From Working to Retirement-Age　― How Sleep Duration Is Related to Atrial Fibrillation Using 1-Week Holter-Electrocardiogram With Accelerometry ―

Tadashi Hoshiyama; Kenichi Tsujita; Yuko Inoue; Masanobu Ishii; Koichiro Kumagai; Takahisa Noma; Kenzaburo Nakajima; Yoshihiro Kokubo; Masatoshi Koga; Naoki Mochizuki; Hisao Ogawa; Kengo Kusano

doi:10.1253/circrep.CR-25-0310

This article has now been updated. Please use the final version.

From Working to Retirement-Age　― How Sleep Duration Is Related to Atrial Fibrillation Using 1-Week Holter-Electrocardiogram With Accelerometry ―

Tadashi Hoshiyama , Kenichi Tsujita, Yuko Inoue, Masanobu Ishii, Koichiro Kumagai, Takahisa Noma, Kenzaburo Nakajima, Yoshihiro Kokubo, Masatoshi Koga, Naoki Mochizuki, Hisao Ogawa, Kengo Kusano

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Keywords: Aging, Atrial fibrillation, Electrocardiography, Risk factors, Sleep

JOURNAL OPEN ACCESS FULL-TEXT HTML Advance online publication

Article ID: CR-25-0310

DOI https://doi.org/10.1253/circrep.CR-25-0310

The final version of this article is now available: Vol. 8 (2026), No. 4 pp. 677-679

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Abstract

Background: Age-specific differences in the association between sleep duration and atrial fibrillation (AF) remain uncertain.

Methods and Results: Using the estimated sleep duration derived from accelerometer data embedded in the Holter-electrocardiogram, association between sleep duration and AF was explored among individuals in their 50 s (working-age) and 70s (retirement-age). In the overall population, AF risk decreased with longer sleep, but the benefit diminished with excessively long sleep (P=0.03). Also, consistent risk reduction with increasing sleep was observed in the 50s age group (P=0.02), but not in the 70s.

Conclusions: Inadequate sleep may be associated with AF, particularly, among middle-aged individuals.

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