Researchers from the University of Warwick, and University
College London, have found that lack of sleep can more than
double the risk of death from cardiovascular disease. However
they have also found that point comes when too much sleep
can also more than double the risk of death.
In research to be presented today, Monday 24th
September 2007, to the British Sleep Society, Professor Francesco
Cappuccio from the University of Warwick’s Warwick Medical
School will show the results of a study of how sleep
patterns affected the mortality of 10,308 civil servants
in the “Whitehall II study”. Amongst other things
the data they used provided information on the mortality rates
and sleep patterns on the same group of civil servants at
two points in their life (1985-8 and those still alive in
1992-3).
The researchers took into account other possible factors
such age, sex, marital status, employment grade, smoking status,
physical activity, alcohol consumption, self-rated health,
body mass index, blood pressure, cholesterol, other physical
illness etc. Once they had adjusted for those factors they
were able to isolate the effect that changes in sleep patterns
over 5 years had on mortality rates 11-17 years later.
Taking those who had not made any change in their sleeping
habits between 1985-8 and 1992-3 as their baseline (7
hours per night being the figure normally recommended as an
appropriate period of sleep for an adult) they were able to
see what difference having reduced the amount of sleep over
time made to mortality rates by 2004.
Those who had cut their sleeping from 7h to 5 hours or less
faced a 1.7 fold increased risk in mortality from all causes,
and twice the increased risk of death from a cardiovascular
problem in particular.
Professor Francesco Cappuccio from the University of Warwick’s
Warwick Medical School will say to the British Sleep
Society:
“Fewer hours sleep and greater levels of sleep disturbance
have become widespread in industrialised societies. This change,
largely the result of sleep curtailment to create more time
for leisure and shift-work, has meant that reports of fatigue,
tiredness and excessive daytime sleepiness are more common
than a few decades ago. Sleep represents the daily process
of physiological restitution and recovery, and lack of sleep
has far-reaching effects.”
Curiously the researchers also found that too much sleep
also increased mortality. They found that those individuals
who showed an increase in sleep duration to 8 hours or more
a night were more than twice as likely to die as those who
had not changed their habit, however, predominantly from non-cardiovascular
diseases.
Professor Francesco Cappuccio says:
“Short sleep has been shown to be a risk factor for
weight gain, hypertension and Type 2 diabetes sometimes leading
to mortality but in contrast to the short sleep-mortality
association it appears that no potential mechanisms by which
long sleep could be associated with increased mortality have
yet been investigated. Some candidate causes for this include
depression, low socioeconomic status and cancer-related fatigue.”
“In terms of prevention, our findings indicate that
consistently sleeping around 7 hours per night is optimal
for health and a sustained reduction may predispose to ill-health.”