Objective Assessment of Daytime Napping and Incident Heart Failure in 1140 Community-Dwelling Older Adults: A Prospective, Observational Cohort Study
| Autor: | Lei Yu, Longchang Cui, Lei Gao, Aron S. Buchman, Patricia Wong, Kun Hu, Arlen Gaba, David A. Bennett, Peng Li |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Daytime Aging Time Factors Fitness Trackers Motor Activity Risk Assessment Objective assessment Nighttime sleep Risk Factors cardiovascular disease mental disorders Medicine Humans Prospective Studies unobtrusive monitoring sleep mobile health Aged Original Research Aged 80 and over Heart Failure business.industry Incidence Age Factors Actigraphy medicine.disease Sleep in non-human animals wearables Heart failure Sleep behavior Physical therapy Female Independent Living Cardiology and Cardiovascular Medicine business human activities Cohort study Boston |
| Zdroj: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| ISSN: | 2047-9980 |
| Popis: | Background Disrupted nighttime sleep has been associated with heart failure (HF). However, the relationship between daytime napping, an important aspect of sleep behavior commonly seen in older adults, and HF remains unclear. We sought to investigate the association of objectively assessed daytime napping and risk of incident HF during follow‐up. Methods and Results We studied 1140 older adults (age, 80.7±7.4 [SD] years; female sex, 867 [76.1%]) in the Rush Memory and Aging Project who had no HF at baseline and were followed annually for up to 14 years. Motor activity (ie, actigraphy) was recorded for ≈10 days at baseline. We assessed daytime napping episodes between 9 am and 7 pm objectively from actigraphy using a previously published algorithm for sleep detection. Cox proportional hazards models examined associations of daily napping duration and frequency with incident HF. Eighty‐six participants developed incident HF, and the mean onset time was 5.7 years (SD, 3.4; range, 1–14). Participants who napped longer than 44.4 minutes (ie, the median daily napping duration) showed a 1.73‐fold higher risk of developing incident HF than participants who napped 1.7 times/day (ie, the median daily napping frequency) showed a 2.20‐fold increase compared with participants who napped Conclusions Longer and more frequent objective napping predicted elevated future risk of developing incident HF. Future studies are needed to establish underlying mechanisms. |
| Databáze: | OpenAIRE |
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