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Sleep duration and risk of all-cause mortality: a systematic review and meta-analysis

Published online by Cambridge University Press:  30 July 2018

H. A. García-Perdomo ,
J. Zapata-Copete  and
C. A. Rojas-Cerón
H. A. García-Perdomo
Affiliation:
School of Medicine – Universidad del Valle, Cali, Colombia Epidemiology Department, Universidad Libre, Cali, Colombia UROGIV Research Group Universidad del Valle, Cali, Colombia
J. Zapata-Copete*
Affiliation:
Epidemiology Department, Universidad Libre, Cali, Colombia UROGIV Research Group Universidad del Valle, Cali, Colombia
C. A. Rojas-Cerón
Affiliation:
School of Medicine – Universidad del Valle, Cali, Colombia
*
Author for correspondence: James Zapata-Copete, E-mail: james.zapata@correounivalle.edu.co
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Abstract

Aims

To determine the association between the sleep duration and the risk of all-cause mortality in adults.

Methods

A search strategy was conducted in the MEDLINE, CENTRAL, EMBASE and LILACS databases. Searches were also conducted in other databases and unpublished literature. Cohort studies were included without language, time or setting restrictions. The risk of bias was evaluated with a modified Cochrane Collaboration's tool. An analysis of random effects was conducted. The primary outcome was all-cause mortality. The measure of the effect was the risk difference (RD) with a 95% confidence interval (CI). The planned comparisons were 7–9 h of sleep v. <7 h and the same reference v. >9 h.

Results

Thirty-nine studies were included in our qualitative analysis, regarding the quantitative analysis, 19 studies were included in <7 v. 7–9 h analysis, and 18 studies in the >9 v. 7–9 h. A low risk of bias was shown for most of the study items. The overall RD for all-cause mortality was 0.09 (95% CI 0.07–0.11) favouring the >9 h group compared with our reference. In contrast, no differences were found between the <7 h and the reference sleep duration groups (RD 0.00, 95% CI 0.00–0.01).

Conclusion

We found a probable association of long sleep duration and higher mortality; however, it could reflect an underlying systemic or neurological disease that cause sleep fragmentation, deterioration in quality and micro-awakenings.

Keywords

Meta-analysismortalitysleepsystematic review
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 28 , Issue 5 , October 2019 , pp. 578 - 588
Copyright
Copyright © Cambridge University Press 2018 

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