The Relationship between Insufficient Sleep and Self-Rated Health in a Nationally Representative Sample

Reduced sleep has been found to be associated with increased risk of diabetes mellitus, hypertension, cardiovascular disease (CVD), and mortality. Self-rated health (SRH) has been shown to be a predictor of CVD and mortality. However, study of the association between insufficient sleep and SRH is limited. We examined participants >18 years of age (n=377, 160) from a representative, cross-sectional survey (2008 BRFSS). Self-reported insufficient sleep in the previous 30 days was categorized into six groups. The outcome was poor SRH. We calculated odds ratios ((OR) (95% confidence interval (CI)) of increasing categories of insufficient rest/sleep, taking zero days of insufficient sleep as the referent category. We found a positive association between increasing categories of insufficient sleep and poor SRH, independent of relevant covariates. In the multivariable-adjusted model, compared to 0 days insufficient sleep, the OR (95% CI) of poor SRH was 1.03 (0.97–1.10) for 1–6 days, 1.45 (1.34–1.57) for 7–13 days, 2.12 (1.97–2.27) for 14–20 days, 2.32 (2.09–2.58) for 21–29 days, and and 2.71 (2.53–2.90) for 30 days of insufficient sleep in the prior 30 days (P-trend <0.0001). In a nationally representative sample, increasing categories of insufficient sleep were associated with poor SRH.

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Risks of Major Mental Disorders and Irritable Bowel Syndrome among the Offspring of Parents with Irritable Bowel Syndrome: A Nationwide Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094679 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4679

Author(s):

Ta-Chuan Yeh ◽

Ya-Mei Bai ◽

Shih-Jen Tsai ◽

Tzeng-Ji Chen ◽

Chih-Sung Liang ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Mental Disorders ◽

Autism Spectrum ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Early Implementation ◽

Increased Risk ◽

Nationally Representative ◽

Irritable Bowel

Irritable bowel syndrome (IBS) is a functional bowel disorder that is highly comorbid with mental disorders. However, few studies have examined the risk of attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), bipolar disorder, major depressive disorder (MDD), and schizophrenia in the offspring of parents with IBS. We used nationally representative cross-sectional survey data to analyze cross-generational transmission patterns of both IBS and major mental disorders. Odds ratio (OR) was calculated by using logistic regression models with adjustment for potential confounding factors. Offspring of parents with IBS were more likely to develop IBS themselves (OR = 2.41, 95% confidence interval (CI), 2.09–2.78), ADHD (OR = 1.33, 95% CI, 1.08–1.62), and MDD (OR = 1.32, 95% CI, 1.04–1.68) than the controls. Data stratification by parental sex revealed that paternal IBS increased risk of ADHD (OR = 1.34, 95% CI, 1.01–1.77) in the offspring, while maternal IBS increased the risk of MDD (OR = 1.51, 95% CI, 1.11–2.06). This is the first study to reveal parental IBS is associated with IBS, ADHD, and MDD among offspring, suggesting the necessity for early implementation of prevention strategies for at-risk children.

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Religiosity and self-rated health among older adults in Colombia

Colombia Medica ◽

10.25100/cm.v50i2.4012 ◽

2019 ◽

pp. 67-76

Author(s):

Carlos A Reyes Ortiz ◽

Claudia Payan ◽

Geraldine Altamar ◽

Jose F Gomez Montes ◽

Harold G Koenig

Keyword(s):

Older Adults ◽

Rural Areas ◽

Community Dwelling ◽

Cross Sectional Survey ◽

Significant Interaction Effect ◽

Cross Sectional ◽

Self Rated Health ◽

Urban And Rural Areas ◽

Fair Poor ◽

The Relationship

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

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Evaluating the Relationship Between Adolescent Fatherhood and Routine Health Care in a Nationally Representative Sample: A Descriptive, Cross-Sectional Study

