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Association between length of daily siesta and brachial-ankle pulse wave velocity (baPWV): a community-based cross sectional study in North China

  • Sleep Breathing Physiology and Disorders • Original Article
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Abstract

Introduction

To date, many studies have shown a link between siesta and cardiovascular events. Little is known regarding the connection between siesta and brachial-ankle pulse wave velocity (baPWV) levels, even though baPWV can determine the degree of atherosclerosis and vascular stiffness. Thus, we examined the relationship between siesta time and baPWV in a cross-sectional study.

Methods

Interviews, physical examinations, lab testing, and electron beam computed tomography were all part of the baseline evaluation for participants aged older than 35. Baseline data were compared for 3 different siesta habits: irregular or no siestas, daily short siestas (1 h or less), and daily long siestas (> 1 h). Utilizing logistic regression models and multivariate linear regression, the link between siesta time and baPWV was determined.

Results

Among all 6566 participants, the different siesta groups had a significant difference of the degrees of AS (P < 0.001). The same outcome was true for both males (P < 0.001) and females (P < 0.001). Numerous cardiovascular risk variables and markers of subclinical atherosclerosis were positively correlated with daily extended siestas. Results from the fully adjusted model showed that long siestas (> 60 min, OR = 1.18, 95%CI: 1.06–1.31, P = 0.002) were linked to a more severe level of the baPWV. For age or gender stratification, we found significant differences between non-siesta and > 60 min siesta groups. Multiple linear regression analysis revealed a positive connection between siesta duration and baPWV (β = 0.197, P = 0.038).

Conclusions

An elevated risk of atherosclerosis was shown to accompany prolonged siestas. These results need to be followed up on with prospective studies and additional lab work.

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Data availability

For a reasonable request, the corresponding author will make available the datasets used and/or created during this investigation.

References

  1. Townsend RR, Wilkinson IB, Schiffrin EL, Avolio AP, Chirinos JA, Cockcroft JR et al (2015) Recommendations for improving and standardizing vascular research on arterial stiffness: a scientific statement from the American Heart Association. Hypertension 66. https://doi.org/10.1161/hyp.0000000000000033

  2. Sugawara J, Tanaka H (2015) Brachial-ankle pulse wave velocity: myths, misconceptions, and realities. Pulse (Basel) 3. https://doi.org/10.1159/000430771

  3. Huang J, Chen Z, Yuan J, Zhang C, Chen H, Wu W et al (2019) Association between body mass index (bmi) and brachial-ankle pulse wave velocity (bapwv) in males with hypertension: a community-based cross-section study in North China. Med Sci Monit 25. https://doi.org/10.12659/msm.914881

  4. Katsiki N, Kollari E, Dardas S, Dardas P, Haidich AB, Athyros VG et al (2016) Is There an association between carotid-femoral pulse wave velocity and coronary heart disease in patients with coronary artery disease: a pilot study. Open Cardiovasc Med J 10. https://doi.org/10.2174/1874192401610010064

  5. Ohkuma T, Ninomiya T, Tomiyama H, Kario K, Hoshide S, Kita Y et al (2017) Brachial-Ankle pulse wave velocity and the risk prediction of cardiovascular disease: an individual participant data meta-analysis. Hypertension 69. https://doi.org/10.1161/hypertensionaha.117.09097

  6. Tomiyama H, Shiina K (2020) State of the art review: brachial-ankle PWV. J Atheroscler Thromb 27. https://doi.org/10.5551/jat.RV17041

  7. Sawabe M, Takahashi R, Matsushita S, Ozawa T, Arai T, Hamamatsu A et al (2005) Aortic pulse wave velocity and the degree of atherosclerosis in the elderly: a pathological study based on 304 autopsy cases. Atherosclerosis 179. https://doi.org/10.1016/j.atherosclerosis.2004.09.023

  8. Ai ZS, Li J, Liu ZM, Fan HM, Zhang DF, Zhu Y et al (2011) Reference value of brachial-ankle pulse wave velocity for the eastern Chinese population and potential influencing factors. Braz J Med Biol Res 44. https://doi.org/10.1590/s0100-879x2011007500108

  9. Miyai N, Utsumi M, Gowa Y, Igarashi Y, Miyashita K, Takeda S et al (2013) Age-specific nomogram of brachial-ankle pulse wave velocity in Japanese adolescents. Clin Exp Hypertens 35. https://doi.org/10.3109/10641963.2012.690473

