A good night's sleep can increase the benefit of exercise, healthy diet, moderate alcohol consumption and non-smoking in their protection against cardiovascular disease (CVD), according to results of a large population follow-up study.
Results showed that the combination of the four traditional healthy lifestyle habits was associated with a 57 per cent lower risk of cardiovascular disease (fatal and non-fatal) and a 67 per cent lower risk of fatal events.
But, when "sufficient sleep" - defined as seven or more hours a night - was added to the other four lifestyle factors, the overall protective benefit was even further increased - and resulted in a 65 per cent lower risk of composite CVD and a 83 per cent lower risk of fatal events.
The study is the first to investigate whether the addition of sleep duration to the four traditional healthy lifestyle factors contributes to an association with CVD.
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In the Monitoring Project on Risk Factors for Chronic Diseases (MORGEN), a prospective cohort study in the Netherlands, 6672 men and 7967 women aged 20-65 years and free of CVD at baseline were followed up for a mean time of 12 years.
As expected, results showed that adherence to each of the four traditional lifestyle factors alone reduced the risk of CVD, researchers said.
However, sufficient sleep duration alone also reduced the risk of composite CVD by about 22 per cent and of fatal CVD by about 43 per cent.
Thus, non-smoking and sufficient sleep duration were both strongly and similarly inversely associated with fatal CVD.
The study was published in the European Journal of Preventive Cardiology.