Journal of Pediatric Health Care ◽

10.1016/j.pedhc.2020.09.003 ◽

2020 ◽

Author(s):

Alicia Boykin ◽

Kelley Jones ◽

Elizabeth Miller

Keyword(s):

Health Care ◽

Representative Sample ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Nationally Representative ◽

The Relationship ◽

Adolescent Fatherhood

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Debunking the High Cost of Healthy Diets: Consumer Behavior Predicts Dietary Energy Density in a Nationally Representative Sample of US Adults

American Journal of Health Promotion ◽

10.1177/0890117120970123 ◽

2020 ◽

pp. 089011712097012

Author(s):

Jacqueline A. Vernarelli ◽

Rebecca DiSarro

Keyword(s):

Consumer Behavior ◽

Energy Density ◽

Representative Sample ◽

Grocery Stores ◽

Dietary Habit ◽

Dietary Energy ◽

Cross Sectional ◽

Nationally Representative ◽

Dietary Energy Density ◽

The Relationship

Purpose: Dietary energy density (ED; kcal/g) is an established marker for diet quality and a risk factor for obesity. Previous studies have suggested that low-ED diets cost more than high-ED diets, adding an economic contribution to the obesity epidemic. This study evaluated the relationship between consumer behavior (money spent on food) and dietary energy density in a nationally representative sample of US adults. Design, Setting and Subjects: Data from 10,622 adult participants in the 2013-2016 NHANES were used for this study. The NHANES is a large cross-sectional survey conducted by the CDC and NCHS. Measures: Consumer behavior was evaluated by examining total dollars spent on food, as well as dollars spent at various categories of food stores & restaurants. Dietary ED was calculated using multiple methods. Analysis: Multivariate regression models were then used to evaluate the relationship between consumer behavior, defined as money spent in four categories (groceries, take-out, dining out, other food purchases) and dietary energy density. Results: Low-ED diets did not cost more than high-ED diets overall, though low-ED diets contained more servings of fruits (1.6 vs 0.4), vegetables (2.2 vs 0.9) and fiber (21 vs 13g), and fewer added sugars (15 vs. 18 tsp), solid fats (28 vs 39g), all p’s < 0.01. Differences in spending patterns were identified. A positive linear trend between money spent on fast food/takeout and dietary energy density (p < 0.001) was observed. Additionally, individuals in the lowest quartile of ED spent more at grocery stores per person than individuals in the highest quartile of ED ($182 vs. $150 p = 0.04). Conclusion: Spending pattern and consumer choices are associated with dietary ED in this cross-sectional analysis of a nationally representative population sample. Identifying eating behaviors associated with diets high in energy density may inform future investigations that intervene on dietary habit for promotion of healthy eating and prevention of weight gain.

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Personality Factors and Sick Leave Days. Evidence from a Nationally Representative Longitudinal Study in Germany.

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17031089 ◽

2020 ◽

Vol 17 (3) ◽

pp. 1089

Author(s):

Yulia I. Raynik ◽

Hans-Helmut König ◽

André Hajek

Keyword(s):

