Risk factors associated with short sleep duration among Chinese school-aged children

ObjectivesWe analysed association between short sleep duration and prevalence of cardiovascular disease (CVD) in a multiethnic population living in the Netherlands, and the contribution of short sleep to the observed ethnic differences in the prevalence of CVD, independent of CVD risk factors.Methods20 730 participants (aged 18–71 years) of the HELIUS (Healthy Life in an Urban Setting) Study were investigated. Self-reported sleep duration was classified as: short (<7 hours/night) and healthy (7–9 hours/night). Prevalence of CVD was assessed using the Rose Questionnaire on angina pectoris, intermittent claudication and possible myocardial infarction. Association of short sleep duration with prevalent CVD and the contribution of short sleep to the observed ethnic differences in the prevalence of CVD were analysed using adjusted prevalence ratio(s) (PRs) with 95% CI.ResultsResults indicate that short sleep was associated with CVD among all ethnic groups with PRs ranging from 1.41 (95% CI 1.21 to 1.65) in Moroccans to 1.62 (95% CI 1.20 to 2.18) in Dutch after adjustment for age, sex and conventional CVD risk factors. The independent contributions of short sleep (in percentage) to ethnic differences in CVD compared with Dutch were 10%, 15%, 15%, 5% and 5% in South-Asian Surinamese, African-Surinamese, Ghanaian, Turkish and Moroccan, respectively.ConclusionShort sleep contributed to ethnic differences in CVD independent of well-known CVD risk factors particularly in Surinamese and Ghanaian groups. Reducing sleep deprivation may be a relevant entry point for reducing increased CVD risks among the various ethnic minority groups.

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Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters

Frontiers in Endocrinology ◽

10.3389/fendo.2021.772848 ◽

2021 ◽

Vol 12 ◽

Author(s):

Juan Luis Romero Cabrera ◽

Mercedes Sotos-Prieto ◽

Antonio García Ríos ◽

Steven Moffatt ◽

Costas A. Christophi ◽

...

Keyword(s):

Risk Factors ◽

Sleep Quality ◽

Sleep Duration ◽

Body Fat ◽

Cardiometabolic Risk ◽

Cross Sectional Study ◽

Cardiometabolic Risk Factors ◽

Short Sleep Duration ◽

Cross Sectional ◽

Short Sleep

IntroductionCardiovascular disease is the leading cause of on-duty fatalities among U.S. firefighters. Research has demonstrated that many modifiable risk factors are contributors to the high prevalence of cardiometabolic risk factors. The current study aimed to assess whether sleep is associated with cardiometabolic risk factors among Indianapolis firefighters. The findings could support improving sleep hygiene in this population.Material and MethodsThis cross-sectional study was conducted from the baseline data of eligible firefighters enrolled in “Feeding America’s Bravest”, a Mediterranean diet lifestyle intervention within the Indiana Fire Departments. Participants’ sleep quality was categorized as “good” (≤ 8 points) or “bad” (>8 points) by a sleep quality questionnaire based on some questions from Pittsburgh Sleep Quality Index. In addition, firefighters’ sleep duration was stratified based on the number of hours slept per night (≤6 as “short sleep” or >6 hours as normal). Linear and logistic regression models were used to examine the association of sleep with cardiometabolic risk factors.ResultsA total of 258 firefighters were included. Bad sleepers had higher weight, greater waist circumference, higher body mass index (BMI), and increased body fat (all p<0.01) compared to good sleepers. Similarly, participants with short sleep duration were heavier (p<0.02), had greater BMI (p<0.02) and increased body fat (p<0.04) compared with participants with normal sleep duration. Both bad and short sleepers had a higher prevalence of hypertension and obesity (p <0.05).ConclusionsOur study supports that both sleep quality and quantity are associated with cardiometabolic risk among firefighters.

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Modeling Sleep and Adiposity-Associated Cardiometabolic Disease Risk Factors: Protocol for the SLUMBRx Study (Preprint)

10.2196/preprints.27139 ◽

2021 ◽

Author(s):

Adam Knowlden ◽

John Higginbotham ◽

Michael Grandner ◽

John Allegrante

Keyword(s):