  10. Li M, Zhan A, Huang X, Hu L, Zhou W, Wang T et al (2020) Positive association between triglyceride glucose index and arterial stiffness in hypertensive patients: the China H-type Hypertension Registry Study. Cardiovasc Diabetol 19. https://doi.org/10.1186/s12933-020-01124-2

  11. Liu Y, Zhao P, Cheng M, Yu L, Cheng Z, Fan L et al (2018) AST to ALT ratio and arterial stiffness in non-fatty liver Japanese population:a secondary analysis based on a cross-sectional study. Lipids Health Dis 17. https://doi.org/10.1186/s12944-018-0920-4

  12. Lucassen EA (2013) To nap or not to nap: is the Wujiao a healthy habit? Sleep Med 14. https://doi.org/10.1016/j.sleep.2013.05.010

  13. Häusler N, Haba-Rubio J, Heinzer R, Marques-Vidal P (2019) Association of napping with incident cardiovascular events in a prospective cohort study. Heart 105. https://doi.org/10.1136/heartjnl-2019-314999

  14. Leng Y, Wainwright NW, Cappuccio FP, Surtees PG, Hayat S, Luben R et al (2014) Daytime napping and the risk of all-cause and cause-specific mortality: a 13-year follow-up of a British population. Am J Epidemiol 179. https://doi.org/10.1093/aje/kwu036

  15. Zhou Y, Wang Z, Lu J, Yang Z, Li D, Yu Z et al (2021) Effects of nighttime sleep duration and sex on the association between siesta and hypertension. Sleep Med 82. https://doi.org/10.1016/j.sleep.2021.04.005

  16. Gribble AK, Sayón-Orea C, Bes-Rastrollo M, Kales SN, Shirahama R, Martínez-González MÁ et al (2021) Risk of developing metabolic syndrome is affected by length of daily siesta: results from a prospective cohort study. Nutrients 13. https://doi.org/10.3390/nu13114182

  17. Hayashi M, Motoyoshi N, Hori T (2005) Recuperative power of a short daytime nap with or without stage 2 sleep. Sleep 28. https://doi.org/10.1093/ije/29.3.429

  18. Ficca G, Axelsson J, Mollicone DJ, Muto V, Vitiello MV (2010) Naps, cognition and performance. Sleep Med Rev 14. https://doi.org/10.1016/j.smrv.2009.09.005

  19. Zhong G, Wang Y, Tao T, Ying J, Zhao Y (2015) Daytime napping and mortality from all causes, cardiovascular disease, and cancer: a meta-analysis of prospective cohort studies. Sleep Med 16. https://doi.org/10.1016/j.sleep.2015.01.025

  20. Liu X, Zhang Q, Shang X (2015) Meta-analysis of self-reported daytime napping and risk of cardiovascular or all-cause mortality. Med Sci Monit 21. https://doi.org/10.12659/msm.893186

  21. Mattace-Raso FU, van der Cammen TJ, Hofman A, van Popele NM, Bos ML, Schalekamp MA et al (2006) Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam Study. Circulation 113. https://doi.org/10.1161/circulationaha.105.555235

  22. Yang L, Xu Z, He M, Yang H, Li X, Min X et al (2016) Sleep duration and midday napping with 5-year incidence and reversion of metabolic syndrome in middle-aged and older Chinese. Sleep 39. https://doi.org/10.5665/sleep.6214

  23. Ghazizadeh H, Mobarra N, Esmaily H, Seyedi SMR, Amiri A, Rezaeitalab F et al (2020) The association between daily naps and metabolic syndrome: evidence from a population-based study in the Middle-East. Sleep Health 6. https://doi.org/10.1016/j.sleh.2020.03.007

  24. Stang A, Dragano N, Poole C, Moebus S, Möhlenkamp S, Schmermund A et al (2007) Daily siesta, cardiovascular risk factors, and measures of subclinical atherosclerosis: results of the Heinz Nixdorf Recall Study. Sleep 30. https://doi.org/10.1093/sleep/30.9.1111

  25. Klop B, Cohn JS, van Oostrom AJ, van Wijk JP, BirnieE, Castro Cabezas M (2011) Daytime triglyceride variability in men and women with different levels of triglyceridemia. Clin Chim Acta 412. https://doi.org/10.1016/j.cca.2011.08.010

  26. Poggiogalle E, Jamshed H, Peterson CM (2018) Circadian regulation of glucose, lipid, and energy metabolism in humans. Metabolism 84. https://doi.org/10.1016/j.metabol.2017.11.017

