Lupus & antiphospholipid syndrome

Association of Sleep Deprivation and the Risk of Developing Systemic Lupus Erythematosus Among Women

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · Incident SLEResult — go to the resultAdjusted hazard ratio 2.47 95% CI 1.29–4.75

Authors' conclusion

Chronic low sleep duration was associated with higher SLE risk, with stronger effects among those with bodily pain and depression

Study context

Population
Women in the Nurses' Health Study (1986–2016) and NHSII (1989–2017) cohorts187 incident systemic lupus erythematosus (SLE) cases
Participants
186,072 women
Exposure
Chronic low sleep duration vs >7-8 hours/night
Outcome
Incident SLE
Methodological detailsadjusted Cox regression, cumulative average sleep duration (categorical)
  • Adjusted Cox regression
  • Cumulative average sleep duration (categorical)

Main finding

As reported in the abstract

Adjusted hazard ratio

2.47

95% CI 1.29–4.75

≤5 hours/nightvs >7-8 hours
aHR 2.47 (95% CI 1.29–4.75)

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Incident SLE, 4-year lagged analysisLagged 4 yearsHRadj 3.14 (95% CI 1.57–6.29)
Incident SLE, further adjusted for shiftwork, bodily pain and depressionHRadj 2.13 (95% CI 1.11–4.10)
Additive interaction: low sleep duration and high bodily pain (SF-36 score <75)Both risk factorsvs NeitherHR 2.97 (95% CI 1.86–4.75)
Additive interaction: low sleep duration and high bodily pain (SF-36 score <75) — Attributable proportion (AP), 95% CI 40%, 87%
64%

Interaction: low sleep duration and depression

Attributable proportion (AP), 95% CI 49%, 88%
68%
HR for SLE, 95% CI 1.64, 4.85
2.82

Original publication

Association of Sleep Deprivation and the Risk of Developing Systemic Lupus Erythematosus Among Women. Arthritis Care Res (Hoboken). Published 29 December 2022. doi:10.1002/acr.25017

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.