Dataset Information

Midday naps and the risk of coronary artery disease: results of the Heinz Nixdorf Recall Study.

ABSTRACT:

Study objectives

Several studies have assessed the association between midday nap and cardiovascular outcomes and reported heterogenous results. Concern exists that confounding might have distorted these results and contributed to discrepancies among them. This study prospectively examines the association between midday nap habits and the occurrence of coronary artery disease in a non-Mediterranean population.

Participants

The baseline examination of 4,123 participants aged 45-75 years.

Measurements

Measurements included interviews, physical examinations, laboratory tests, and electron beam computed tomography. We studied the influence of midday nap habits on risk of coronary artery disease. We adjusted for several potential confounders including measures of subclinical atherosclerosis-such as coronary calcium score and ankle brachial index-at baseline. Cardiac events during a median follow-up of 8.1 years were defined as nonfatal myocardial infarction and sudden cardiac death.

Results

Overall, 135 of 4,123 subjects (3.3%) either suffered from acute myocardial infarction (81 subjects) or died due to a sudden cardiac death (54 subjects) during follow-up. After adjustment for several confounders including measures of subclinical atherosclerosis, regular long (> 60 min) midday nap was associated with an increased hazard ratio of cardiac events (hazard ratio 2.12, 95% confidence interval 1.11-4.05).

Conclusions

As our detailed confounder analyses showed, confounding is not the sole explanation for this finding. Future research on midday naps should focus on biological mechanisms that may be responsible for increasing the risk of coronary artery disease among subjects taking regular long midday naps.

SUBMITTER: Stang A

PROVIDER: S-EPMC3490363 | biostudies-literature | 2012 Dec

REPOSITORIES: biostudies-literature

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Publications

Midday naps and the risk of coronary artery disease: results of the Heinz Nixdorf Recall Study.

Stang Andreas A Dragano Nico N Moebus Susanne S Möhlenkamp Stefan S Schmermund Axel A Kälsch Hagen H Erbel Raimund R Jöckel Karl-Heinz KH

Sleep 20121201 12

<h4>Study objectives</h4>Several studies have assessed the association between midday nap and cardiovascular outcomes and reported heterogenous results. Concern exists that confounding might have distorted these results and contributed to discrepancies among them. This study prospectively examines the association between midday nap habits and the occurrence of coronary artery disease in a non-Mediterranean population.<h4>Participants</h4>The baseline examination of 4,123 participants aged 45-75 ...[more]

PMID: 23204613

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Dataset Information

Midday naps and the risk of coronary artery disease: results of the Heinz Nixdorf Recall Study.

Study objectives

Participants

Measurements

Results

Conclusions

Publications

Midday naps and the risk of coronary artery disease: results of the Heinz Nixdorf Recall Study.

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