Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018

Caraballo, César; Mahajan, Shiwani; Massey, Daisy; Lu, Yuan; Roy, Brita; Riley, Carley; Annapureddy, Amarnath; Murugiah, Karthik; Elumn, Johanna; Nasir, Khurram; Nuñez-Smith, Marcella; Forman, Howard P.; Jackson, Chandra L; Herrin, Jeph; Krumholz, Harlan M.

doi:10.1001/jamanetworkopen.2022.6385

Cited by 46 publications

(20 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found racial differences in sleep duration, racial/ethnic minorities, particularly non-Hispanic blacks, reported shorter sleep durations than non-Hispanic whites. This is consistent with the findings of a recent study showing significant differences in sleep duration by race and ethnicity, with the incidence of unrecommended sleep durations consistently higher in black individuals [ 35 ]. These persistent disparities may lead to other persistent racial and ethnic disparities in health.…”

Section: Discussionsupporting

confidence: 93%

Association between sleep duration and albumin in US adults: a cross-sectional study of NHANES 2015–2018

Guo

2022

BMC Public Health

View full text Add to dashboard Cite

Background Albumin has multiple functions and is used in the clinical assessment of liver function, kidney function and nutritional status. However, few epidemiological studies have evaluated the association between sleep duration and albumin. Therefore, we carried out a cross-sectional study to address this issue. The aim of the study was to investigate the association between sleep duration and albumin in American adults based on the NHANES (National Health and Nutrition Examination Survey). Methods A total of 9,973 participants aged $$\ge$$ ≥ 20 years were included in this study from NHANES 2015–2018. Weighted data were calculated according to analytical guidelines. Linear regression models and smooth curve fitting were used to assess and describe the relationship between sleep duration and albumin. The inflection point was determined by a two-step recursive method. Moreover, univariate and stratified analyses were performed. Results There was an inverted U-shaped association between sleep duration and albumin levels. Albumin levels were highest when the sleep duration was 7.5 h. Compared to 7–8 h of sleep, short sleep duration was linked to lower albumin levels [sleep duration $$\le$$ ≤ 5 h: β $$=$$ = -1.00, 95% CI (-1.26, -0.74), P < 0.0001]. Compared to 7–8 h of sleep, long sleep duration was related to lower albumin levels [sleep duration $$>$$ > 9 h: β $$=$$ = -0.48, 95% CI (-0.68, -0.27), P < 0.0001]. Conclusions Sleep duration had an inverted U-shaped relationship with albumin, with short or long sleep duration associated with significantly lower albumin levels.

show abstract

Section: Discussionsupporting

confidence: 93%

Association between sleep duration and albumin in US adults: a cross-sectional study of NHANES 2015–2018

Guo

2022

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Notably, the age‐adjusted prevalence of short sleep duration is significantly higher among non‐Hispanic African Americans (45.8%), compared to Whites (33.4%) 36 . A recent study reported that from 2004 to 2018, the annual estimated prevalence of short sleep duration was persistently the highest among Black adults 38 . Additionally, African Americans are more likely to hold multiple jobs and perform shift work, 39 placing them at higher risk for insufficient sleep.…”

Section: Insufficient Sleep and Metabolic Dysfunctionmentioning

confidence: 99%

“…36 A recent study reported that from 2004 to 2018, the annual estimated prevalence of short sleep duration was persistently the highest among Black adults. 38 Additionally, African Americans are more likely to hold multiple jobs and perform shift work, 39 placing them at higher risk for insufficient sleep. Similarly, obesity and related metabolic comorbidities are especially common in underrepresented minority populations, 40 which account for disproportionately high morbidity and mortality.…”

