title: Sleep duration and sleep complaints and risk of myocardial infarction in middle-aged men and women from the general population: the MONICA/KORA Augsburg cohort study.
abstract: OBJECTIVE
  To examine gender-specific associations between sleep duration and sleep complaints and incident myocardial infarction (MI).
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  A representative population sample of middle-aged subjects in Germany.
  
  
  METHODS
  The study was based on 3508 men and 3388 women (aged 45 to 74 years) who participated in one of the 3 MONICA (Monitoring trends and determinants on cardiovascular diseases) Augsburg surveys between 1984 and 1995, who were free of MI and angina pectoris at baseline and were followed up until 2002.
  
  
  METHODS
  N/A.
  
  
  RESULTS
  A total of 295 cases of incident MI among men and 85 among women occurred during a mean follow-up period of 10.1 years. Compared with women sleeping 8 hours, the multivariable adjusted hazard ratio (HR) of MI among women sleeping < or =5 hours was 2.98 (95% CI, 1.48-6.03), and among women sleeping > or =9 hours 1.40 (95% CI, 0.74-2.64); the corresponding HRs among men were 1.13 (95% CI, 0.66-1.92) and 1.07 (95% CI, 0.75-1.53). In multivariable analysis the relative risk of an incident MI for men and women with difficulties maintaining sleep was 1.12 (95% CI, 0.84-1.48) and 1.53 (95% CI, 0.99-2.37), respectively, and for men and women with difficulties initiating sleep the relative risk was 1.16 (95% CI, 0.82-1.63) and 1.30 (95% CI, 0.81-2.06), respectively.
  
  
  CONCLUSIONS
  Modest associations between short sleep duration and difficulties maintaining sleep and incident MI were seen in middle-aged women but not men from the general population.
authors.affiliation: Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany. christa.meisinger@gsf.de
authors.forename: Christa
authors.initials: C
authors.lastname: Meisinger
authors.forename: Margit
authors.initials: M
authors.lastname: Heier
authors.forename: Hannelore
authors.initials: H
authors.lastname: Löwel
authors.forename: Andrea
authors.initials: A
authors.lastname: Schneider
authors.forename: Angela
authors.initials: A
authors.lastname: Döring
mesh_terms: D000368:Aged; D015984:Causality; D015331:Cohort Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D011237:Predictive Value of Tests; D016016:Proportional Hazards Models; D017678:Sex Distribution; D012891:Sleep Apnea Syndromes / Q000453:epidemiology; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D016387:Women's Health