Abstract P631: Association Between Suboptimal Sleep Duration and Cardiovascular Disease Prevalence Among Asian Americans

Abstract

Importance: Cardiovascular disease (CVD) risk and prevalence is widely varied among Asian Americans. The American Heart Association recently added healthy sleep to its metrics used to define ideal cardiovascular health. Little is known about the association between sleep and CVD prevalence among Asian subgroups. Hypothesis: The association between suboptimal sleep duration and CVD risk prevalence will differ by Asian American subgroup. Methods: We analyzed results from the National Health Interview Survey (2012-2018, N=234,126), a nationally representative sample. Participants (age>40 years old) included 214,956 non-Hispanic Whites (NHWs), 3,043 Asian Indians, 3,993 Chinese, 4,719 Filipinos, and 7,603 other Asians. Suboptimal sleep was self-reported and defined as <7 or >9 hours. CVD was defined as self-reported stroke, heart attack, coronary artery disease, or angina. We used multivariable logistic regression models to ascertain the association. All analyses included complex survey design considerations. Results: Suboptimal sleep duration was associated with higher CVD prevalence for NHWs and all Asians, but in Asian subgroup stratified analyses, suboptimal sleep was only associated with higher CVD prevalence among Other Asians. Conclusions: Our results show heterogeneity in the association between sleep duration and CVD prevalence among Asian subgroups, however further research is needed to better understand these relationships.

The Effect of Sleep Duration on Hypertension Risk in an Adult Asian Population: A Systematic Review and Meta-Analysis

“…It should be noted that the studies use various definitions of short sleep duration. For example, the study by Kim et al defined short sleep duration as <5 hours/day while other studies used the definition of < 6 hours/day to < 7 hours/day [ 13 ]. Furthermore, the definitions of normal sleep duration also vary between different studies.…”

“…This trend is influenced by cultural factors and heightened demands in professional and educational spheres, especially among adolescents [ 12 ]. Research also indicates that Asians have a higher likelihood of reporting short sleep duration compared to Whites, with a prevalence of 33% among Asians [ 13 ]. These studies collectively highlight the importance of addressing short sleep duration among Asians to improve overall health outcomes.…”