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Sleep, Health and SocietyFrom Aetiology to Public Health$
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Francesco P. Cappuccio, Michelle A. Miller, and Steven W. Lockley

Print publication date: 2010

Print ISBN-13: 9780199566594

Published to Oxford Scholarship Online: January 2011

DOI: 10.1093/acprof:oso/9780199566594.001.0001

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The epidemiology of sleep and cardiovascular risk and disease

The epidemiology of sleep and cardiovascular risk and disease

(p.83) Chapter 5 The epidemiology of sleep and cardiovascular risk and disease
Sleep, Health and Society

F.P. Cappuccio

M.A. Miller

Oxford University Press

This chapter summarizes the wealth of recent evidence to support the epidemiological link between quantity of sleep (short and long duration of sleep) and quality of sleep (like difficulties in falling asleep or of maintaining sleep), and both fatal and non-fatal cardiovascular outcomes, like myocardial infarction (MI) and stroke, and cardiovascular risk factors, namely hypertension, obesity, type 2 diabetes and other disturbances of glucose metabolism, and lipids. It describes observed gender differences in the risk and the meaning of U-shaped relationships, which in part may reflect different pathways and potential mechanisms. As the potential population and public health implications of such findings may be significant, it is imperative that the causality of the associations described be determined and the reversibility of the effects tested.

Keywords:   epidemiology, burden, risk factors, costs, cardiovascular, coronary heart disease, hypertension, stroke, obesity, type 2 diabetes

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