Prospective Study of Sleep Talking and Risk of Stroke

Background The potential clinical implication of sleep talking in relation to stroke has not been explored to date. This study aimed to prospectively examine the association between sleep talking and the risk of developing stroke in a community‐based cohort. METHODS AND RESULTS Included were 8001 pa...

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Main Authors: Ying Liu, Shuohua Chen, Milena Pavlova, Yaqi Li, Yesong Liu, Jihui Zhang, Liang Sun, Zhenjian Yu, Xiang Gao
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.035813
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author Ying Liu
Shuohua Chen
Milena Pavlova
Yaqi Li
Yesong Liu
Jihui Zhang
Liang Sun
Zhenjian Yu
Xiang Gao
author_facet Ying Liu
Shuohua Chen
Milena Pavlova
Yaqi Li
Yesong Liu
Jihui Zhang
Liang Sun
Zhenjian Yu
Xiang Gao
author_sort Ying Liu
collection DOAJ
description Background The potential clinical implication of sleep talking in relation to stroke has not been explored to date. This study aimed to prospectively examine the association between sleep talking and the risk of developing stroke in a community‐based cohort. METHODS AND RESULTS Included were 8001 participants (mean age, 54 years) of the Kailuan Study, China. Sleep talking was measured by a questionnaire in 2012. Cases of incident stroke were confirmed by review of medical records. Cox proportional hazards models were used to explore the association between sleep talking and stroke, adjusting for several sleep parameters (ie, insomnia, daytime sleepiness, sleep duration, snoring, and use of hypnotics) and other potential confounders. During 8 years of follow‐up, 333 incident stroke cases were identified. Relative to participants without sleep talking at baseline, those with sleep talking had a higher risk of developing stroke (hazard ratio [HR], 1.30 [95% CI, 1.03–1.65]), adjusting for potential confounders. Compared with participants without probable rapid eye movement sleep behavior disorder and sleep talking, those with sleep talking and probable rapid eye movement sleep behavior disorder had a higher risk of stroke (adjusted HR, 1.93 [95% CI, 1.40–2.66]). Conclusions The presence of sleep talking was associated with a higher risk of developing stroke. Future studies with cases of clinically confirmed sleep talking and a longer follow‐up would be appropriate to further investigate this association.
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spelling doaj-art-4f0b5ca28e614b5186e20da292ed74712025-08-20T02:48:57ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-11-01132110.1161/JAHA.124.035813Prospective Study of Sleep Talking and Risk of StrokeYing Liu0Shuohua Chen1Milena Pavlova2Yaqi Li3Yesong Liu4Jihui Zhang5Liang Sun6Zhenjian Yu7Xiang Gao8Department of Nutrition and Food Hygiene, School of Public Health Institute of Nutrition, Zhongshan Hospital, Fudan University Shanghai ChinaDepartment of Cardiology Kailuan General Hospital Tangshan ChinaDepartment of Neurology, Brigham and Women’s Hospital Harvard Medical School Boston MA USADepartment of Nutrition and Food Hygiene, School of Public Health Institute of Nutrition, Zhongshan Hospital, Fudan University Shanghai ChinaDepartment of Neurology Kailuan General Hospital Tangshan ChinaCenter for Sleep and Circadian Medicine The Affiliated Brain Hospital of Guangzhou Medical University Guangzhou Guangdong ChinaDepartment of Nutrition and Food Hygiene, School of Public Health Institute of Nutrition, Zhongshan Hospital, Fudan University Shanghai ChinaDepartment of Kailuan Mental Health Centre Tangshan Hebei ChinaDepartment of Nutrition and Food Hygiene, School of Public Health Institute of Nutrition, Zhongshan Hospital, Fudan University Shanghai ChinaBackground The potential clinical implication of sleep talking in relation to stroke has not been explored to date. This study aimed to prospectively examine the association between sleep talking and the risk of developing stroke in a community‐based cohort. METHODS AND RESULTS Included were 8001 participants (mean age, 54 years) of the Kailuan Study, China. Sleep talking was measured by a questionnaire in 2012. Cases of incident stroke were confirmed by review of medical records. Cox proportional hazards models were used to explore the association between sleep talking and stroke, adjusting for several sleep parameters (ie, insomnia, daytime sleepiness, sleep duration, snoring, and use of hypnotics) and other potential confounders. During 8 years of follow‐up, 333 incident stroke cases were identified. Relative to participants without sleep talking at baseline, those with sleep talking had a higher risk of developing stroke (hazard ratio [HR], 1.30 [95% CI, 1.03–1.65]), adjusting for potential confounders. Compared with participants without probable rapid eye movement sleep behavior disorder and sleep talking, those with sleep talking and probable rapid eye movement sleep behavior disorder had a higher risk of stroke (adjusted HR, 1.93 [95% CI, 1.40–2.66]). Conclusions The presence of sleep talking was associated with a higher risk of developing stroke. Future studies with cases of clinically confirmed sleep talking and a longer follow‐up would be appropriate to further investigate this association.https://www.ahajournals.org/doi/10.1161/JAHA.124.035813parasomniasprospective cohort studysleep talkingstroke
spellingShingle Ying Liu
Shuohua Chen
Milena Pavlova
Yaqi Li
Yesong Liu
Jihui Zhang
Liang Sun
Zhenjian Yu
Xiang Gao
Prospective Study of Sleep Talking and Risk of Stroke
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
parasomnias
prospective cohort study
sleep talking
stroke
title Prospective Study of Sleep Talking and Risk of Stroke
title_full Prospective Study of Sleep Talking and Risk of Stroke
title_fullStr Prospective Study of Sleep Talking and Risk of Stroke
title_full_unstemmed Prospective Study of Sleep Talking and Risk of Stroke
title_short Prospective Study of Sleep Talking and Risk of Stroke
title_sort prospective study of sleep talking and risk of stroke
topic parasomnias
prospective cohort study
sleep talking
stroke
url https://www.ahajournals.org/doi/10.1161/JAHA.124.035813
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