Evidence map›Paper›PMID 42387174›Full record

ArticleJournal of internal medicine2026

Social jet lag is associated with incident cardiovascular disease independent of sleep duration and cardiac genetic risk.

Neeraj Kumar, Sairam Krishnamurthy

Abstract read
In one paragraph

Article in Journal of internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Neeraj KumarDepartment of Pharmaceutical Engineering & Technology, Indian Institute of Technology (Banaras Hindu University), Varanasi, Uttar Pradesh, India.ORCID https://orcid.org/0009-0003-5032-2622
Sairam KrishnamurthyDepartment of Pharmaceutical Engineering & Technology, Indian Institute of Technology (Banaras Hindu University), Varanasi, Uttar Pradesh, India.ORCID https://orcid.org/0000-0003-4159-2463

Funding

University Grants Commission (UGC), New Delhi, India F.82-44/2020(SA-III)
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) remains the leading cause of mortality worldwide, yet many events occur in individuals not fully explained by traditional clinical and lifestyle factors. Social jet lag reflects misalignment between biological timing and socially imposed sleep schedules and may represent an overlooked behavioral circadian cardiovascular risk factor.

objectiveTo determine whether accelerometer-derived social jet lag is independently associated with incident CVD beyond established clinical factors, sleep-related characteristics, and cardiac genetic risk.

methodsSleep timing was assessed using wrist accelerometry in 51,562 UK Biobank participants. Social jet lag was defined as the absolute difference between weekday and weekend mid-sleep timing. Participants were prospectively followed for incident CVD, including myocardial infarction, ischemic heart disease, heart failure, stroke, and atrial fibrillation (3853 events).

resultsHigher social jet lag was associated with increased CVD incidence after multivariable adjustment. Each standard deviation increase in social jet lag increased composite CVD risk (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.02-1.09, p = 0.0015). Individuals with ≥2 h of social jet lag had greater CVD risk (HR 1.30, 95% CI 1.11-1.54, p = 0.0014). Associations were strongest for myocardial infarction, ischemic heart disease, and heart failure. Severe social jet lag remained associated with CVD even among individuals with normal sleep duration, whereas sleep duration itself was not independently associated with risk. Social jet lag also remained independently associated with CVD after accounting for cardiac genetic risk.

conclusionSocial jet lag was associated with incident CVD independent of sleep duration and cardiac genetic susceptibility, supporting a role for circadian misalignment in cardiovascular pathophysiology.

Indexed as

Cardiovascular DiseasesJet Lag SyndromeAdultAgedCircadian RhythmFemaleGenetic Predisposition to DiseaseHeart Disease Risk FactorsHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsSleepSleep Durationaccelerometrycardiovascular diseasescircadian misalignmentsleep irregularitysocial jet lag

Identifiers

PMID42387174
PMCPMC13429008

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.