Do YOU know how often you slept under six hours a night in the last year? 2 years? 5? 10?
Did all these people keep detailed sleep diaries every single night?
This just raises too many questions. Meta-analysis is most useful when restricted to much smaller sample sizes where a greater amount of data can be obtained and analyzed.
-- Edit for More Info:
It seems that this paper is a meta-study of OTHER papers. And that 80% of the data used came from a single study by Daniel F. Kripke of UCSD.
The conclusions of Kripke study, which were meta-analysed, were notably different than Cappuccio's, namely:
"The best survival rates were found among those who slept 7 hours per night. The study showed that a group sleeping 8 hours were 12 percent more likely to die within the six-year period than those sleeping 7 hours, other factors being equal. Even those with as little as 5 hours sleep lived longer than participants with 8 hours or more per night."