{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T11:07:49Z","timestamp":1767870469503,"version":"3.49.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the general population, healthy sleep pattern is associated with lower risk of cardia-cerebrovascular diseases (CVD). However, despite a high prevalence of sleep disorders in people type 2 diabetes(T2D), no study has investigated the relationship between sleep patterns and the risk of CVD events in this particular subpopulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included 6,363 participants with T2D but free of prevalent CVD at baseline from Kailuan study, a HSS(range 0\u20135) combining five sleep patterns (sleep duration, snoring, insomnia, early sleep-wake patterns, and excessive daytime sleepiness) was calculated. Cox regression models were used to evaluate the hazard ratios (HRs) and 95% confidence intervals (CIs) of incident CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During a median follow-up of 5.80 years, 790 participants developed first CVD event (12.42%). In multivariate Cox analysis, the risk of CVD decreased by 11% (HR, 0.89; 95% CI 0.83\u20130.96) per one-point increment in the HSS. Compared to those with a sleep score of 0\u20131, participants with a score of 4 and 5 had a 26%(HR, 0.73; 95% CI 0.55\u20130.99) and 43%(HR, 0.58; 95% CI 0.35\u20130.93) reduced risk of CVD, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher HSS are associated with a lower risk of CVD events in the community people with T2D.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1640125","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:36:05Z","timestamp":1767854165000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Correlation between healthy sleep score and risk of cardia-cerebrovascular disease among people with type 2 diabetes: a prospective cohort 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