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A groundbreaking study published in the "Journal of the American College of Cardiology" has revealed that disturbances in delta wave activity during sleep, which signifies deep sleep quality, could potentially predict long-term cardiovascular disease (CVD) and related mortality risks. This study offers new insights into the importance of quality sleep for heart health.
Researchers, led by Sizhi Ai, MD, PhD, and colleagues, used a comprehensive method based on power spectral entropy to gauge delta wave activity during sleep. They evaluated overnight polysomnograms—detailed sleep recordings—from participants in two sizable studies: the Sleep Heart Health Study (SHHS) with 4,058 participants and the Osteoporotic Fractures in Men Study (MrOS) Sleep study with 2,193 participants.
The studies followed participants for over a decade, tracking incidents of CVD and mortality due to CVD. Findings showed that individuals with lower entropy of delta waves, indicating a more disrupted deep sleep pattern, faced higher risks of coronary heart disease, CVD, and mortality from CVD. These associations held strong even after accounting for various health and lifestyle factors.
Interestingly, the predictive value of low delta wave entropy surpassed that of traditional sleep quality parameters, such as how long participants spent awake after initially falling asleep. The SHapley Additive Explanations method demonstrated that disrupted delta wave activity was, in fact, more predictive of CVD outcomes than conventional sleep metrics.
The study's implications are significant. Disrupted delta wave activity during sleep has emerged as a particularly promising marker for identifying individuals at increased risk for CVD and mortality. Furthermore, these findings suggest that interventions aimed at enhancing deep sleep may benefit cardiovascular health.
This research, which is the first of its kind, emphasizes the role of deep sleep in cardiovascular and overall health. Although the study has some limitations, including its primary focus on middle-aged and older adults, the evidence strongly suggests the need for quality sleep for maintaining heart health.
The full study is available for readers seeking a deeper understanding of this novel association between sleep and cardiovascular health. For more information, please visit the Journal of the American College of Cardiology website at https://doi.org/10.1016/j.jacc.2024.02.040.
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References
Ai, S., Ye, S., Li, G., Leng, Y., Stone, K. L., Zhang, M., Wing, Y.-K., Zhang, J., Liang, Y. Y. (2024). Association of Disrupted Delta Wave Activity During Sleep With Long-Term Cardiovascular Disease and Mortality. Journal of the American College of Cardiology, 83(17), 1671-1684. https://doi.org/10.1016/j.jacc.2024.02.040