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Published on: June 13, 2025
Sleep and Cardiometabolic Health: Integration Into Internal Medicine Practice
Sofia Almeida1, Pedro M Neves1, Vital Da Silva Domingues1
1Internal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.
Cureus
|July 31, 2026
Summary
Poor sleep significantly increases cardiometabolic disease risk. Effective interventions like CBT-I and CPAP improve outcomes, highlighting sleep
Area of Science:
- Cardiology
- Endocrinology
- Sleep Medicine
Background:
- Sleep is a key factor in cardiometabolic health, impacting crucial bodily pathways.
- Sleep disorders elevate risks for hypertension, type 2 diabetes, and obesity.
Purpose of the Study:
- Review mechanisms linking sleep and cardiometabolic disease.
- Summarize recent clinical evidence and interventions for Internal Medicine.
- Highlight sleep as a modifiable risk factor.
Main Methods:
- Narrative review of literature from 2015-2025.
- Included observational studies, clinical trials, meta-analyses, and guidelines.
- Focused on relevance to Internal Medicine.
Main Results:
- High-risk sleep patterns correlate with a 30-60% higher risk of cardiovascular events.
- Cognitive Behavioral Therapy for Insomnia (CBT-I), CPAP, and sleep hygiene show clinical benefits.
- Systematic sleep evaluation and intervention are crucial.
Conclusions:
- Sleep is an underestimated determinant of cardiometabolic health.
- Targeted sleep interventions should be integrated into routine Internal Medicine care.
- Recognizing sleep as a modifiable risk factor enhances patient care.
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