 |
|
The Siesta in the Elderly
Risk Factor for Mortality?
Michael Bursztyn, MD;
Gary Ginsberg, DPH;
Robert Hammerman-Rozenberg, MD;
Jochanan Stessman, MD
Arch Intern Med. 1999;159:1582-1586.
Background During the siesta, blood pressure declines like it does during night sleep. Because cardiovascular and cerebrovascular events cluster during the morning hours, when hemodynamic changes from nocturnal baseline are maximal, we hypothesized that an additional sleep period during the day (the siesta) may increase cardiovascular and cerebrovascular events, and thus mortality.
Methods A prospective population-based cohort study of 455 70-year-old residents of Jerusalem, Israel, using self-reported siesta at baseline and 6 years of total mortality data.
Results The prevalence of the practice of the siesta was 60.7%. It was more prevalent among men than women (68% vs 51%, P<.001) and in survivors of previous myocardial infarction than in those without previous myocardial infarction (78% vs 58%, P=.009). After 6 years of follow-up (1990-1996), 75 subjects died. For those who practiced the siesta, total mortality was 20% vs 11% for those who did not (P=.01; risk odds ratio, 2.0; 95% confidence interval, 1.1-3.4). In a multiple logistic regression model that included several lifestyle descriptors, risk factors, and diseases, the siesta remained predictive of mortality (P=.03; risk odds ratio, 2.1; 95% confidence interval, 1.1-3.9).
Conclusions The siesta seems to be an independent predictor of mortality. It is still unknown whether this association is causal.
From the Hypertension Unit (Dr Bursztyn) and the Department of Rehabilitation and Geriatrics (Drs Ginsberg, Hammerman-Rozenberg, and Stessman), Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
RELATED LETTER
Are Afternoon Naps Health Hazards?
Fred Rosner, Spalato Signorelli, Stefano Tolomelli, Edda Rota, and Marco Mengoli
Arch Intern Med. 2001;161(4):614-615.
EXTRACT
| FULL TEXT
RELATED ARTICLE
Archives of Internal Medicine Reader's Choice: Continuing Medical Education
Arch Intern Med. 1999;159(14):1630-1631.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Acute changes in cardiovascular function during the onset period of daytime sleep: comparison to lying awake and standing
Zaregarizi et al.
J. Appl. Physiol. 2007;103:1332-1338.
ABSTRACT
| FULL TEXT
Reactivity of Ambulatory Blood Pressure to Physical Activity Varies With Time of Day
Jones et al.
Hypertension 2006;47:778-784.
ABSTRACT
| FULL TEXT
Age Changes in Timing and 24-Hour Distribution of Self-Reported Sleep
Bliwise et al.
AJGP 2005;13:1077-1082.
ABSTRACT
| FULL TEXT
Morning Surge in Blood Pressure
Kaplan
Circulation 2003;107:1347-1347.
FULL TEXT
Diurnal Variance in Stroke Onset
Hill et al.
Stroke 2003;34
:589-590.
FULL TEXT
Parallel Morning and Evening Surge in Stroke Onset, Blood Pressure, and Physical Activity
Bursztyn et al.
Stroke 2002;33:2346-2347.
FULL TEXT
""Sleep Is Not Tangible"" or What the Hebrew Tradition Has to Say About Sleep
Ancoli-Israel
Psychosom. Med. 2001;63:778-787.
ABSTRACT
| FULL TEXT
Are Afternoon Naps Health Hazards?
Rosner et al.
Arch Intern Med 2001;161:614-615.
FULL TEXT
Siesta and coronary artery disease
Cheng
Int J Epidemiol 2001;30:183-183.
FULL TEXT
Author's Response
Campos
Int J Epidemiol 2001;30:183-183.
FULL TEXT
Dipping Status May Be Determined by Nocturnal Urination
Perk et al.
Hypertension 2001;37:749-752.
ABSTRACT
| FULL TEXT
Siesta and the risk of coronary heart disease: results from a population-based, case-control study in Costa Rica
Campos and Siles
Int J Epidemiol 2000;29:429-437.
ABSTRACT
| FULL TEXT
Somnum Fuge Meridianum
Signorelli et al.
Arch Intern Med 2000;160:1374-1375.
FULL TEXT
Should Elderly Individuals Who Frequently Nap Take {beta}-Blockers and/or Aspirin?
Goldstein
Arch Intern Med 2000;160:710-710.
FULL TEXT
Afternoon Nap Is Good for the Elderly
Cheng
Arch Intern Med 2000;160:711-711.
FULL TEXT
Is the Siesta Associated With Sleep Apnea Syndrome in the Elderly?
Teramoto and Ouchi
Arch Intern Med 2000;160:710-711.
FULL TEXT
Is Taking a Siesta Really a Health Hazard?
Gyawali et al.
Arch Intern Med 2000;160:711-711.
FULL TEXT
Naps May Not Be Healthy
Journal Watch Dermatology 1999;1999:19-19.
FULL TEXT
Naps May Not Be Healthy
JWatch General 1999;1999:7-7.
FULL TEXT
|
