Association of Sleep Duration Ratio with a Reduced Risk of Heart Failure: Analysis of the 2017–2023 National Health and Nutrition Examination Survey
4
Issued Date
2026-07-01
Resource Type
eISSN
20770383
Scopus ID
2-s2.0-105044622385
Journal Title
Journal of Clinical Medicine
Volume
15
Issue
13
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Clinical Medicine Vol.15 No.13 (2026)
Suggested Citation
Kulthamrongsri N., Suenghataiporn T., Sripusanapan A., Siramongkholkarn S., Srikulmontri T., Puchongmart C., Yinadsawaphan T., Thiravetyan B., Ngarmukos K., Lorlowhakarn K., Tangprasittichok N., Nuqali A., Tantisattamo E. Association of Sleep Duration Ratio with a Reduced Risk of Heart Failure: Analysis of the 2017–2023 National Health and Nutrition Examination Survey. Journal of Clinical Medicine Vol.15 No.13 (2026). doi:10.3390/jcm15135047 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/118073
Title
Association of Sleep Duration Ratio with a Reduced Risk of Heart Failure: Analysis of the 2017–2023 National Health and Nutrition Examination Survey
Author's Affiliation
University of California, Irvine
University of Hawaiʻi at Mānoa
Mahidol University
Mayo Clinic Scottsdale-Phoenix, Arizona
TTUHSC School of Medicine
UCI Medical Center
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Albert Einstein Medical Center
Oakland University William Beaumont School of Medicine
Boston Medical Center - Brighton Bost
Queen's Medical Center Hawaii
Griffin Hospital Derby
Pacific Northwest University of Health Sciences
University of Hawaiʻi at Mānoa
Mahidol University
Mayo Clinic Scottsdale-Phoenix, Arizona
TTUHSC School of Medicine
UCI Medical Center
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Albert Einstein Medical Center
Oakland University William Beaumont School of Medicine
Boston Medical Center - Brighton Bost
Queen's Medical Center Hawaii
Griffin Hospital Derby
Pacific Northwest University of Health Sciences
Corresponding Author(s)
Other Contributor(s)
Abstract
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) 2017–2023 to examine self-reported sleep patterns. Participants were classified as WSR (SDR > 1) or non-WSR (SDR ≤ 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 0.55–0.96; 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.