Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States

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 positivel...

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Bibliographic Details
Published in:Social science & medicine (1982) 2010-09, Vol.71 (5), p.1027-1036
Main Authors: Buxton, Orfeu M., Marcelli, Enrico
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Aged
Aged, 80 and over
Biological and medical sciences
Body weight
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Diabetes
Diabetes Mellitus - epidemiology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Health behavior
Health Problems
Health Surveys
Heart disease
Heart Diseases
Humans
Hypertension
Hypertension - epidemiology
Logistic Models
Male
Medical sciences
Metabolic diseases
Metabolism
Middle Aged
Miscellaneous
Multilevel Analysis
Obesity
Obesity - epidemiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression analysis
Risk
Risk Factors
Sleep
Sleep disorders
Sleep duration
Social ecological model
Sociogeographic
Time Factors
U.S.A
United States - epidemiology
USA
USA Body weight Cardiovascular diseases Diabetes Hypertension Metabolism Obesity Sleep disorders Sleep duration Sociogeographic Social ecological model
Young Adult
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Summary: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.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2010.05.041