Association between sleep characteristics, ideal cardiovascular health, and systemic inflammation, NHANES 2017–2018

Cash, Rebecca E.; Crowe, Remle P.; Goldberg, Scott A; Patrick, Casey; Wells-Whitworth, L Michael; Camargo, Carlos A.

doi:10.1111/jsr.13497

Cited by 8 publications

(14 citation statements)

References 44 publications

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“…Sleep debt and social jet lag were both expressed as absolute differences and were further dichotomized as low (<2 hours) or high (≥2 hours) for sleep debt and as mild (<2 hours) or heavy (≥2 hours) for social jet lag, as done in prior studies. 8 , 17 , 18 , 19 …”

Section: Methodsmentioning

confidence: 99%

“…Sleep debt and social jet lag were both expressed as absolute differences and were further dichotomized as low (<2 hours) or high (Ն2 hours) for sleep debt and as mild (<2 hours) or heavy (Ն2 hours) for social jet lag, as done in prior studies. 8,[17][18][19] The sleep disturbances questions by in-home interviews fall into 3 general categories: breathing problem during sleep, sleep difficulty, and daytime sleepiness. Given the investigation method that the interviewers directly asked the participants themselves, this study only included trouble sleeping and daytime sleepiness as sleep disturbances for the data reliability and clinical relevance.…”

Section: Jama Network Open | Public Healthmentioning

confidence: 99%

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Evaluation of Sleep Habits and Disturbances Among US Adults, 2017-2020

Guo

Daghlas

et al. 2022

JAMA Netw Open

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ImportanceUnhealthy sleep behaviors and sleep disturbances are associated with higher risk of multiple diseases and mortality. The current profiles of sleep habits and disturbances, particularly the differences between workdays and free days, are unknown in the contemporary US.ObjectiveTo comprehensively evaluate sleep habits on workdays and free days and the prevalence of sleep disturbances among US adults.Design, Setting, and ParticipantsThis study is a cross-sectional analysis of US nationally representative data from the National Health and Nutrition Examination Survey (2017-2020) among adults aged 20 years or older. Data analysis was performed from February to May 2022.Main Outcomes and MeasuresThe main outcomes were means and/or distributions of sleep habits, including sleep duration and sleep-wake timing on workdays and free days, sleep debt (ie, the difference between sleep duration on free days and mean weekly sleep duration), and social jet lag (ie, the difference between the midpoint between sleep and wake time on workdays and free days). Prevalence of trouble sleeping (ie, participants told a doctor or other health professional that they have trouble sleeping) and daytime sleepiness (ie, self-reported feeling of being overly sleepy during the day ≥5 times per month) were also determined.ResultsA total of 9004 individuals (mean [SE] age, 48.3 [0.53] years; 4635 women [51.9%]; 3158 non-Hispanic White [62.8%]) were included in the current study. The mean sleep duration was 7.59 hours (95% CI, 7.54 to 7.64 hours) on workdays and 8.24 hours (95% CI, 8.17 to 8.31 hours) on free days (difference, 0.65 hour). The mean sleep and wake times were at 11:02 pm (95% CI, 10:57 pm to 11:17 pm) and 6:41 am (95% CI, 6:36 am to 6:45 am), respectively, on workdays and 11:25 pm (95% CI, 11:21 pm to 11:35 pm) and 7:41 am (95% CI, 7:37 am to 7:46 am), respectively, on free days (differences, 0.23 hour for sleep time and 1.00 hour for wake time). On workdays, 23.1% (95% CI, 21.3% to 24.9%) of adults slept less than 7 hours and 25.4% (95% CI, 24.1% to 26.6%) went to sleep at midnight or later; the corresponding percentages changed to 12.9% (95% CI, 11.6% to 14.1%) and 40.9% (95% CI, 38.4% to 43.5%), respectively, on free days. Furthermore, the mean sleep debt was 0.73 hours (95% CI, 0.68 to 0.77 hours), and mean social jet lag was 1.10 hours (95% CI, 1.05 to 1.15 hours); 30.5% (95% CI, 26.8% to 33.3%) of adults experienced 1 hour or more of sleep debt, and 46.5% (95% CI, 42.6% to 50.3%) experienced 1 hour or more of social jet lag. The prevalence of trouble sleeping was 29.8% (95% CI, 28.2% to 31.5%), and that of daytime sleepiness was 27.2% (95% CI, 25.0% to 29.5%).Conclusions and RelevanceIn 2017 to 2020, US adults showed variability in sleep habits between workdays and free days, with longer sleep duration and later sleep-wake phases on free days, and high percentages of US adults experienced long-term sleep deprivation, chronic social jet lag, and frequent sleep disturbances. These findings provide evidence to further investigate potential approaches to optimize overall US sleep health.