Sick Leave ◽

Representative Sample ◽

Fixed Effects ◽

Personality Factors ◽

Cross Sectional ◽

Private Households ◽

Longitudinal Association ◽

Nationally Representative ◽

Underlying Mechanisms ◽

The Relationship

Background: The question of whether employees’ sickness absence from the workplace depends on personality has been researched. Existing evidence mostly stems from cross-sectional studies, mainly showing that personality factors were not associated with the number of sick leave days, except for neuroticism, which was positively associated with sick leave days. Based on the above, it remains an under researched question whether intraindividual changes in personality factors are associated with changes in sick leave days. Thus, based on a nationally representative sample, the current study aimed to investigate the relationship between personality factors and sick leave days longitudinally based on a nationally representative sample of individuals in Germany. Methods: The present study used data from the German Socio-Economic Panel (GSOEP), a longitudinal survey of private households in Germany. Information from the years 2005, 2009, 2013 were used. The Big Five Inventory-GSOEP (BFI-S) was used to measure personality. Sick leave days in the preceding year were recorded. Poisson fixed effects regressions were used. Results: Adjusting for potential confounders, regressions showed that increases in neuroticism were associated with increased sick leave days. The longitudinal association between extraversion and sick leave days was marginally significant (p < 0.10). Other personality factors were not significantly associated with sick leave days. In addition, sick leave days increased with worsening self-rated health, presence of severe disability and increasing age. Conclusions: The findings of the current study highlight the association between neuroticism and sick leave days longitudinally. Further research is required to elucidate the underlying mechanisms.

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Exposure to Famine During Early Life and Abdominal Obesity in Adulthood: Findings from the Great Chinese Famine During 1959–1961

Nutrients ◽

10.3390/nu11040903 ◽

2019 ◽

Vol 11 (4) ◽

pp. 903 ◽

Cited By ~ 5

Author(s):

Dan Liu ◽

Dong-mei Yu ◽

Li-yun Zhao ◽

Hong-yun Fang ◽

Jian Zhang ◽

...

Keyword(s):

Abdominal Obesity ◽

Urban Areas ◽

Early Life ◽

Healthy Lifestyle ◽

Positive Association ◽

Fetal Life ◽

Cross Sectional ◽

Famine Exposure ◽

Nationally Representative ◽

The Relationship

Undernutrition during early life may lead to obesity in adulthood. This study was conducted to examine the relationship between famine exposure during early life and the risk of abdominal obesity in adulthood. A total of 18,984 and 16,594 adults were surveyed in 2002 and 2010–2012 in two nationally representative cross-sectional surveys, namely China Nutrition and Health Survey, respectively. The risk of abdominal obesity was evaluated for participants born during 1956–1961 and compared with that of participants born during 1962–1964. The overall prevalence of abdominal obesity in adulthood showed a positive association with famine exposure during early life. The odds ratios of famine exposure were 1.31 (1.19–1.44) and 1.28 (1.17–1.40) in 2002 during fetal life and infancy and 1.09 (1.00–1.19) in 2012 during fetal life, respectively. The relationships between famine exposure and abdominal obesity across the famine exposure groups were distinct among females and those who lived in urban areas and were physical inactive (p < 0.05). Exposure to famine during early life was associated with increased risks of abdominal obesity in adulthood, which was partially alleviated by healthy lifestyle factors (e.g., physical activity).

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The association of sleep duration and metabolic syndrome in the Bandare-Kong cohort study, a cross-sectional survey (finding from PERSIAN cohort study)

Diabetology & Metabolic Syndrome ◽

10.1186/s13098-021-00737-1 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Shideh Rafati ◽

Maryam Isheh ◽

Abnoos Azarbad ◽

Farhad Ghadiri Soufi ◽

Arash Rahimi ◽

...

Keyword(s):

Metabolic Syndrome ◽

Cohort Study ◽

Sleep Duration ◽

Severity Score ◽

Additive Models ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Cross Sectional ◽

Increased Risk ◽

The Relationship

Abstract Background A variety of health problems, such as metabolic syndrome (MetS), have been linked to sleep disorders. While numerous epidemiological studies have shown a U-shaped relationship between sleep duration and poor health outcomes, the results were limited and inconsistent. This study was designed to evaluate the relationship between sleep duration and MetS. Methods This population-based study was conducted on the participants aged 35–70 of Bandare-Kong Non-Communicable Diseases (BKNCD) Cohort Study, a part of Prospective Epidemiological Research Studies in IrAN (PERSIAN). MetS was diagnosed according to the National Cholesterol Education Program (NCEP) criteria and the Iranian-specific cut-off for waist circumference (≥ 95 cm). Sleep information was extracted through a standard questionnaire based on self-reported information. Data were analyzed by R software using generalized additive models (GAMs). A statistically significant level was considered as P < 0.05. Results A total of 3695 participants were included in the analyses. The mean age was 48.05 years (SD 9.36), and 2067 (55.9%) were female. The estimated Prevalence of MetS was 35.9%, and women appeared to be more likely to have MetS than men (P < 0.001). There was a non-linear and linear association between sleep duration and the risk of MetS in women and men, respectively. The lowest risk was observed among those with 7–7.5 h of sleep duration per night. Conclusion Long sleep duration was associated with increased risk of MetS and higher MetS severity score in both genders, while the short sleep duration increased the risk of Mets as well as MetS severity score just in women. The longitudinal studies would be suggested to assess the relationship between sleep quality and quantity components and MetS.

