Sleep Duration Is Associated With Subclinical Carotid Plaque Burden

Sleep duration is associated with stroke risk and is 1 of 8 essential components of cardiovascular health according to the American Heart Association. As stroke disproportionately burdens Black and Hispanic populations in the United States, we hypothesized that long and short sleep duration would be...

Full description

Saved in:
Bibliographic Details
Published in:Stroke (1970) 2023-09, Vol.54 (9), p.2347-2355
Main Authors: Agudelo, Christian, Ramos, Alberto R., Gardener, Hannah, Cheung, Ken, Elkind, Mitchell S.V., Sacco, Ralph L., Rundek, Tatjana
Format: Article
Language:English
Subjects:
Adult
Aged
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - epidemiology
Carotid Intima-Media Thickness
Cross-Sectional Studies
Disorders of Excessive Somnolence
Female
Humans
Male
Middle Aged
Noma
Plaque, Atherosclerotic - diagnostic imaging
Plaque, Atherosclerotic - epidemiology
Risk Factors
Sleep Duration
Stroke - epidemiology
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Sleep duration is associated with stroke risk and is 1 of 8 essential components of cardiovascular health according to the American Heart Association. As stroke disproportionately burdens Black and Hispanic populations in the United States, we hypothesized that long and short sleep duration would be associated with greater subclinical carotid atherosclerosis, a precursor of stroke, in the racially and ethnically diverse NOMAS (Northern Manhattan Study). NOMAS is a study of community-dwelling adults. Self-reported nightly sleep duration and daytime sleepiness were collected between 2006 and 2011. Carotid plaque presence, total plaque area, and intima-media thickness were measured by ultrasound between 1999 and 2008. Linear and logistic regression models examined the cross-sectional associations of sleep duration groups (primary exposure) or daytime sleepiness (secondary exposure) with measures of carotid atherosclerosis. Models adjusted for age, time between ultrasound and sleep data collection, sex, race and ethnicity, education, health insurance, smoking, alcohol use, physical activity, body mass index, hypertension, diabetes, hypercholesterolemia, and cardiac disease. The sample (n=1553) had a mean age of 64.7±8.5 years and was 61.9% female, 64.8% Hispanic, and 18.2% non-Hispanic Black. Of the sample, 55.6% had carotid plaque, 22.3% reported nightly short sleep (
ISSN:0039-2499
1524-4628
1524-4628
DOI:10.1161/STROKEAHA.122.041967