Risk Factors ◽

Sleep Duration ◽

Disease Risk ◽

Cardiometabolic Disease ◽

Health Issues ◽

Short Sleep Duration ◽

Short Sleep ◽

Adiposity Indices ◽

The Relationship ◽

Cardiometabolic Disease Risk

BACKGROUND Obesity and short sleep duration are significant public health issues. Current evidence suggests these conditions are associated with cardiovascular disease, metabolic syndrome, inflammation, and premature mortality. Increased interest in the potential link between obesity and short sleep duration, and its health consequences, has been driven by: 1) the apparent parallel increase in prevalence of both conditions in recent decades; 2) their overlapping association with cardiometabolic outcomes; and 3) the potential causal connection between the two health issues. The Short Sleep Undermines Cardiometabolic Health (SLUMBRx) Study seeks to contribute to the development of a comprehensive adiposity-sleep model, while laying the groundwork for a future program of research that will be designed to prevent and treat adiposity and sleep-related cardiometabolic disease risk factors. OBJECTIVE SLUMBRx addresses four topics pertinent to the adiposity-sleep hypothesis: 1) the relationship between adiposity and sleep duration; 2) sex-based differences in the relationship between adiposity and sleep duration; 3) influence of adiposity indices and sleep duration on cardiometabolic outcomes; and 4) the role of socioecological factors as effect modifiers in the relationship between adiposity indices, sleep, and cardiometabolic outcomes. METHODS SLUMBRx will employ a large-scale survey (n=1,000) that recruits 159 participants (53 normal weight, 53 overweight, and 53 obese) to be assessed in two phases. RESULTS Phase 1, a lab-based study, will gather objective adiposity indices (air displacement plethysmography and anthropometrics) and cardiometabolic data (blood pressure, pulse wave velocity and pulse wave analysis, and blood-based biomarker). Phase 2, a one-week, home-based study, will gather sleep-related data (home sleep testing/sleep apnea, actigraphy, sleep diaries). During Phase 2, detailed demographic and socioecological data will be collected to contextualize hypothesized adiposity and sleep-associated cardiometabolic disease risk factors. Collection and analyses of these data will yield information necessary to customize future observational and intervention research. CONCLUSIONS Precise implementation of the SLUMBRx protocol promises to provide objective, empirical data on the interaction between body composition and sleep duration. The hypotheses that will be tested by SLUMBRx are important for understanding the pathogenesis of cardiometabolic disease and for developing future public health interventions to prevent its conception and treat its consequences. CLINICALTRIAL https://projectreporter.nih.gov/project_info_description.cfm?aid=9822114&icde=45818775

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Association of short sleep duration with cardiometabolic risk factors in a population of rural Nigerian women: A cross-sectional study

International Journal of Medicine and Health Development ◽

10.4103/ijmh.ijmh_17_20 ◽

2020 ◽

Vol 25 (2) ◽

pp. 120

Author(s):

EkenechukwuE Young ◽

ChidimmaB Nwatu ◽

BelonwuM Onyenekwe ◽

ChiomaH Ezike ◽

EjioforT Ugwu ◽

...

Keyword(s):

Risk Factors ◽

Sleep Duration ◽

Cardiometabolic Risk ◽

Cross Sectional Study ◽

Cardiometabolic Risk Factors ◽

Sectional Study ◽

Short Sleep Duration ◽

Cross Sectional ◽

Nigerian Women ◽

Short Sleep

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Short Sleep Duration Is Related to Emerging Cardiovascular Risk Factors in Obese Children

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/mpg.0000000000000868 ◽

2015 ◽

Vol 61 (5) ◽

pp. 571-576 ◽

Cited By ~ 26

Author(s):

María Navarro-Solera ◽

Joaquín Carrasco-Luna ◽

Gonzalo Pin-Arboledas ◽

Rebeca González-Carrascosa ◽

José M. Soriano ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Sleep Duration ◽

Obese Children ◽

Short Sleep Duration ◽

Short Sleep

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Factors associated with habitual sleep duration in US adults with hypertension: a cross-sectional study of the 2015–2018 National Health and Nutrition Examination Survey

BMC Public Health ◽

10.1186/s12889-021-12465-2 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Everlyne G. Ogugu ◽

Sheryl L. Catz ◽

Janice F. Bell ◽

Christiana Drake ◽

Julie T. Bidwell ◽

...

Keyword(s):

Depressive Symptoms ◽

Sleep Duration ◽

Female Gender ◽

Nutrition Examination Survey ◽

Short Sleep Duration ◽

Short Sleep ◽

Factors Associated ◽

Health And Nutrition ◽

Long Sleep ◽

Race Ethnicity

Abstract Background The relationship between inadequate sleep duration and hypertension risk has been established in the general population, but there is a gap in the literature on predictors of habitual sleep duration in adults with hypertension. This study examined factors associated with habitual sleep duration among adults with hypertension in the United States (US). Methods Data of 5660 adults with hypertension were obtained by combining the 2015–2018 cycles of the National Health and Nutrition Examination Survey (NHANES). Survey weighted multinomial logistic regression models were fit to examine factors associated with short (< 7 h) and long (> 9 h) sleep duration with adequate sleep duration (7–9 h) as the reference. Results The prevalence of self-reported adequate sleep duration was 65.7%, while short sleep duration was 23.6%, and long sleep duration 10.7%. Short sleep duration (compared to adequate sleep duration) was positively associated with history of seeking help for sleeping difficulties (relative risk ratio [RRR], 1.25; 95% confidence interval [CI], 1.02–1.53), Non-Hispanic Black race/ethnicity (RRR, 2.08; 95% CI, 1.61–2.67), working ≥45 h/week (RRR, 1.81; 95% CI, 1.32–2.48), and negatively associated with older age ≥ 65 years (RRR, 0.63; 95% CI, 0.45–0.91) and female gender (RRR, 0.70; 95% CI, 0.56–0.88). Long sleep duration was positively associated with female gender (RRR, 1.24; 95% CI, 1.001–1.54), chronic kidney disease (RRR, 1.48; 95% CI, 1.14–1.92), moderate depressive symptoms (RRR, 1.62; 95% CI, 1.08–2.44), moderately severe to severe depressive symptoms (RRR, 1.89; 95% CI, 1.05–3.43), being in retirement (RRR, 3.46; 95% CI, 2.18–5.49), and not working due to health reasons (RRR, 4.87; 95% CI, 2.89–8.22) or other reasons (RRR, 3.29; 95% CI, 1.84–5.88). Conclusion This population-based study identified factors independently associated with habitual sleep duration in adults with hypertension. These included help-seeking for sleeping difficulty, gender, age, chronic kidney disease, depressive symptoms, race/ethnicity, and employment status. These findings can help in the development of tailored approaches for promoting adequate sleep duration in adults with hypertension.

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