Age- and body weight-dependent association between sleep duration and hypertension in US adults: findings from the 2014-2017 National Health Interview Survey

Okunowo, Oluwatimilehin; Orimoloye, Helen T; Bakre, Sulaimon; Njesada, Ndolembai; Solomon, Ambe

doi:10.1016/j.sleh.2019.05.003

Cited by 20 publications

(18 citation statements)

References 35 publications

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“…By contrast, we identified two trajectory groups of persistent sleep duration shorter than 7 h, which together constituted 21.5% of the study population. This is consistent with the increasing trend of chronic sleep deprivation in the U.S. across different racial/ethnic populations (1,33). Further, we identified two groups characterized by changes in sleep duration, each representing about 6% of the study sample.…”

Section: Discussionsupporting

confidence: 86%

Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women

Baden

Vetter

et al. 2020

Diabetes Care

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To identify sleep duration trajectories from early to middle adulthood and their associations with incident type 2 diabetes. RESEARCH DESIGN AND METHODSUsing a group-based modeling approach, we identified sleep duration trajectories based on sleep duration in ages 20-25, 26-35, 36-45, and 461 years, which were retrospectively assessed in 2009 among 60,068 women from the Nurses' Health Study II (median age 54.9 years) who were free of diabetes, cardiovascular disease, and cancer. We investigated the prospective associations between sleep duration trajectories and diabetes risk (2009-2017) using multivariable Cox proportional hazards models. RESULTSWe documented 1,797 incident diabetes cases over a median follow-up of 7.8 years (442,437 person-years). Six sleep duration trajectories were identified: persistent 5-, 6-, 7-, or 8-h sleep duration and increased or decreased sleep duration. After multivariable adjustment for diabetes risk factors, compared with the persistent 7-h sleep duration group, the hazard ratio was 1.43 (95% CI 1.10, 1.84) for the 5-h group, 1.17 (1.04, 1.33) for the 6-h group, 0.96 (0.84, 1.10) for the 8-h group, 1.33 (1.09, 1.61) for the increased sleep duration group, and 1.32 (1.10, 1.59) for the decreased sleep duration group. Additional adjustment for time-updated comorbidities and BMI attenuated these associations, although a significantly higher risk remained in the decreased sleep duration group (1.24 [1.03, 1.50]). CONCLUSIONSPersistent short sleep duration or changes in sleep duration from early to middle adulthood were associated with higher risk of type 2 diabetes in later life. These associations were weaker after obesity and metabolic comorbidities were accounted for.Chronic sleep loss is common in the "24/7" society, with 32% of the U.S. adult population reporting ,7 h of sleep in a 24-h period (1). As sleep plays a central role in the regulation of metabolism, energy balance, and the general rejuvenation of various biologic systems (2,3), the importance of sleep duration for health has attracted considerable research interest. Numerous epidemiologic studies have documented that both short and long sleep duration are associated with the risk of type 2 diabetes (4-7). A recent review suggested that the diabetes risk associated with sleep duration is comparable with that of traditional risk factors, such as obesity or physical inactivity

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Section: Discussionsupporting

confidence: 86%

Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women

Baden

Vetter

et al. 2020

Diabetes Care

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“…However, the rapid development of human society and changes in lifestyle have led to a decrease in average sleep duration and sleep quality (Zheng, Chen & Chen, 2014). In line with the National Health Interview Survey, short sleep duration is associated with an increased risk of hypertension among American adults, and this relationship is dependent on age and BMI (Oluwatimilehin et al, 2019). Wu et al (2019) conducted a recent survey on hypertension in daytime and nighttime.…”

Section: Introductionmentioning

confidence: 97%

Association of sleep duration and sleep quality with hypertension in oil workers in Xinjiang

