Prevention & lipidsResearch article

Healthy Sleep Patterns, Mortality, and Life Expectancy in Adults With and Without Atherosclerotic Cardiovascular Disease

JACC AdvPublished

  • Multivariable Cox models

Authors' conclusion

Multidimensional healthy sleep patterns are associated with lower mortality and increased life expectancy in adults, with greater absolute benefits observed in individuals with ASCVD.

Study context

Population
U.S. adults with and without atherosclerotic cardiovascular disease (ASCVD) in the National Health Interview Survey (2013–2018)mean age 48.4 years, 50.6% female
Participants
148,622 adults
Comparison
healthy sleep patterns vs poor sleep patterns

Main finding

As reported in the abstract

all-cause mortality · median 4.3 years of follow-up (IQR: 2.8-5.5)
healthy sleep patterns vs poor sleep patternsHazard ratio (95% CI)
individuals with ASCVD
0.74(0.62–0.89)
without ASCVD
0.82(0.70–0.95)
deaths
5,643

Further findings

estimated life expectancy gain with healthy sleep pattern · At age 45

years

individuals with ASCVD
3.0 (95% CI: 1.1-4.8)
those without ASCVD
1.5 (95% CI: 0.3-2.6)

Original publication

Healthy Sleep Patterns, Mortality, and Life Expectancy in Adults With and Without Atherosclerotic Cardiovascular Disease. JACC Adv. Published 20 January 2026. doi:10.1016/j.jacadv.2025.102550

Summarised from the published abstract; every number is checked against it