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Addition of the Risk Factor "Hours of Sleep Per Day" #2

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admbrgd opened this issue Feb 27, 2023 Discussed in #1 · 2 comments · Fixed by #3
Closed

Addition of the Risk Factor "Hours of Sleep Per Day" #2

admbrgd opened this issue Feb 27, 2023 Discussed in #1 · 2 comments · Fixed by #3

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@admbrgd
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admbrgd commented Feb 27, 2023

Discussed in #1

Originally posted by admbrgd February 26, 2023
I suggest to add the risk factor "Hours of Sleep per Day" to the app.

Lack of adequate sleep is associated with a shortened lifespan. Studies indicate that insufficient sleep increases a person's risk of developing serious medical conditions and dying early. Below are the references:

  • Jin Qiman, Yang Niannian, Dai Juan, Zhao Yuanyuan, Zhang Xiaoxia, Yin Jiawei, Yan Yaqiong, Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study, Frontiers in Public Health, vol 10, 2022, DOI=10.3389/fpubh.2022.880276 https://www.frontiersin.org/articles/10.3389/fpubh.2022.880276
  • Liu TZ, Xu C, Rota M, Cai H, Zhang C, Shi MJ, Yuan RX, Weng H, Meng XY, Kwong JS, Sun X. Sleep duration and risk of all-cause mortality: A flexible, non-linear, meta-regression of 40 prospective cohort studies. Sleep Med Rev. 2017 Apr;32:28-36. doi: 10.1016/j.smrv.2016.02.005. Epub 2016 Mar 3. PMID: 27067616. https://pubmed.ncbi.nlm.nih.gov/27067616/
  • Christer Hublin, MD, PhD, Markku Partinen, MD, PhD, Markku Koskenvuo, MD, PhD, Jaakko Kaprio, MD, PhD, Sleep and Mortality: A Population-Based 22-Year Follow-Up Study, Sleep, Volume 30, Issue 10, October 2007, Pages 1245–1253, doi: 10.1093/sleep/30.10.1245. PMID: 17969458; PMCID: PMC2266277. https://doi.org/10.1093/sleep/30.10.1245
  • Titova OE, Michaëlsson K, Larsson SC. Sleep Duration and Stroke: Prospective Cohort Study and Mendelian Randomization Analysis. Stroke. 2020 Nov;51(11):3279-3285. doi: 10.1161/STROKEAHA.120.029902. https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.029902
  • Noh JW, Kim KB, Lee JH, Lee Y, Lee BH, Kwon YD. Association between Sleep Duration and Injury from Falling among Older Adults: A Cross-Sectional Analysis of Korean Community Health Survey Data. Yonsei Med J. 2017 Nov;58(6):1222-1228. doi: 10.3349/ymj.2017.58.6.1222. PMID: 29047248; PMCID: PMC5653489. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653489/
  • Gottlieb DJ, Ellenbogen JM, Bianchi MT, Czeisler CA. Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Med. 2018 Mar 20;16(1):44. doi: 10.1186/s12916-018-1025-7. PMID: 29554902; PMCID: PMC5859531. https://pubmed.ncbi.nlm.nih.gov/29554902/
  • Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care. 2015 Mar;38(3):529-37. doi: 10.2337/dc14-2073. PMID: 25715415. https://pubmed.ncbi.nlm.nih.gov/25715415/
  • Patel SR, Malhotra A, Gao X, Hu FB, Neuman MI, Fawzi WW. A prospective study of sleep duration and pneumonia risk in women. Sleep. 2012 Jan 1;35(1):97-101. doi: 10.5665/sleep.1594. PMID: 22215923; PMCID: PMC3242694. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3242694/
  • Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010 May;33(5):585-92. doi: 10.1093/sleep/33.5.585. PMID: 20469800; PMCID: PMC2864873. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864873/
@admbrgd
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admbrgd commented Feb 27, 2023 •
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All-Cause Mortality is significantly elevated with short sleep duration (<5h/day) and long sleep duration (>9h/day) and the optimal sleep time is 7h/day. As such, there is a U-Shaped relationship between sleep duration and mortality. There is actually a dose-response relationship between sleep duration and all-cause mortality. The categories set up in the app for this risk factor would be "<5h/day", "6h/day", "7h/day", "8h/day", ">9h/day" as those are the categories that are often used in the literature.

There are some causes of death (Cardiovascular Disease, Stroke, Fall, Motor Vehicle Accidents, Diabetes, Pneumonia) for which the risk slope is steeper on both side of the U-shaped graph than the all-cause mortality. Those slopes need to be extrapolated from the articles below. The risks values associated with other causes of death can be defaulted to the All-Cause Mortality risk values indicated in the articles below.

