ADVERTISEMENT
CURRENT ISSUE
MARCH 2015
KINDLE EDITION



SEARCH JOURNAL ARCHIVES


SEARCH PUBMED


MANUSCRIPT SUBMISSIONS


SUBSCRIBE TO SLEEP

CONTINUING MEDICAL EDUCATION


ADVERTISE WITH US


ABOUT SLEEP

ABSTRACT SUPPLEMENTS


ACCEPTED PAPERS
Bookmark and Share         RSS Feed

VOLUME 34, ISSUE 07

HERITABILITY AND MORTALITY RISK OF INSOMNIA-RELATED SYMPTOMS
Heritability and Mortality Risk of Insomnia-Related Symptoms: A Genetic Epidemiologic Study in a Population-Based Twin Cohort

http://dx.doi.org/10.5665/sleep.1136

Christer Hublin, MD, PhD1,3; Markku Partinen, MD, PhD2,3; Markku Koskenvuo, MD, PhD3; Jaakko Kaprio, MD, PhD3,4,5

1Finnish Institute of Occupational Health, Helsinki, Finland; 2Helsinki Sleep Clinic, Vitalmed Research Centre, Helsinki, Finland; 3Department of Public Health, University of Helsinki, Helsinki, Finland; 4Institute for Molecular Medicine, University of Helsinki, Finland; 5National Institute for Health and Welfare, Helsinki, Finland



  Expand  Table of Contents    
Text size:  

Study Objectives:

Our aim was to estimate heritability in phenotypic insomnia and the association between insomnia and mortality.

Design:

Representative follow-up study.

Participants:

1990 survey of the Finnish Twin Cohort (N = 12502 adults; 1554 monozygotic and 2991 dizygotic twin pairs).

Measurements:

Current insomnia-related symptoms (insomnia in general, difficulty in initiating sleep, sleep latency, nocturnal awakening, early morning awakening, and non-restorative sleep assessed in the morning and during the day) were asked. Latent class analysis was used to classify subjects into different sleep quality classes. Quantitative genetic modelling was used to estimate heritability. Mortality data was obtained from national registers until end of April 2009.

Results:

The heritability estimates of each symptom were similar in both genders varying from 34% (early morning awakening) to 45% (nocturnal awakening). The most parsimonious latent class analysis produced 3 classes: good sleepers (48%), average sleepers (up to weekly symptoms, 40%), and poor sleepers (symptoms daily or almost daily, 12%). The heritability estimate for the cluster was 46% (95% confidence interval 41% to 50%). In a model adjusted for smoking, BMI, and depressive symptoms, the all-cause mortality of poor sleepers was elevated (excess mortality 55% in men and 51% in women). Further adjustment for sleep length, use of sleep promoting medications, and sleep apnea-related symptoms did not change the results.

Conclusions:

Insomnia-related symptoms were common in both genders. The symptoms and their clusters showed moderate heritability estimates. A significant association was found between poor sleep and risk of mortality, especially in those with somatic disease.

Citation:

Hublin C; Partinen M; Koskenvuo M; Kaprio J. Heritability and mortality risk of insomnia-related symptoms: a genetic epidemiologic study in a population-based twin cohort. SLEEP 2011;34(7):957-964.

Expand  Table of Contents
ADVERTISEMENT
Classifieds View SLEEP 2011 Poster Presentations Online