Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study

<b>Background:</b> The occurrence of sleep disturbances in amyotrophic lateral sclerosis (ALS) patients is widely reported. However, there is still a lack of reliable evidence of a relationship between sleep disturbances and the risk of developing ALS. The aim of this study was to prospe...

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Main Authors: Gan Zhang, Wen Cao, Zhuoya Wang, Kailin Xia, Binbin Deng, Dongsheng Fan
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/49
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author Gan Zhang
Wen Cao
Zhuoya Wang
Kailin Xia
Binbin Deng
Dongsheng Fan
author_facet Gan Zhang
Wen Cao
Zhuoya Wang
Kailin Xia
Binbin Deng
Dongsheng Fan
author_sort Gan Zhang
collection DOAJ
description <b>Background:</b> The occurrence of sleep disturbances in amyotrophic lateral sclerosis (ALS) patients is widely reported. However, there is still a lack of reliable evidence of a relationship between sleep disturbances and the risk of developing ALS. The aim of this study was to prospectively investigate the longitudinal associations between sleep traits and the risk of incident ALS. <b>Methods:</b> We included information from 409,045 individuals from the prospective cohort of the UK Biobank. Sleep traits at baseline were measured using a standardized questionnaire. All sleep traits were analyzed in relation to the subsequent incidence of ALS using Cox proportional hazards models. <b>Results:</b> Multivariate analysis showed that 6–7 h of sleep was related to the lowest risk for ALS. A long sleep duration (≥8 h) was associated with an increased risk of ALS incidence (HR: 1.31, 95% CI: 1.07–1.61; <i>p</i> = 0.009). A short sleep duration (<6 h) was associated with an increased risk of ALS incidence (HR: 1.91, 95% CI: 1.10–3.30, <i>p</i> = 0.021) in females. In participants aged ≥65 years, eveningness was associated with increased ALS risk (HR: 1.32, 95% CI: 1.08–1.61; <i>p</i> = 0.006). <b>Conclusion:</b> Our results hint at a sleep duration that is too short or too long, and certain chronotypes might be related to the risk of developing ALS. Despite the limitations imposed by the study design and the subjectivity of sleep information, our findings suggest that sleep disturbances may influence the risk of developing ALS.
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spelling doaj-art-49b2fa834460459d8e7cbd38989df0552025-01-24T13:23:50ZengMDPI AGBiomedicines2227-90592024-12-011314910.3390/biomedicines13010049Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort StudyGan Zhang0Wen Cao1Zhuoya Wang2Kailin Xia3Binbin Deng4Dongsheng Fan5Department of Neurology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Neurology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Neurology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Neurology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, ChinaDepartment of Neurology, Peking University Third Hospital, Beijing 100191, China<b>Background:</b> The occurrence of sleep disturbances in amyotrophic lateral sclerosis (ALS) patients is widely reported. However, there is still a lack of reliable evidence of a relationship between sleep disturbances and the risk of developing ALS. The aim of this study was to prospectively investigate the longitudinal associations between sleep traits and the risk of incident ALS. <b>Methods:</b> We included information from 409,045 individuals from the prospective cohort of the UK Biobank. Sleep traits at baseline were measured using a standardized questionnaire. All sleep traits were analyzed in relation to the subsequent incidence of ALS using Cox proportional hazards models. <b>Results:</b> Multivariate analysis showed that 6–7 h of sleep was related to the lowest risk for ALS. A long sleep duration (≥8 h) was associated with an increased risk of ALS incidence (HR: 1.31, 95% CI: 1.07–1.61; <i>p</i> = 0.009). A short sleep duration (<6 h) was associated with an increased risk of ALS incidence (HR: 1.91, 95% CI: 1.10–3.30, <i>p</i> = 0.021) in females. In participants aged ≥65 years, eveningness was associated with increased ALS risk (HR: 1.32, 95% CI: 1.08–1.61; <i>p</i> = 0.006). <b>Conclusion:</b> Our results hint at a sleep duration that is too short or too long, and certain chronotypes might be related to the risk of developing ALS. Despite the limitations imposed by the study design and the subjectivity of sleep information, our findings suggest that sleep disturbances may influence the risk of developing ALS.https://www.mdpi.com/2227-9059/13/1/49sleep durationchronotypeamyotrophic lateral sclerosisUK Biobank
spellingShingle Gan Zhang
Wen Cao
Zhuoya Wang
Kailin Xia
Binbin Deng
Dongsheng Fan
Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
Biomedicines
sleep duration
chronotype
amyotrophic lateral sclerosis
UK Biobank
title Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
title_full Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
title_fullStr Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
title_full_unstemmed Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
title_short Associations of Abnormal Sleep Duration and Chronotype with Higher Risk of Incident Amyotrophic Lateral Sclerosis: A UK Biobank Prospective Cohort Study
title_sort associations of abnormal sleep duration and chronotype with higher risk of incident amyotrophic lateral sclerosis a uk biobank prospective cohort study
topic sleep duration
chronotype
amyotrophic lateral sclerosis
UK Biobank
url https://www.mdpi.com/2227-9059/13/1/49
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