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Study Finds Chronically Disrupted Sleep May Increase the Risk for Heart Disease

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Update: July 19, 2023
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Insufficient Sleep And Heart Issues

Poor sleep has long been associated with a range of health issues, including a heightened risk of conditions such as high blood pressure, diabetes, obesity, and heart disease. Now, a recent study by Harvard Medical School focusing on individuals in midlife has unveiled a concerning finding – experiencing a combination of sleep problems, including difficulty falling asleep, waking up during the night, or sleeping less than six hours per night, may nearly triple the risk of heart disease.

Dr. Lawrence Epstein, a sleep specialist and assistant professor of medicine at Harvard Medical School, emphasizes the significance of obtaining sufficient sleep in light of these new findings. Insufficient sleep can stem from various factors, including inadequate time allocated for sleep, disruptive habits, or underlying medical conditions and sleep disorders.

Assessing Sleep Habits and Heart Disease History – A Study

Sleep health was measured using a composite of multiple aspects of sleep, including

  • Regularity (whether participants slept longer on work days versus nonwork days)
  • Satisfaction (whether they had trouble falling asleep; woke up in the night or early morning and couldn’t get back to sleep; or felt sleepy during the day)
  • Alertness (how often they napped for more than five minutes)
  • Efficiency (how long it took them to fall asleep at bedtime)
  • Duration (how many hours they typically slept each night)

The study drew data from 7,483 adults participating in the Midlife in the United States Study, who provided information regarding their sleep habits and history of heart disease. Additionally, a subgroup of 663 participants utilized a wrist-worn device to monitor their sleep activity through actigraphy. The majority of participants were women, and the average age was 53, with 75% identifying as white and 16% as Black. Midlife was chosen as the focus of the study due to the diverse and stressful experiences individuals typically encounter in their work and family lives during this period. It is also when early signs of heart disease, such as clogged arteries or atherosclerosis, and age-related sleep issues tend to manifest.

The researchers assessed sleep issues by measuring various aspects of sleep health, including regularity (whether participants slept longer on work days compared to nonwork days), satisfaction (trouble falling asleep, waking up during the night or early morning and struggling to return to sleep, daytime sleepiness), alertness (frequency of napping for more than five minutes), efficiency (time taken to fall asleep at bedtime), and duration (typical number of hours slept per night). Heart-related problems were evaluated through questions about past medical diagnoses related to heart trouble, severe chest pain lasting over half an hour, and specific conditions such as angina, heart attack, heart valve disease, irregular or fast heartbeat, and heart failure.

The study’s findings revealed a significant connection between sleep problems and heart disease. Individuals experiencing a combination of sleep issues, such as trouble falling asleep, waking up during the night, or sleeping less than six hours per night, faced nearly triple the risk of developing heart disease. This highlights the urgent need to prioritize sufficient and restorative sleep to mitigate the risk of cardiovascular complications.

The Importance of Sufficient Sleep: Expert Insights

Dr. Lawrence Epstein, a sleep specialist and assistant professor of medicine at Harvard Medical School, stresses the importance of obtaining sufficient sleep in light of the study’s findings. He explains that insufficient sleep can result from various factors, including inadequate time allocated for sleep, disruptive habits, or underlying medical conditions and sleep disorders. Dr. Epstein’s insights highlight the urgent need for increased awareness of the detrimental consequences of sleep deprivation and disruptions.

Strategies to Improve Heart Health When Dealing With Sleep Issues

Recognizing the multifaceted factors contributing to poor sleep is crucial for improving heart health. Allocating sufficient time for sleep, establishing consistent sleep routines, and identifying and managing underlying medical conditions or sleep disorders are key strategies for enhancing sleep quality and reducing the risk of heart disease. By adopting healthy sleep habits and seeking professional help when needed, individuals can take proactive steps toward safeguarding their heart health.

Resulting Implications and Recommendations

As this study is observational, it cannot conclusively prove the reported links between sleep problems and heart disease. Nevertheless, individuals who experience trouble falling or staying asleep have numerous options for treatment. From simple adjustments to daily routines to specialized cognitive behavioral therapy targeting sleep issues, these interventions are worth trying. Prioritizing a good night’s sleep can lead to increased alertness during the day, improved quality of life, and reduced health risks associated with poor sleep. Dr. Epstein emphasizes the importance of addressing sleep disorders that interfere with rest, as it can lead to substantial improvements in overall well-being and heart health.

Conclusion

The study’s findings reinforce the critical relationship between sleep and heart health, with poor sleep significantly increasing the risk of heart disease. Understanding the risks associated with sleep problems empowers individuals to prioritize sufficient, restorative sleep as an essential component of a healthy lifestyle. Implementing strategies to address sleep deficiencies, seeking appropriate treatments, and improving sleep habits can effectively protect heart health and enhance overall well-being. By embracing healthy sleep practices, individuals can take proactive steps toward a healthier heart and a healthier life.


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