Abstract
Background and aim: Short sleep duration and poor quality sleep are associated with coronary heart disease (CHD) mortality; however, the underlying pathophysiologic process remains unclear. Sleep apnea may confound the association because of its relationship with formation of thrombi, the vascular occlusive process in CHD. We tested whether sleep duration and quality were associated with prothrombotic biomarkers in adults with a low probability of apnea. Methods: We included adults aged 35-64. years recruited from the community and who had an apnea hypopnea index <15 after one night of screening (n=506). Sleep duration and maintenance were determined from 7. days of wrist actigraphy; daytime sleepiness was estimated using the Epworth Sleepiness Scale. Factor VIII (FVIII), von Willebrand factor (vWF), thrombin antithrombin (TAT) complexes, and plasminogen activator inhibitor-1 (PAI-1) were measured in fasting blood. Results: Sleep duration, maintenance, and daytime sleepiness were not associated with FVIII, vWf, or TAT. Sleep maintenance was modestly inversely associated with higher levels of log-transformed PAI-1 (β=-0.07, standard error (SE)=0.03 per 4.8%, p=0.04) following adjustment for demographic characteristics, cardiovascular risk factors, and body mass index (BMI). Conclusions: Mild impairment in sleep was modestly associated with activation of coagulation; further study is needed to evaluate the role of fibrinolytic factors in sleep-mediated coronary thrombosis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 973-978 |
| Number of pages | 6 |
| Journal | Sleep Medicine |
| Volume | 15 |
| Issue number | 8 |
| DOIs | |
| State | Published - Jan 1 2014 |
| Externally published | Yes |
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Keywords
- Cardiovascular disease
- Hemostatic factors
- Population studies
- Procoagulants
- Sleep apnea
- Sleep duration
ASJC Scopus subject areas
- Medicine(all)
Cite this
The association between sleep characteristics and prothrombotic markers in a population-based sample : Chicago Area Sleep Study. / Tosur, Zehra; Green, David; De Chavez, Peter John; Knutson, Kristen L.; Goldberger, Jeffrey; Zee, Phyllis; Liu, Kiang; Kim, Kwang Youn; Carnethon, Mercedes R.
In: Sleep Medicine, Vol. 15, No. 8, 01.01.2014, p. 973-978.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The association between sleep characteristics and prothrombotic markers in a population-based sample
T2 - Chicago Area Sleep Study
AU - Tosur, Zehra
AU - Green, David
AU - De Chavez, Peter John
AU - Knutson, Kristen L.
AU - Goldberger, Jeffrey
AU - Zee, Phyllis
AU - Liu, Kiang
AU - Kim, Kwang Youn
AU - Carnethon, Mercedes R.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background and aim: Short sleep duration and poor quality sleep are associated with coronary heart disease (CHD) mortality; however, the underlying pathophysiologic process remains unclear. Sleep apnea may confound the association because of its relationship with formation of thrombi, the vascular occlusive process in CHD. We tested whether sleep duration and quality were associated with prothrombotic biomarkers in adults with a low probability of apnea. Methods: We included adults aged 35-64. years recruited from the community and who had an apnea hypopnea index <15 after one night of screening (n=506). Sleep duration and maintenance were determined from 7. days of wrist actigraphy; daytime sleepiness was estimated using the Epworth Sleepiness Scale. Factor VIII (FVIII), von Willebrand factor (vWF), thrombin antithrombin (TAT) complexes, and plasminogen activator inhibitor-1 (PAI-1) were measured in fasting blood. Results: Sleep duration, maintenance, and daytime sleepiness were not associated with FVIII, vWf, or TAT. Sleep maintenance was modestly inversely associated with higher levels of log-transformed PAI-1 (β=-0.07, standard error (SE)=0.03 per 4.8%, p=0.04) following adjustment for demographic characteristics, cardiovascular risk factors, and body mass index (BMI). Conclusions: Mild impairment in sleep was modestly associated with activation of coagulation; further study is needed to evaluate the role of fibrinolytic factors in sleep-mediated coronary thrombosis.
AB - Background and aim: Short sleep duration and poor quality sleep are associated with coronary heart disease (CHD) mortality; however, the underlying pathophysiologic process remains unclear. Sleep apnea may confound the association because of its relationship with formation of thrombi, the vascular occlusive process in CHD. We tested whether sleep duration and quality were associated with prothrombotic biomarkers in adults with a low probability of apnea. Methods: We included adults aged 35-64. years recruited from the community and who had an apnea hypopnea index <15 after one night of screening (n=506). Sleep duration and maintenance were determined from 7. days of wrist actigraphy; daytime sleepiness was estimated using the Epworth Sleepiness Scale. Factor VIII (FVIII), von Willebrand factor (vWF), thrombin antithrombin (TAT) complexes, and plasminogen activator inhibitor-1 (PAI-1) were measured in fasting blood. Results: Sleep duration, maintenance, and daytime sleepiness were not associated with FVIII, vWf, or TAT. Sleep maintenance was modestly inversely associated with higher levels of log-transformed PAI-1 (β=-0.07, standard error (SE)=0.03 per 4.8%, p=0.04) following adjustment for demographic characteristics, cardiovascular risk factors, and body mass index (BMI). Conclusions: Mild impairment in sleep was modestly associated with activation of coagulation; further study is needed to evaluate the role of fibrinolytic factors in sleep-mediated coronary thrombosis.
KW - Cardiovascular disease
KW - Hemostatic factors
KW - Population studies
KW - Procoagulants
KW - Sleep apnea
KW - Sleep duration
UR - http://www.scopus.com/inward/record.url?scp=84905024359&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84905024359&partnerID=8YFLogxK
U2 - 10.1016/j.sleep.2014.04.005
DO - 10.1016/j.sleep.2014.04.005
M3 - Article
VL - 15
SP - 973
EP - 978
JO - Sleep Medicine
JF - Sleep Medicine
SN - 1389-9457
IS - 8
ER -