Yang

Zhang

Qiu

et al. 2021

PeerJ

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Objective The aim of this study is to explore sleep status and hypertension among oil workers in Xinjiang, China. It may provide new ideas and basis for the precise prevention and treatment of hypertension in occupational population. Methods Sleep status and hypertension were investigated in 3,040 workers by a multi-stage cluster sampling method in six oil field bases in Karamay City, Xinjiang. The Pittsburgh Sleep Quality Index was used to evaluate the sleep status of workers. Logistic regression was used to analyze the relationship between sleep duration and sleep quality, and hypertension. Stratified analysis was also performed. Results Our results show: 1. Insufficient sleep duration (OR = 1.51, 95% CI [1.19–1.90]) and poor sleep quality (OR = 1.78, 95% CI [1.33–2.38] were positively associated with hypertension. 2. Stratified analysis indicated insufficient sleep duration was associated with increased risk of hypertension in females (OR = 1.54, 95% CI [1.16–2.04]) than males (OR = 1.49, 95% CI [1.00–2.23]), and the risk of hypertension in the group <30 years old (OR = 9.03, 95% CI [2.32–35.15]) was higher than that in the group of 30–45 years old (OR = 1.59, 95% CI [1.14–2.20]). However, in the group > 45 years old, sleeping > 8 h was associated with increased risk of hypertension (OR = 3.36, 95% CI [1.42–7.91]). Oil workers doing shift work had a higher risk of hypertension (OR = 1.55, 95% CI [1.16–2.07]) to no shift work (OR = 1.48, 95% CI [1.02–2.15]). The risk of hypertension in the group with < 10 years of service (OR = 4.08, 95% CI [1.92–8.83]) was higher than that in the group with length of service of 10–20 years (OR = 2.79, 95% CI [1.59–4.86]). Poor sleep quality was associated with risk for hypertension in females (OR = 1.78, 95% CI [1.26–2.49]), those doing shift work (OR = 1.70, 95% CI [1.17–2.47]), those with length of service of > 20 years (OR = 1.64, 95% CI [1.18–2.27]). The risk of hypertension in the group 30–45 years old is higher than that in the group > 45 years old (OR 30–45 years old = 1.71, 95% CI [1.10–2.66]; OR > 45 years old = 1.60, 95% CI [1.09–2.34]). Conclusion Insufficient sleep duration and poor sleep quality are the potential factors affecting hypertension in Xinjiang oil workers.

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“…These ndings are supported by experimental studies, which have demonstrated a link between sleep restriction and elevation of BP [15][16][17][18] . Other ndings indicate that the strength of the relationship between short sleep and hypertension risk decreases with age 9,11,19 , and is stronger in women than men 9,20 .…”

Section: Introductionmentioning

confidence: 96%

“…However, several observational studies have also found a link between insu cient sleep and the risk of hypertension [8][9][10][11][12][13][14] . These ndings are supported by experimental studies, which have demonstrated a link between sleep restriction and elevation of BP [15][16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

The Association Between Habitual Sleep Duration and Hypertension Control in the United States (US) Adults With Hypertension

Ogugu¹,

Catz²,

Bell³

et al. 2021

Preprint

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Although sleep duration has been identified as a significant factor in risk for hypertension, there is limited data on the relationship between sleep duration and hypertension control. This study examined the association between habitual sleep duration and hypertension control in United States of America (USA) adults with hypertension. A total of 5,163 adults from the National Health and Nutrition Examination Survey (2015 – 2018) were analyzed. Survey-weighted multivariable logistic regression models were fit to examine the association between habitual sleep duration (coded as <6, 6 - <7, 7 – 9 (reference), and >9 hours) and hypertension control (BP <130/80mmHg versus ≥130/80mmHg), adjusted for sociodemographic, sleep and health characteristics. In the fully adjusted model, habitual sleep duration of <6 hours/main sleep period was associated with reduced odds of hypertension control (OR = 0.66, 95% CI: 0.46 – 0.95, P = 0.027) when compared to 7 – 9 hours. No significant differences were noted in hypertension control between the reference group (7 - 9 hours) and the 6 - <7 or >9 hours groups. These findings suggest that measures to support adequate habitual sleep duration may help improve hypertension control in adults who habitually sleep for <6 hours/day.

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Age- and body weight-dependent association between sleep duration and hypertension in US adults: findings from the 2014-2017 National Health Interview Survey

Cited by 20 publications

References 35 publications

Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women

Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women

Association of sleep duration and sleep quality with hypertension in oil workers in Xinjiang

The Association Between Habitual Sleep Duration and Hypertension Control in the United States (US) Adults With Hypertension

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