Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States
Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States
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DOI：
10.1016/j.socscimed.2010.05.041
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发表时间：
2010-09-01
影响因子：
5.4
通讯作者：
Marcelli, Enrico
中科院分区：
文献类型：
--
作者：
Buxton, Orfeu M.;Marcelli, Enrico
研究将短睡眠时间（以及较小程度上长睡眠时间）与肥胖、糖尿病和心血管疾病联系起来。尽管 7-8 小时的睡眠似乎带来的健康风险最小，但这些发现通常基于非代表性数据。我们假设睡眠时间短（8 小时）与肥胖、糖尿病、高血压和心血管疾病的风险呈正相关；并分析 2004-2005 年美国国家健康访谈调查数据（n = 56,507 次观察，18-85 岁成年人）来检验这一点。我们采用多级逻辑回归，同时控制个体特征（例如，民族、性别、年龄、教育）、其他健康行为（例如，运动、吸烟）、家庭环境（例如，收入、规模、教育）和地理背景（例如，人口普查区域）。我们的模型对每项研究结果都正确分类了至少 76% 的成年人，而且与其他协变量相比，睡眠时间通常与这些健康风险的相关性更强。这些发现表明 7-8 小时的睡眠时间可以直接或间接降低慢性病风险。 (C) 2010 Elsevier Ltd. 保留所有权利。
Research associates short (and to a lesser extent long) sleep duration with obesity, diabetes, and cardiovascular disease; and although 7-8 h of sleep seems to confer the least health risk, these findings are often based on non-representative data. We hypothesize that short sleep (8 h) are positively associated with the risk of obesity, diabetes, hypertension, and cardiovascular disease; and analyze 2004-2005 US National Health Interview Survey data (n = 56,507 observations, adults 18-85) to test this. We employ multilevel logistic regression, simultaneously controlling for individual characteristics (e.g., ethnoracial group, gender, age, education), other health behaviors (e.g., exercise, smoking), family environment (e.g., income, size, education) and geographic context (e.g., census region). Our model correctly classified at least 76% of adults on each of the outcomes studied, and sleep duration was frequently more strongly associated with these health risks than other covariates. These findings suggest a 7-8 h sleep duration directly and indirectly reduces chronic disease risk. (C) 2010 Elsevier Ltd. All rights reserved.