{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T01:46:41Z","timestamp":1782784001982,"version":"3.54.5"},"reference-count":12,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: In the United States, HF prevalence is projected to progressively rise by 2030. Prior research suggests a strong association between reduced sleep duration and increased cardiovascular disease and HF risk. This study introduces an alternative parameter, the weekend sleep recovery (WSR), measured by the weekend-to-weekday sleep duration ratio (SDR), to evaluate its association with HF risk. Methods: We conducted a cross-sectional analysis of NHANES (National Health and Nutrition Examination Survey) 2017\u20132023 to examine self-reported sleep patterns. Participants were classified as WSR (SDR &gt; 1) or non-WSR (SDR \u2264 1). Multivariate logistic regression assessed the association between WSR and HF, adjusting for demographics and comorbidities. Results: Among 8320 participants included in the fully adjusted analysis, WSR was associated with lower odds of HF compared with non-WSR (adjusted OR 0.73, 95% CI 0.55\u20130.96; p = 0.026). A significant interaction was observed between WSR and weekday sleep duration (P for interaction = 0.003), whereas no interaction was found with weekend sleep duration. In exploratory subgroup analyses, nominally significant associations were observed in several clinical subgroups; however, after correction for multiple comparisons, only participants without dyslipidemia retained statistical significance. No significant effect modification by race\/ethnicity was observed (P for interaction = 0.436). Conclusions: Weekend sleep recovery was associated with lower odds of HF in this cross-sectional study. The association varied according to weekday sleep duration but was generally consistent across racial\/ethnic groups. Given the observational design, these findings should be interpreted as associative rather than causal and warrant confirmation in prospective studies.<\/jats:p>","DOI":"10.3390\/jcm15135047","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:55:11Z","timestamp":1782780911000},"page":"5047","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Sleep Duration Ratio with a Reduced Risk of Heart Failure: Analysis of the 2017\u20132023 National Health and Nutrition Examination Survey"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9123-7649","authenticated-orcid":false,"given":"Narathorn","family":"Kulthamrongsri","sequence":"first","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange, CA 92868, USA"},{"name":"Internal Medicine Residency Program, University of Hawaii, Honolulu, HI 96813, USA"},{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7811-7960","authenticated-orcid":false,"given":"Thanathip","family":"Suenghataiporn","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Griffin Hospital, Derby, CT 06418, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adivitch","family":"Sripusanapan","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Program, University of Hawaii, Honolulu, HI 96813, USA"},{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4780-9348","authenticated-orcid":false,"given":"Smuch","family":"Siramongkholkarn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Boston Medical Center Brighton, Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thitiphan","family":"Srikulmontri","sequence":"additional","affiliation":[{"name":"Albert Einstein Medical Center, Philadelphia, PA 19141, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanokporn","family":"Puchongmart","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanaboon","family":"Yinadsawaphan","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Program, University of Hawaii, Honolulu, HI 96813, USA"},{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3212-912X","authenticated-orcid":false,"given":"Ben","family":"Thiravetyan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0153-6073","authenticated-orcid":false,"given":"Kridhitach","family":"Ngarmukos","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Program, University of Hawaii, Honolulu, HI 96813, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koravich","family":"Lorlowhakarn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Boston Medical Center Brighton, Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3141-1454","authenticated-orcid":false,"given":"Nathasith","family":"Tangprasittichok","sequence":"additional","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange, CA 92868, USA"},{"name":"Phramongkutklao College of Medicine, Mahidol University, Bangkok 10400, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulelah","family":"Nuqali","sequence":"additional","affiliation":[{"name":"Queen\u2019s Heart Institute, The Queen\u2019s Medical Center, Honolulu, HI 96813, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0883-6892","authenticated-orcid":false,"given":"Ekamol","family":"Tantisattamo","sequence":"additional","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange, CA 92868, USA"},{"name":"Center for Global Cardiometabolic Health and Nutrition, University of California Irvine, Irvine, CA 92697, USA"},{"name":"Multi-Organ Transplant Center, Section of Nephrology, Department of Internal Medicine, Corewell Health William Beaumont University Hospital, Oakland University William Beaumont School of Medicine, Royal Oak, MI 48073, USA"},{"name":"Pacific Northwest University of Health Sciences, Yakima, WA 98901, USA"},{"name":"Excellence Center for Organ Transplantation, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1038\/s41569-024-01046-6","article-title":"Global epidemiology of heart failure","volume":"21","author":"Khan","year":"2024","journal-title":"Nat. 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