Cardiovascular disease

Supporting article:
Jin Qiman, Yang Niannian, Dai Juan, Zhao Yuanyuan, Zhang Xiaoxia, Yin Jiawei, Yan Yaqiong, Association of Sleep Duration With All-Cause and Cardiovascular Mortality: A Prospective Cohort Study, Frontiers in Public Health, vol 10, 2022, DOI=10.3389/fpubh.2022.880276 https://www.frontiersin.org/articles/10.3389/fpubh.2022.880276

AGE of Death

(<5h/day): 0.90
(6h/day): 0.95
(7h/day): 1.00
(8h/day): 0.98
(>9h/day): 0.85

RISK of Death

(<5h/day): 1.66
(6h/day): 1.15
(7h/day): 1.00
(8h/day): 1.55
(>9h/day): 1.81

RATE of Death

(<5h/day): 1.66
(6h/day): 1.15
(7h/day): 1.00
(8h/day): 1.55
(>9h/day): 1.81

Strokes

Supporting article:
Titova OE, Michaëlsson K, Larsson SC. Sleep Duration and Stroke: Prospective Cohort Study and Mendelian Randomization Analysis. Stroke. 2020 Nov;51(11):3279-3285. doi: 10.1161/STROKEAHA.120.029902. https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.029902

AGE of Death

(<5h/day): 0.90
(6h/day): 0.95
(7h/day): 1.00
(8h/day): 0.98
(>9h/day): 0.85

RISK of Death

(<5h/day): 1.41
(6h/day): 1.21
(7h/day): 1.00
(8h/day): 1.07
(>9h/day): 1.13

RATE of Death

(<5h/day): 1.41
(6h/day): 1.21
(7h/day): 1.00
(8h/day): 1.07
(>9h/day): 1.13

Fall

Supporting article:
Noh JW, Kim KB, Lee JH, Lee Y, Lee BH, Kwon YD. Association between Sleep Duration and Injury from Falling among Older Adults: A Cross-Sectional Analysis of Korean Community Health Survey Data. Yonsei Med J. 2017 Nov;58(6):1222-1228. doi: 10.3349/ymj.2017.58.6.1222. PMID: 29047248; PMCID: PMC5653489. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653489/

AGE of Death

(<5h/day): 0.95
(6h/day): 0.98
(7h/day): 1.00
(8h/day): 0.98
(>9h/day): 0.95

RISK of Death

(<5h/day): 1.26
(6h/day): 1.13
(7h/day): 1.00
(8h/day): 1.05
(>9h/day): 1.11

RATE of Death

(<5h/day): 1.26
(6h/day): 1.13
(7h/day): 1.00
(8h/day): 1.05
(>9h/day): 1.11

Motor Vehicle Accidents

Supporting article:
Gottlieb DJ, Ellenbogen JM, Bianchi MT, Czeisler CA. Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Med. 2018 Mar 20;16(1):44. doi: 10.1186/s12916-018-1025-7. PMID: 29554902; PMCID: PMC5859531. https://pubmed.ncbi.nlm.nih.gov/29554902/

AGE of Death

(<5h/day): 0.95
(6h/day): 0.98
(7h/day): 1.00
(8h/day): 1.00
(>9h/day): 1.00

RISK of Death

(<5h/day): 1.33
(6h/day): 1.16
(7h/day): 1.00
(8h/day): 1.00
(>9h/day): 1.00

RATE of Death

(<5h/day): 1.33
(6h/day): 1.16
(7h/day): 1.00
(8h/day): 1.00
(>9h/day): 1.00

Diabetes

Supporting article:
Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care. 2015 Mar;38(3):529-37. doi: 10.2337/dc14-2073. PMID: 25715415. https://pubmed.ncbi.nlm.nih.gov/25715415/

AGE of Death

(<5h/day): 0.95
(6h/day): 0.98
(7h/day): 1.00
(8h/day): 0.98
(>9h/day): 0.95

RISK of Death

(<5h/day): 1.09
(6h/day): 1.05
(7h/day): 1.00
(8h/day): 1.07
(>9h/day): 1.14

RATE of Death

(<5h/day): 1.09
(6h/day): 1.05
(7h/day): 1.00
(8h/day): 1.07
(>9h/day): 1.14

Pneumonia

Supporting article:
Patel SR, Malhotra A, Gao X, Hu FB, Neuman MI, Fawzi WW. A prospective study of sleep duration and pneumonia risk in women. Sleep. 2012 Jan 1;35(1):97-101. doi: 10.5665/sleep.1594. PMID: 22215923; PMCID: PMC3242694. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3242694/

AGE of Death

(<5h/day): 0.90
(6h/day): 0.95
(7h/day): 1.00
(8h/day): 0.95
(>9h/day): 0.90

RISK of Death

(<5h/day): 1.70
(6h/day): 1.30
(7h/day): 1.00
(8h/day): 1.20
(>9h/day): 1.49

RATE of Death

(<5h/day): 1.70
(6h/day): 1.30
(7h/day): 1.00
(8h/day): 1.20
(>9h/day): 1.49

All-Cause Mortality

Supporting article:
Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010 May;33(5):585-92. doi: 10.1093/sleep/33.5.585. PMID: 20469800; PMCID: PMC2864873. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864873/

AGE of Death

(<5h/day): 0.90
(6h/day): 0.95
(7h/day): 1.00
(8h/day): 0.98
(>9h/day): 0.85

RISK of Death

(<5h/day): 1.12
(6h/day): 1.06
(7h/day): 1.00
(8h/day): 1.10
(>9h/day): 1.30

RATE of Death

(<5h/day): 1.12
(6h/day): 1.06
(7h/day): 1.00
(8h/day): 1.10
(>9h/day): 1.30

@admbrgd
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admbrgd commented Feb 28, 2023 •
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OK. Please Create a Branch for this issue, make suggested updates and submit a Pull Request.

@admbrgd admbrgd linked a pull request Mar 2, 2023 that will close this issue
Update app.R #3
Merged
@admbrgd admbrgd closed this as completed in #3 Mar 2, 2023
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