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Section: Methodsmentioning

confidence: 99%

Section: Jama Network Open | Public Healthmentioning

confidence: 99%

Evaluation of Sleep Habits and Disturbances Among US Adults, 2017-2020

Guo

Daghlas

et al. 2022

JAMA Netw Open

View full text Add to dashboard Cite

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“…On the other hand, our study also draws upon a number of strengths. Our data stem from a nationally representative dataset (National Health and Nutrition Examination Survey) that has been often used to investigate health-related questions in shift-working populations [ 23 , 24 , 25 , 26 , 27 , 28 ]. Research investigating GI health in shift workers using U.S. data is generally scarce, and we tried to address this gap in the literature with our study.…”

Section: Discussionmentioning

confidence: 99%

“…This ongoing program is funded by the National Center for Health Statistics (NCHS) of the CDC [ 21 ]. NHANES is one of the world’s largest cross-sectional studies in terms of study size, diversity, and data accessibility [ 22 ], and data from the NHANES has often been used to analyze health-related questions in shift-working populations [ 23 , 24 , 25 , 26 , 27 , 28 ]. The NHANES is a nationally representative survey for the noninstitutionalized U.S. civilian population of all ages residing in all 50 states and Washington D.C. [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Storz

Lombardo²,

Rizzo³

et al. 2022

IJERPH

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Working outside of regular daytime hours is increasingly common in current societies and poses a substantial challenge to an individual’s biological rhythm. Disruptions of the gastrointestinal tract’s circadian rhythm and poor dietary choices subsequent to shiftwork may predispose the shift workforce to an increased risk of gastrointestinal disorders, including constipation, peptic ulcer disease, and erosive gastritis. We investigated bowel health in a US population of shift workers, using data from the National Health and Nutrition Examination Survey, and compared bowel movement (BM) frequency and defecation patterns between 2007 day workers and 458 shift workers (representing 55,305,037 US workers). Using bivariate and multivariate logistic regression techniques, our results suggested no association between shiftwork status and BM frequency, bowel leakage of gas, and stool consistency. Constipation prevalence was high but comparable in both groups (6.90% vs. 7.09%). The low fiber intake observed in both groups (15.07 vs. 16.75 g/day) could play a potential role here. The two groups did not differ with regard to other nutrients that may influence BM frequency and stool consistency (e.g., carbohydrate or caffeine intake). Additional studies including food group analyses and fecal biomarkers are warranted for a better understanding of GI health in shift workers.

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“…The NHANES is one of the largest and most important cross-sectional studies in terms of participant size, scope, ethical diversity, and free data accessibility [ 24 ]. Scientists worldwide have used NHANES data in the past to examine health-related questions in shift-working populations [ 25 , 26 , 27 , 28 ]. As a corollary, NHANES has contributed extensively to the assessment of potential associations between nutrition and numerous health outcomes in shift workers [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Shiftwork Is Associated with Higher Food Insecurity in U.S. Workers: Findings from a Cross-Sectional Study (NHANES)

Storz

Rizzo²,

Lombardo³

2022

IJERPH

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The number of shift workers has increased substantially within the last decades to keep pace with the increasingly complex societal need for 24 h services. Shift work has been associated with unhealthy lifestyles and a lower overall diet quality. Little is known, however, with regard to food security and consumer behavior in shift workers. The present study sought to address this gap in the literature, exploring a sample of n = 4418 day workers and n = 1065 shift workers in the United States. Using cross-sectional data from the National Health and Nutrition Examination Surveys (NHANES, 2007–2010), we found that shiftwork was associated with a lower amount of money spent on eating out and higher food insecurity issues. Compared to day workers, a higher proportion of shift workers reported receipt of food stamps (12.5% vs. 23.4%, p < 0.001) and worried about running out of food (3.95% vs. 8.05%, p < 0.001). These associations remained significant after adjustment for confounders when using multivariate logistic regression. The number of not-home-prepared meals did not differ between both groups. In light of the population health disparities and adverse health outcomes associated with food insecurity, novel strategies are urgently warranted to improve the situation of shift workers.

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Association between sleep characteristics, ideal cardiovascular health, and systemic inflammation, NHANES 2017–2018

Cited by 8 publications

References 44 publications

Evaluation of Sleep Habits and Disturbances Among US Adults, 2017-2020

Evaluation of Sleep Habits and Disturbances Among US Adults, 2017-2020

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Shiftwork Is Associated with Higher Food Insecurity in U.S. Workers: Findings from a Cross-Sectional Study (NHANES)

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