  27. Aiello I, Fedele MLM, Román F, Marpegan L, Caldart C, Chiesa JJ et al (2020) Circadian disruption promotes tumor-immune microenvironment remodeling favoring tumor cell proliferation. Sci Adv 6. https://doi.org/10.1126/sciadv.aaz4530

  28. Mohammad Y (2020) Siesta and risk for ischemic stroke: results from a case-control study. Medicina (Kaunas) 56. https://doi.org/10.3390/medicina56050222

  29. Campos H, Siles X (2000) Siesta and the risk of coronary heart disease: results from a population-based, case-control study in Costa Rica. Int J Epidemiol 29. https://doi.org/10.1093/sleep/28.7.829

  30. West AC, Smith L, Ray DW, Loudon ASI, Brown TM, Bechtold DA (2017) Misalignment with the external light environment drives metabolic and cardiac dysfunction. Nat Commun 8. https://doi.org/10.1038/s41467-017-00462-2

  31. Yan B, Li J, Li R, Gao Y, Zhang J, Wang G (2019) Association of daytime napping with incident cardiovascular disease in a community-based population. Sleep Med 57. https://doi.org/10.1016/j.sleep.2019.02.014

  32. Bursztyn M, Ginsberg G, Stessman J (2002) The siesta and mortality in the elderly: effect of rest without sleep and daytime sleep duration. Sleep 25. https://doi.org/10.1093/sleep/25.2.187

  33. Burazeri G, Gofin J, Kark JD (2003) Siesta and mortality in a Mediterranean population: a community study in Jerusalem. Sleep 26. https://doi.org/10.1093/sleep/26.5.578

  34. Yamada T, Hara K, Shojima N, Yamauchi T, Kadowaki T (2015) Daytime napping and the risk of cardiovascular disease and all-cause mortality: a prospective study and dose-response meta-analysis. Sleep 38. https://doi.org/10.5665/sleep.5246

  35. Naska A, Oikonomou E, Trichopoulou A, Psaltopoulou T, Trichopoulos S (2007) Siesta in healthy adults and coronary mortality in the general population. Arch Intern Med 167. https://doi.org/10.1001/archinte.167.3.296

  36. Lagranha CJ, Silva TLA, Silva SCA, Braz GRF, da Silva AI, Fernandes MP et al (2018) Protective effects of estrogen against cardiovascular disease mediated via oxidative stress in the brain. Life Sci 192. https://doi.org/10.1016/j.lfs.2017.11.043

  37. Tune JD, Goodwill AG, Sassoon DJ, Mather KJ (2017) Cardiovascular consequences of metabolic syndrome. Transl Res 183. https://doi.org/10.1016/j.trsl.2017.01.001

  38. Mongraw-Chaffin M, Foster MC, Anderson CAM, Burke GL, Haq N, Kalyani RR et al (2018) Metabolically healthy obesity, transition to metabolic syndrome, and cardiovascular risk. J Am Coll Cardiol 71. https://doi.org/10.1016/j.jacc.2018.02.055

  39. Sugiura T, Dohi Y, Takagi Y, Yoshikane N, Ito M, Suzuki K et al (2020) Relationships of obesity-related indices and metabolic syndrome with subclinical atherosclerosis in middle-aged untreated Japanese workers. J Atheroscler Thromb 27. https://doi.org/10.5551/jat.50633

  40. Dziegielewska-Gesiak S (2021) Metabolic syndrome in an aging society - role of oxidant-antioxidant imbalance and inflammation markers in disentangling atherosclerosis. Clin Interv Aging 16. https://doi.org/10.2147/cia.S306982

  41. Lin D, Sun K, Li F, Qi Y, Ren M, Huang C et al (2014) Association between habitual daytime napping and metabolic syndrome: a population-based study. Metabolism 63. https://doi.org/10.1016/j.metabol.2014.08.005

  42. He J, Ouyang F, Qiu D, Duan Y, Luo D, Xiao S (2020) Association of nap duration after lunch with prevalence of metabolic syndrome in a Chinese Government employee population. Int J Environ Res Public Health 17. https://doi.org/10.3390/ijerph17124268

  43. Hussain MM, Pan X (2015) Circadian regulators of intestinal lipid absorption. J Lipid Res 56. https://doi.org/10.1194/jlr.R051573

