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This study examined the joint effect of five sleep patterns at two time points with incident CVD events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>By combining the data from two prospective studies, the Paris Prospective Study III (Paris, France) and the CoLaus|PsyCoLaus study (Lausanne, Switzerland), a healthy sleep score (HSS, range 0\u20135) combining five sleep patterns (early chronotype, sleep duration of 7\u20138 h\/day, never\/rarely insomnia, no sleep apnoea, and no excessive daytime sleepiness) was calculated at baseline and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study sample included 11 347 CVD-free participants aged 53\u201364 years (44.6% women). During a median follow-up of 8.9 years [interquartile range (IQR): 8.0\u201310.0], 499 first CVD events occurred (339 coronary heart disease (CHD) and 175 stroke). In multivariate Cox analysis, the risk of CVD decreased by 18% [hazard ratio (HR) 0.82, 95% confidence interval (CI) 0.76\u20130.89] per one-point increment in the HSS. After a median follow-up of 6.0 years (IQR: 4.0\u20138.0) after the second follow-up, 262 first CVD events occurred including 194 CHD and 72 stroke. After adjusting for baseline HSS and covariates, the risk of CVD decreased by 16% (HR 0.84, 95% CI 0.73\u20130.97) per unit higher in the follow-up HSS over 2\u20135 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher HSS and HSS improvement over time are associated with a lower risk of CHD and stroke in the community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurheartj\/ehad657","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T17:47:07Z","timestamp":1695923227000},"page":"4968-4978","source":"Crossref","is-referenced-by-count":70,"title":["Healthy sleep score changes and incident cardiovascular disease in European prospective community-based cohorts"],"prefix":"10.1093","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4258-3764","authenticated-orcid":false,"given":"Aboubakari","family":"Nambiema","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris Cardiovascular Research Centre (PARCC), Integrative Epidemiology of Cardiovascular Disease , 56 rue Leblanc , Paris 75015, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-6145","authenticated-orcid":false,"given":"Quentin","family":"Lisan","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris Cardiovascular Research Centre (PARCC), Integrative Epidemiology of Cardiovascular Disease , 56 rue Leblanc , Paris 75015, France"},{"name":"Department of Head and Neck Surgery, Foch Hospital , Suresnes , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3230-3693","authenticated-orcid":false,"given":"Julien","family":"Vaucher","sequence":"additional","affiliation":[{"name":"Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne , Lausanne , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Cecile","family":"Perier","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris Cardiovascular Research Centre (PARCC), Integrative Epidemiology of Cardiovascular Disease , 56 rue Leblanc , Paris 75015, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4375-3569","authenticated-orcid":false,"given":"Pierre","family":"Boutouyrie","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris Cardiovascular Research Centre (PARCC), Cellular, Molecular and Pathophysiological Mechanisms of Heart Failure, APHP, DMU CARTE, Pharmacology , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9263-5051","authenticated-orcid":false,"given":"Nicolas","family":"Danchin","sequence":"additional","affiliation":[{"name":"Preventive and Clinical Investigation Center (IPC) , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9rique","family":"Thomas","sequence":"additional","affiliation":[{"name":"Preventive and Clinical Investigation Center (IPC) , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Guibout","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris Cardiovascular Research Centre (PARCC), Integrative Epidemiology of Cardiovascular Disease , 56 rue Leblanc , Paris 75015, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7135-133X","authenticated-orcid":false,"given":"Geoffroy","family":"Solelhac","sequence":"additional","affiliation":[{"name":"Center for Investigation and Research in Sleep, Lausanne University Hospital (CHUV) and University of Lausanne , Lausanne , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3215-7788","authenticated-orcid":false,"given":"Raphael","family":"Heinzer","sequence":"additional","affiliation":[{"name":"Center for Investigation and Research in Sleep, Lausanne University Hospital (CHUV) and University of Lausanne , Lausanne , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4439-0093","authenticated-orcid":false,"given":"Xavier","family":"Jouven","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, INSERM U970, Paris 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