinical therapies and reduce mortality risk.
Support
NHLBI provides funding for the MrOS Sleep ancillary study “Outcomes of Sleep Disorders in Older Men” under grant numbers: R01 HL071194, R01 HL070848, R01 HL070847, R01 HL070842, R01 HL070841, R01 HL070837, R01 HL070838, and R01 HL070839. Wisconsin Sleep Cohort was supported by R01HL62252, RR03186, and R01AG14124 from the NIH. Dr. Redline was partially supported by NHLBI R35 HL135818.
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Affiliation(s)
| | | | | | - S Redline
- Brigham and Women’s Hospital, Boston, MA
| | - K Yaffe
- University of California, San Francisco, San Francisco, CA
| | - L A Ravelo
- University of Wisconsin-Madison, Madison, WI
| | - P E Peppard
- University of Wisconsin-Madison, Madison, WI
| | - J Zou
- Stanford University, Palo Alto, CA
| | | | - E Mignot
- Stanford University, Palo Alto, CA
| | - K L Stone
- University of California, San Francisco, San Francisco, CA
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Leary EB, Seeger-Zybok RK, Kushida C, Mignot E. 0324 Improving our Understanding of Sleep By Generating and Sharing a Large Sleep Cohort and Data Analytic Tools. Sleep 2018. [DOI: 10.1093/sleep/zsy061.323] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E B Leary
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - R K Seeger-Zybok
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - C Kushida
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - E Mignot
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
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Seeger-Zybok RK, Leary EB, Kushida CA, Mignot E. 1050 Patient Engagement for Sleep Research. Sleep 2018. [DOI: 10.1093/sleep/zsy061.1049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - E B Leary
- Stanford University, Sleep Medicine, Palo Alto, CA
| | - C A Kushida
- Stanford University, Sleep Medicine, Palo Alto, CA
| | - E Mignot
- Stanford University, Sleep Medicine, Palo Alto, CA
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Carvelli L, Neergard Olesen A, Leary EB, Moore H, Schneider LD, Peppard PE, Jennum PJ, Sørensen HB, Mignot E. 0323 Design of a Deep Learning Based Algorithm forAutomatic Detection of Leg Movements During Sleep. Sleep 2018. [DOI: 10.1093/sleep/zsy061.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- L Carvelli
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - A Neergard Olesen
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - E B Leary
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - H Moore
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - L D Schneider
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
| | - P E Peppard
- University of Wisconsin-Madison, Madison, WI
| | - P J Jennum
- Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Rigshospitalet, Glostrup, DENMARK
| | - H B Sørensen
- Department of Electrical Engineering, Technical University of Denmark, Kgs. Lyngby, DENMARK
| | - E Mignot
- Stanford University Center for Sleep Sciences and Medicine, Palo Alto, CA
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Cheung J, Zeitzer J, Leary EB, Mignot E. 0778 VALIDATION OF MINUTE-TO-MINUTE SCORING FOR SLEEP AND WAKE PERIODS IN A CONSUMER WEARABLE DEVICE. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Leary EB, Joergensen SH, Malunjkar S, Barwick FH, Mignot E. 0317 COMPARISON OF TWO VALIDATION TECHNIQUES USING THE ALLIANCE SLEEP QUESTIONNAIRE (ASQ) INSOMNIA MODULE. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Schneider LD, Koch H, Finn LA, Leary EB, Peppard PE, Hagen EW, Sorensen HB, Jennum PJ, Mignot EJ. 0505 SLEEP APNEA BREATHING DISTURBANCES ARE ASSOCIATED WITH OBJECTIVE SLEEPINESS INDEPENDENT OF HYPOXIA. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Leary EB, Joergensen SH, Malunjkar S, Kim S, Mignot E, Barwick FH. 0332 VALIDATION OF THE ALLIANCE SLEEP QUESTIONNAIRE (ASQ) INSOMNIA MODULE IN SLEEP DISORDERED PATIENTS. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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