Health warning issued to people who do not have regular bedtime routine

People who do not have regular bed and wake-up times have a higher risk of stroke and heart attack, research suggests.

Irregular sleep patterns increase the risk of such conditions regardless of whether people are getting enough sleep overall, the study found.

Experts examined data for 72,269 people aged 40 to 79 taking part in the UK Biobank study, none of whom had any history of major heart-related events. They wore an activity tracker for seven days to record their sleep, with experts then calculating a Sleep Regularity Index (SRI) score for each person.

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This score captured the day-to-day variability in bedtime, wake-up time, sleep duration and wake-ups during the night, with people given a score ranging from 0 - very irregular - to 100 - perfectly regular sleep-wake pattern.

Everyone in the study was grouped into either an irregular sleep group, moderately irregular sleep group, or regular sleep group. People were followed for eight years, during which time researchers analysed how many suffered conditions such as heart attack, stroke and heart failure.

The study, published online in the Journal of Epidemiology and Community Health, found that, even after taking into account things that could influence the results such as coffee intake and exercise levels, irregular sleepers were 26% more likely to suffer a stroke, heart failure or heart attack than those with regular sleep, while moderately irregular sleepers were 8% more likely to do so.

Researchers also found that the SRI score was a continuous measure, with people’s risk of heart attack and stroke increasing the more irregular their sleeping patterns were. Overall, the recommended amount of sleep for 18 to 64-year-olds is seven to nine hours per night, and is seven to eight hours for those aged 65 and over.

The study found that a greater proportion of regular sleepers (61%) met the recommended sleep quota than irregular sleepers (48%).

However, this made no difference to heart health for irregular sleepers, who had the same higher risk of stroke and heart attack even if they were getting enough sleep. In contrast, moderately irregular sleepers saw their risks drop if they got adequate sleep.

The researchers, including from the University of Ottawa, said: “Our results suggest that sleep regularity may be more relevant than sufficient sleep duration in modulating major adverse cardiovascular event risk.”

Emily McGrath, senior cardiac nurse at the British Heart Foundation, said: “It is not clear exactly how sleep benefits the heart but research suggests that disturbed sleep is associated with higher levels of a protein called CRP. This is a sign of inflammation, the process linked with heart and circulatory disease.

“Sleep can also have an indirect impact on heart health, by affecting our lifestyle choices. Studies have suggested that not sleeping enough might affect the hormones which influence our appetite, increasing our desire for sugary foods.

“Over a long period of time this could lead to weight gain and a greater risk of coronary heart disease. More research is needed to strengthen this discovery but the early results suggest there’s an important connection between sleep and heart and circulatory health.”

She said BHF-funded researchers at the University of Birmingham are investigating how insomnia or sleep problems might lead to a condition called atrial fibrillation (AF), which can increase the risk of stroke.