ArticleHuman genomics2025
Sleep patterns, genetic factors and the risk of cirrhosis: a prospective cohort study.
Article in Human genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRecent studies have shown that unhealthy sleep behaviors are associated with chronic liver disease. However, the association of sleep patterns and genetic susceptibility with the incidence of cirrhosis remains inadequately elucidated.
methodsThis study included 364,308 participants initially free of liver cirrhosis from the UK Biobank. Sleep patterns were derived based on five self-reported sleep behaviors, including sleep duration, chronotypes, insomnia, snoring, and daytime sleepiness. Additionally, a polygenic risk score for cirrhosis was constructed for each participant. Cox regression models were utilized to estimate the hazard ratio (HR) and 95% confidence interval (CI) of cirrhosis associated with sleep patterns and polygenic risk score.
resultsDuring a median follow-up of 12.6 years, we recorded 1,814 cirrhosis events. Compared with healthy sleep patterns, the HRs (95% CI) for moderate and poor sleep patterns were 1.27 (95% CI: 1.14-1.42) and 1.73 (95% CI: 1.45-2.08), respectively. A joint effect of sleep and genetic factors on cirrhosis risk was observed, with HR reaching 3.50 (95% CI: 2.42-5.06) with poor sleep patterns and high genetic risk compared with those with healthy sleep patterns and low genetic risk. In addition, the high genetic risk for participants, poor sleep patterns of standardized decade liver cirrhosis were 0.49%, as opposed to 0.30% for those with healthy sleep patterns. The same trend was witnessed in individuals at low genetic risk.
conclusionsOur results show that the healthy sleep patterns are associated with a lower risk of incident liver cirrhosis, especially in individuals with high genetic susceptibility.
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