Sleep Health and Predicted Cardiometabolic Risk Scores in Employed Adults From Two Industries
Sleep Health and Predicted Cardiometabolic Risk Scores in Employed Adults From Two Industries
复制标题
DOI：
10.5664/jcsm.6980
复制
发表时间：
2018-01-01
影响因子：
4.3
通讯作者：
Berkman, Lisa
中科院分区：
文献类型：
--
作者：
Buxton, Orfeu M.;Lee, Soomi;Berkman, Lisa
研究目标：睡眠障碍和睡眠不足会增加心血管疾病的风险。对于被称为SATED（满意度、警觉性、时间、效率和持续时间）模型的睡眠健康的多种积极属性是否能够降低未来心血管疾病的风险，我们知之甚少。我们研究了睡眠健康的各种指标是否以及如何预测在职成年人10年估计的心脏代谢风险评分（CRS）。
方法：两个行业——长期护理（n = 1275）和信息技术（IT；n = 577）的工作人员报告了习惯性睡眠呼吸暂停症状和睡眠充足情况，并提供了1周的活动记录仪数据，包括夜间睡眠时间、入睡后清醒时间（WASO）、睡眠时间和白天小睡情况。工作人员还提供了生物标志物以计算未来的心脏代谢风险。
结果：在两个行业中，更多的睡眠呼吸暂停症状预示着更高的CRS。更充足的睡眠、更少的WASO以及更少的白天小睡（无小睡、小睡次数更少以及小睡持续时间更短）也与更低的CRS相关，但仅在长期护理工作人员中如此。在两个行业中，睡眠时间均无影响。在IT员工样本中，更短的睡眠时间（
Study Objectives: Sleep disorders and sleep deficiency can increase the risk for cardiovascular disease. Less is known about whether multiple positive attributes of sleep health known as the SATED (satisfaction, alertness, timing, efficiency, and duration) model, can decrease future cardiovascular disease risks. We examined whether and how a variety of indicators of sleep health predicted 10-year estimated cardiometabolic risk scores (CRS) among employed adults.Methods: Workers in two industries-extended care (n = 1,275) and information technology (IT; n = 577)-reported on habitual sleep apnea symptoms and sleep sufficiency, and provided 1 week of actigraphy data including nighttime sleep duration, wake after sleep onset (WASO), sleep timing, and daytime napping. Workers also provided biomarkers to calculate future cardiometabolic risk.Results: More sleep apnea symptoms predicted higher CRS in both industries. More sleep sufficiency, less WASO, and less daytime napping (having no naps, fewer naps, and shorter nap duration) were also linked to lower CRS, but only in the extended care workers. There was no effect of sleep duration in both industries. In the IT employee sample, shorter sleep duration (