{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:02:43Z","timestamp":1789524163387,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 114\u20102640\u2010B\u2010002\u2010005\u2010"],"award-info":[{"award-number":["NSTC 114\u20102640\u2010B\u2010002\u2010005\u2010"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The study investigated the association between sleep duration and the risks of all\u2010cause and cardiovascular death, and elucidated the mediating role of atherosclerotic markers in these associations to identify potential biological pathways. We used data from the Chin\u2010Shan Community Cardiovascular Cohort in Taiwan, a prospective study. After excluding individuals with incomplete data and those with cardiovascular diseases, 3305 participants were included. Participants were classified into three sleep duration groups as short (\u2264\u20096\u2009h), normal (7\u20138\u2009h) and long (\u2265\u20099\u2009h) through structured questionnaires. Cox proportional hazard models and restricted cubic splines assessed the associations and non\u2010linear trends. Causal mediation analysis was performed to identify potential mediators. During a median of 30.8\u2009years of follow\u2010up, after adjusting for potential confounding factors, long sleep duration was significantly associated with increased risks of all\u2010cause mortality (adjusted hazard ratio: 1.17, 95% confidence interval: 1.01, 1.35), while short sleep duration showed no significant difference. Long sleep duration was not significantly associated with cardiovascular mortality (adjusted hazard ratio: 1.18, 95% confidence interval: 0.89, 1.56). Short sleep duration showed no significant association with either outcome. No significant interactions were found in sub\u2010group analyses by age, sex, body mass index, hypertension and diabetes. This study found that longer sleep duration increases the risk of all\u2010cause mortality, which may be partially mediated by systolic blood pressure.<\/jats:p>","DOI":"10.1111\/jsr.70458","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:30:41Z","timestamp":1789522241000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["All\u2010Cause and Cardiovascular Mortality in Relation to Sleep Duration: A Community\u2010Based Cohort With Over 30\u2009Years of Follow\u2010Up"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4320-1066","authenticated-orcid":false,"given":"Yu\u2010Chien","family":"Lin","sequence":"first","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine College of Public Health, National Taiwan University  Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4979-8351","authenticated-orcid":false,"given":"Kuo\u2010Liong","family":"Chien","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine College of Public Health, National Taiwan University  Taipei City Taiwan"},{"name":"Department of Internal Medicine National Taiwan University Hospital and College of Medicine  Taipei City Taiwan"},{"name":"Population Health Research Center National Taiwan University  Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-9072","authenticated-orcid":false,"given":"Hung\u2010Ju","family":"Lin","sequence":"additional","affiliation":[{"name":"Population Health Research Center National Taiwan University  Taipei City Taiwan"},{"name":"Health Management Center National Taiwan University Hospital  Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7523-7166","authenticated-orcid":false,"given":"Ta\u2010Chen","family":"Su","sequence":"additional","affiliation":[{"name":"Tungs' Taichung Metro Harbor Hospital  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4800-5276","authenticated-orcid":false,"given":"Jui","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine College of Public Health, National Taiwan University  Taipei City Taiwan"},{"name":"Health Data Research Center National Taiwan University  Taipei City Taiwan"},{"name":"Master Program in Global Health and Health Security Taipei Medical University  New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"CARES Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab170"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1109\/TAC.1974.1100705"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.017719"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpc.2021.100149"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4564"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.5.585"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7010001"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883\u2010023\u201003367\u20104"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.2.177"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0003435"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwae281"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2011.201"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/2670170"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.8.1009"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7176"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2646"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2007.03.010"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.2307\/1913221"},{"key":"e_1_2_13_20_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4757-3462-1","volume-title":"Regression Modeling Strategies: With Applications to Linear Models, Logistic Regression, and Survival Analysis","author":"Harrell F. 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