Section: Insufficient Sleep and Metabolic Dysfunctionmentioning

confidence: 99%

Connecting insufficient sleep and insomnia with metabolic dysfunction

Duan

Kim

Jun

et al. 2022

Annals of the New York Academy of Sciences

View full text Add to dashboard Cite

The global epidemic of obesity and type 2 diabetes parallels the rampant state of sleep deprivation in our society. Epidemiological studies consistently show an association between insufficient sleep and metabolic dysfunction. Mechanistically, sleep and circadian rhythm exert considerable influences on hormones involved in appetite regulation and energy metabolism. As such, data from experimental sleep deprivation in humans demonstrate that insufficient sleep induces a positive energy balance with resultant weight gain, due to increased energy intake that far exceeds the additional energy expenditure of nocturnal wakefulness, and adversely impacts glucose metabolism. Conversely, animal models have found that sleep loss–induced energy expenditure exceeds caloric intake resulting in net weight loss. However, animal models have significant limitations, which may diminish the clinical relevance of their metabolic findings. Clinically, insomnia disorder and insomnia symptoms are associated with adverse glucose outcomes, though it remains challenging to isolate the effects of insomnia on metabolic outcomes independent of comorbidities and insufficient sleep durations. Furthermore, both pharmacological and behavioral interventions for insomnia may have direct metabolic effects. The goal of this review is to establish an updated framework for the causal links between insufficient sleep and insomnia and risks for type 2 diabetes and obesity.

show abstract

“…Sleep duration and quality have a low correlation [ 38 ] and are independently related to physical and mental health [ 39 ]. Although sleep duration has served as a useful variable to explain trends and disparities in health among populations [ 40 ], data on sleep quality would provide a better understanding of these relationships [ 38 ]. Other measures of sleep, such as sleep onset latency and daytime symptoms, or other variables such as treatment modalities for depression and thiamine intake from supplements were also not included in the original dataset, thus leaving possible residual confounding despite thorough adjustments.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Thiamine Intake and Long Sleep Duration: Results From the Korea National Health and Nutrition Examination Survey

Lee

Kim

Lee

et al. 2022

J Prev Med Public Health

View full text Add to dashboard Cite

Objectives: Thiamine is thought to modify sleeping patterns, while alcohol use diminishes internal thiamine levels. We investigated the association between thiamine intake and sleep duration and explored possible heterogeneity in the effect according to alcohol use.Methods: In total, 15 384 participants aged 19-64 were obtained from the Korea National Health and Nutrition Examination Survey 2012-2016. Nutrient intake, including thiamine, was measured using a food frequency questionnaire. Sleep duration was measured by a self-reported questionnaire. The highest thiamine intake quartile was set as the reference group. Participants were divided into 3 groups, with 7-8 hours of daily sleep as a reference group and those who slept more or less than that as “oversleeping” and “insufficient sleeping,” respectively. Multivariate logistic regression was used, adjusting for socioeconomic, medical, and nutritional factors. Additionally, participants were stratified according to high-risk alcohol use defined by the World Health Organization standards on alcohol use.Results: Low thiamine intake was associated with oversleeping (Q3: odds ratio [OR], 1.06; 95% confidence interval [CI], 0.86 to 1.32; Q2: OR, 1.24; 95% CI, 0.99 to 1.55; Q1: OR, 1.49; 95% CI, 1.16 to 1.91) and showed a significant trend for higher ORs at lower intake levels (p-trend<0.001). The effect was stronger in the high-risk alcohol use group (Q1: OR, 1.78; 95% CI, 1.28 to 2.49).Conclusions: Low thiamine intake was associated with oversleeping, and alcohol use intensified that association. These results were found in a context where overt clinical symptoms due to thiamine deficiency are considered rare. More awareness of the potential relationship of thiamine intake with oversleeping and its related risks should be considered.

show abstract

Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018

Cited by 46 publications

References 59 publications

Association between sleep duration and albumin in US adults: a cross-sectional study of NHANES 2015–2018

Association between sleep duration and albumin in US adults: a cross-sectional study of NHANES 2015–2018

Connecting insufficient sleep and insomnia with metabolic dysfunction

The Relationship Between Thiamine Intake and Long Sleep Duration: Results From the Korea National Health and Nutrition Examination Survey

Contact Info

Product

Resources

About