  44. van Kerkhof LW, Van Dycke KC, Jansen EH, Beekhof PK, van Oostrom CT, Ruskovska T et al (2015) Diurnal Variation of hormonal and lipid biomarkers in a molecular epidemiology-like setting. PLoS One 10. https://doi.org/10.1371/journal.pone.0135652

  45. Dallmann R, Viola AU, Tarokh L, Cajochen C, Brown SA (2012) The human circadian metabolome. Proc Natl Acad Sci USA 109. https://doi.org/10.1073/pnas.1114410109

  46. Scheer FA, Hilton MF, Mantzoros CS, Shea SA (2009) Adverse metabolic and cardiovascular consequences of circadian misalignment. Proc Natl Acad Sci USA 106. https://doi.org/10.1073/pnas.0808180106

  47. Gamble KL, Berry R, Frank SJ, Young ME (2014) Circadian clock control of endocrine factors. Nat Rev Endocrinol 10. https://doi.org/10.1038/nrendo.2014.78

  48. Bedrosian TA, Fonken LK, Nelson RJ (2016) Endocrine Effects of circadian disruption. Annu Rev Physiol 78. https://doi.org/10.1146/annurev-physiol-021115-105102

  49. Tabas I, Bornfeldt KE (2016) Macrophage phenotype and function in different stages of atherosclerosis. Circ Res 118. https://doi.org/10.1161/circresaha.115.306256

  50. Nahrendorf M, Swirski FK (2016) Abandoning M1/M2 for a network model of macrophage function. Circ Res 119. https://doi.org/10.1161/circresaha.116.309194

  51. Seneviratne AN, Edsfeldt A, Cole JE, Kassiteridi C, Swart M, Park I et al (2017) Interferon Regulatory factor 5 controls necrotic core formation in atherosclerotic lesions by impairing efferocytosis. Circulation 136. https://doi.org/10.1161/circulationaha.117.027844

  52. Jinnouchi H, Guo L, Sakamoto A, Torii S, Sato Y, Cornelissen A et al (2020) Diversity of macrophage phenotypes and responses in atherosclerosis. Cell Mol Life Sci 77. https://doi.org/10.1007/s00018-019-03371-3

  53. Fernandez DM, Rahman AH, Fernandez NF, Chudnovskiy A, Amir ED, Amadori L et al (2019) Single-cell immune landscape of human atherosclerotic plaques. Nat Med 25. https://doi.org/10.1038/s41591-019-0590-4

  54. Ferrari D, la Sala A, Milani D, Celeghini C, Casciano F (2020) Purinergic signaling in controlling macrophage and T cell functions during atherosclerosis development. Front Immunol 11. https://doi.org/10.3389/fimmu.2020.617804

  55. Saigusa R, Winkels H, Ley K (2020) T cell subsets and functions in atherosclerosis. Nat Rev Cardiol 17. https://doi.org/10.1038/s41569-020-0352-5

  56. Irwin MR, Olmstead R, Carroll JE (2016) Sleep disturbance, sleep duration, and inflammation: a systematic review and meta-analysis of cohort studies and experimental sleep deprivation. Biol Psychiatry 80. https://doi.org/10.1016/j.biopsych.2015.05.014

  57. Di Pino A, DeFronzo RA (2019) Insulin resistance and atherosclerosis: implications for insulin-sensitizing agents. Endocr Rev 40. https://doi.org/10.1210/er.2018-00141

  58. Badimon L, Peña E, Arderiu G, Padró T, Slevin M, Vilahur G et al (2018) C-Reactive protein in atherothrombosis and angiogenesis. Front Immunol 9. https://doi.org/10.3389/fimmu.2018.00430

  59. Ridker PM, Rane M (2021) Interleukin-6 signaling and anti-interleukin-6 therapeutics in cardiovascular disease. Circ Res 128. https://doi.org/10.1161/circresaha.121.319077

  60. Tyrrell DJ, Goldstein DR (2021) Ageing and atherosclerosis: vascular intrinsic and extrinsic factors and potential role of IL-6. Nat Rev Cardiol 18. https://doi.org/10.1038/s41569-020-0431-7

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Funding

Funding was provided through the National Key R&D Program of China, the PRC Ministry of Science and Technology provided monetary support (2016YFC1300104).

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Zhao, X., Cai, Q., Dong, L. et al. Association between length of daily siesta and brachial-ankle pulse wave velocity (baPWV): a community-based cross sectional study in North China. Sleep Breath 27, 1819–1828 (2023). https://doi.org/10.1007/s11325-023-02791-7

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