Sleep & Heart Health: Duration, Quality & Risk
- Getting enough sleep is about more then just the number of hours, according to a new scientific statement from the American Heart Association (AHA).
- The AHA emphasizes that healthy sleep includes factors such as sleep duration, continuity, timing, satisfaction, regularity and daytime functioning.
- Marie-Pierre St-onge, chair of the writing group and professor of nutritional medicine at Columbia University Irving Medical Centre, saeid most adults need seven to nine hours of sleep...
American Heart Association: Healthy Sleep Vital for Cardiometabolic Health
Updated June 02, 2025
Getting enough sleep is about more then just the number of hours, according to a new scientific statement from the American Heart Association (AHA). The statement,published in Circulation: Cardiovascular Quality and Outcomes,highlights the importance of multidimensional sleep health for reducing cardiometabolic risk factors.
The AHA emphasizes that healthy sleep includes factors such as sleep duration, continuity, timing, satisfaction, regularity and daytime functioning. Addressing these different dimensions of sleep may help to reduce cardiometabolic health and related risk factors.
Marie-Pierre St-onge, chair of the writing group and professor of nutritional medicine at Columbia University Irving Medical Centre, saeid most adults need seven to nine hours of sleep nightly. She added that poor sleep raises the risk of cardiovascular disease, cognitive decline, depression, obesity, high blood pressure, and elevated blood sugar and cholesterol.
The statement reviews evidence linking sleep to body fat, blood sugar, cholesterol and blood pressure, noting that healthy sleep positively impacts both physical and mental well-being. Less-studied components of sleep health also contribute to overall health.
Key components of Sleep health
- Sleep Duration: Sleeping less than seven hours a night increases the risk of atrial fibrillation and cardiometabolic syndrome. Sleeping more than nine hours also poses risks.
- Sleep Continuity: Disturbed sleep continuity is linked to a higher risk of heart attack and high blood pressure.
- Sleep Timing: Bedtimes of midnight or later are associated with increased risk of obesity and insulin resistance.
- Sleep Satisfaction: Lower sleep satisfaction correlates with higher blood pressure and coronary heart disease.
- Sleep Regularity: Irregular sleep patterns are associated with a higher risk of obesity, cardiovascular disease and Type 2 diabetes.
- Daytime Functioning: Excessive daytime sleepiness is linked to cardiovascular disease and stroke.
The statement also addresses differences in sleep health among people affected by adverse social drivers. lower socioeconomic status is consistently associated with suboptimal sleep. Social and environmental factors, such as pollution and safety, also play a role.
Compared to non-Hispanic white people, underrepresented racial and ethnic groups sleep less and experience worse sleep continuity and satisfaction. Black adults have the poorest sleep health overall.
“It’s critically important to know that every individual has different sleep experiences, and these differences may contribute to other health inequities,” St-Onge said.”Including different components of sleep in discussions with patients provides essential details that can help health care professionals improve care.”
St-Onge advises individuals to discuss new sleep difficulties or excessive daytime sleepiness with their doctors for evaluation and potential treatment.
What’s next
The AHA calls for more research into the various dimensions of sleep health to help clinicians support patients in promoting healthy sleep.Further studies should include diverse populations and collaborative efforts across medical specialties to better understand the impact of sleep on physical and mental well-being.
