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VOLUME 36, ISSUE 10

SLEEP DURATION AND CHRONIC DISEASES AMONG US ADULTS AGE 45 YEARS AND OLDER
Sleep Duration and Chronic Diseases among US Adults Age 45 Years and Older: Evidence From the 2010 Behavioral Risk Factor Surveillance System

http://dx.doi.org/10.5665/sleep.3028

Yong Liu, MD, MS; Anne G. Wheaton, PhD; Daniel P. Chapman, PhD, MSc; Janet B. Croft, PhD

Division of Population Health, Centers for Disease Control and Prevention, Atlanta, GA



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Study Objective:

To examine the effects of obesity and frequent mental distress (FMD) on the relationship of sleep duration with coronary heart disease (CHD), stroke, and diabetes.

Design:

Cross-sectional study.

Setting:

Population-based surveillance.

Participants:

There were 54,269 adults age 45 y or older who completed the 2010 Behavioral Risk Factor Surveillance System survey in 14 states.

Results:

Nearly one third (31.1% or an estimated 11.1 million) of respondents age 45 y and older reported being short sleepers (≤ 6 h), 64.8% being optimal sleepers (7-9 h), and 4.1% being long sleepers (≥ 10 h) in a 24-h period. Compared with the optimal sleep duration, both short and long sleep durations were significantly associated with obesity, FMD (mental health was not good ≥ 14 days during the past 30 days), CHD, stroke, and diabetes after controlling for sex, age, race/ethnicity, and education. The U-shaped relationships of sleep duration with CHD, stroke, and diabetes were moderately attenuated by FMD. The relationship between sleep duration and diabetes was slightly attenuated by obesity.

Conclusions:

Sleep duration had U-shaped relationships with leading chronic diseases. Further prospective studies are needed to determine how mental health and maintenance of a normal weight may interact with sleep duration to prevent chronic diseases.

Citation:

Liu Y; Wheaton AG; Chapman DP; Croft JB. Sleep duration and chronic diseases among US adults age 45 years and older: evidence from the 2010 Behavioral Risk Factor Surveillance System. SLEEP 2013;36(10):1421-1427.

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