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Distance to Green Space and Physical Activity: A Danish National Representative Survey

Journal of Physical Activity and Health ◽

10.1123/jpah.8.6.741 ◽

2011 ◽

Vol 8 (6) ◽

pp. 741-749 ◽

Cited By ~ 74

Author(s):

Mette Toftager ◽

Ola Ekholm ◽

Jasper Schipperijn ◽

Ulrika Stigsdotter ◽

Peter Bentsen ◽

...

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Green Space ◽

Vigorous Physical Activity ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Interview Survey ◽

Nationally Representative ◽

The Relationship ◽

National Representative Survey

Background:This study examines the relationship between distance to green space and the level of physical activity among the population of Denmark. In addition, the relationship between distance to green space and obesity is investigated.Methods:Data derived from the Danish National Health Interview Survey 2005, a cross-sectional survey based on a region-stratified random nationally representative sample of 21,832 Danish adults. All data are self-reported.Results:Respondents living more than 1 km from green space had lower odds of using green space to exercise and keep in shape compared with persons living closer than 300 m to green space (OR: 0.71; 95% CI: 0.60−0.83). A relationship between moderate/vigorous physical activity during leisure time and distance to green space can also be found. Persons living more than 1 km from green space had higher odds of being obese (BMI ≥ 30) than those living less than 300 m from green space (OR: 1.36; 95% CI: 1.08−1.71).Conclusions:Self-reported distance to green space is related to self-reported physical activity and obesity. To exercise and keep in shape is an important reason for visiting green space, and distance to green space is associated with moderate/vigorous physical activity in leisure time.

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Relative Income and Life Satisfaction among Chinese Adults

Sustainability ◽

10.3390/su11205651 ◽

2019 ◽

Vol 11 (20) ◽

pp. 5651 ◽

Cited By ~ 1

Author(s):

Chenghua Guan ◽

Yingjie Qiu ◽

Ruopeng An

Keyword(s):

Life Satisfaction ◽

Relative Income ◽

Well Being ◽

Subjective Well Being ◽

Chinese Adults ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Individual Level ◽

Self Rated Health ◽

The Relationship

Life satisfaction is a key component of people’s subjective well-being. This study assessed the relationship between relative income and life satisfaction among Chinese adults, using data from a cross-sectional survey. Individual-level data (N = 1369) came from the 2016 China Genuine Progress indicator Survey (CGPiS) conducted in Beijing and Chengdu, China. Ordered logistic regressions were performed to examine the relationship between relative income and life satisfaction among CGPiS adult respondents. Respondents’ life satisfaction was positively associated with relative income in comparison to their relatives and friends but not associated with relative income in comparison to their residing community and city. Subgroup analyses replicated the findings among male respondents and respondents with good or excellent self-rated health. In contrast, female respondents’ life satisfaction was positively associated with relative income in comparison to their city of residence, but not associated with relative income in comparison to their relatives, friends, and residing community. Life satisfaction among those with poor or fair self-rated health was not associated with any of the four dimensions of relative income. Relative income in comparison to relatives and friends was positively associated with life satisfaction in Chinese adults. Future studies adopting a longitudinal or experimental design are warranted to replicate the findings.

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