Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)

Dale E Rae; Lara Dugas; Laura Roden; Estelle V Lambert; Pascal Bovet; Jacob Plange-Rhule; Terrence Forrester; W Riesen; Wolfgang Korte; Stephanie Crowley; Sirimon Reutrakul; Amy Luke

doi:10.1016/j.sleh.2020.03.003

Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)

Dale E Rae, Lara Dugas, Laura Roden, Estelle V Lambert, Pascal Bovet, Jacob Plange-Rhule, Terrence Forrester, W Riesen, Wolfgang Korte, Stephanie Crowley, Sirimon Reutrakul, Amy Luke

School of Life Sciences

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

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Abstract

Objectives: To investigate associations between self-reported sleep duration and cardiometabolic (CM) risk factors in African-origin adults residing in five countries spanning the epidemiologic transition. Design: Cross-sectional. Setting and participants: Ghanaian (n = 491), South African (n = 503), Jamaican (n = 508), Seychellois (n = 501) and American (n = 480) men and women. Measurements: Self-reported sleep duration was obtained using questionnaires. Sex- and site-stratified logistic regression analyses investigated relationships between sleep duration, individual CM risk factors and a binary CM risk variable (presence of ≥3 CM risk factors), adjusting for age, physical activity and education. Results: Sleep duration distributions varied by cohort: 44.5%, 41.4%, 35.9%, 16.8% and 2.5% of American, Jamaican, Seychellois, Ghanaian and South African men reported <7 h sleep per night respectively (p < 0.001). Similarly, 42.6%, 28.6%, 25.2%, 12.8% and 1.5% of American, Jamaican, Seychellois, Ghanaian and South African women reported <7 h sleep respectively (p < 0.001). American men reporting ≤6 h sleep were more likely to be in the elevated CM risk group (OR: 2.52, 95%CI: 1.02, 6.22, p = 0.045) and to have a high waist circumference (OR: 2.44, 95%CI: 1.07, 5.57, p = 0.034) compared to those reporting 8 h sleep. Jamaican women reporting ≤6 h sleep (OR: 2.53, 95%CI: 1.19, 5.36, p = 0.016) and American women reporting 7 h sleep (OR: 2.71, 95%CI: 1.17, 6.26, p = 0.002) were more likely to be obese than those reporting 8 h sleep. Conclusions: Associations between short sleep and CM risk factors were only evident in the American men and women and Jamaican women. Future interventions to address CM risk and sleep health may need to be country-specific when targeting high-risk populations.

Original language	English
Pages (from-to)	469-477
Number of pages	9
Journal	Sleep Health
Volume	6
Issue number	4
DOIs	https://doi.org/10.1016/j.sleh.2020.03.003
Publication status	Published - Aug 2020

Bibliographical note

NOTICE: this is the author’s version of a work that was accepted for publication in Sleep Health. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Health, 6:4, (2020) DOI: 10.1016/j.sleh.2020.03.003

© 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

short sleep
long sleep
obesity
non-communicable diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.sleh.2020.03.003

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Rae, D. E., Dugas, L., Roden, L., Lambert, E. V., Bovet, P., Plange-Rhule, J., Forrester, T., Riesen, W., Korte, W., Crowley, S., Reutrakul, S., & Luke, A. (2020). Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS). Sleep Health, 6(4), 469-477. https://doi.org/10.1016/j.sleh.2020.03.003

Rae, DE, Dugas, L, Roden, L, Lambert, EV, Bovet, P, Plange-Rhule, J, Forrester, T, Riesen, W, Korte, W, Crowley, S, Reutrakul, S & Luke, A 2020, 'Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)', Sleep Health, vol. 6, no. 4, pp. 469-477. https://doi.org/10.1016/j.sleh.2020.03.003

@article{b52a93619c894486b8d74c7524e3d643,

title = "Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)",

abstract = "Objectives: To investigate associations between self-reported sleep duration and cardiometabolic (CM) risk factors in African-origin adults residing in five countries spanning the epidemiologic transition. Design: Cross-sectional. Setting and participants: Ghanaian (n = 491), South African (n = 503), Jamaican (n = 508), Seychellois (n = 501) and American (n = 480) men and women. Measurements: Self-reported sleep duration was obtained using questionnaires. Sex- and site-stratified logistic regression analyses investigated relationships between sleep duration, individual CM risk factors and a binary CM risk variable (presence of ≥3 CM risk factors), adjusting for age, physical activity and education. Results: Sleep duration distributions varied by cohort: 44.5%, 41.4%, 35.9%, 16.8% and 2.5% of American, Jamaican, Seychellois, Ghanaian and South African men reported <7 h sleep per night respectively (p < 0.001). Similarly, 42.6%, 28.6%, 25.2%, 12.8% and 1.5% of American, Jamaican, Seychellois, Ghanaian and South African women reported <7 h sleep respectively (p < 0.001). American men reporting ≤6 h sleep were more likely to be in the elevated CM risk group (OR: 2.52, 95%CI: 1.02, 6.22, p = 0.045) and to have a high waist circumference (OR: 2.44, 95%CI: 1.07, 5.57, p = 0.034) compared to those reporting 8 h sleep. Jamaican women reporting ≤6 h sleep (OR: 2.53, 95%CI: 1.19, 5.36, p = 0.016) and American women reporting 7 h sleep (OR: 2.71, 95%CI: 1.17, 6.26, p = 0.002) were more likely to be obese than those reporting 8 h sleep. Conclusions: Associations between short sleep and CM risk factors were only evident in the American men and women and Jamaican women. Future interventions to address CM risk and sleep health may need to be country-specific when targeting high-risk populations.",

keywords = "short sleep, long sleep, obesity, non-communicable diseases",

author = "Rae, {Dale E} and Lara Dugas and Laura Roden and Lambert, {Estelle V} and Pascal Bovet and Jacob Plange-Rhule and Terrence Forrester and W Riesen and Wolfgang Korte and Stephanie Crowley and Sirimon Reutrakul and Amy Luke",

note = "NOTICE: this is the author{\textquoteright}s version of a work that was accepted for publication in Sleep Health. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Health, 6:4, (2020) DOI: 10.1016/j.sleh.2020.03.003 {\textcopyright} 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ ",

year = "2020",

month = aug,

doi = "10.1016/j.sleh.2020.03.003",

language = "English",

volume = "6",

pages = "469--477",

journal = "Sleep Health",

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publisher = "Elsevier",

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TY - JOUR

T1 - Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)

AU - Rae, Dale E

AU - Dugas, Lara

AU - Roden, Laura

AU - Lambert, Estelle V

AU - Bovet, Pascal

AU - Plange-Rhule, Jacob

AU - Forrester, Terrence

AU - Riesen, W

AU - Korte, Wolfgang

AU - Crowley, Stephanie

AU - Reutrakul, Sirimon

AU - Luke, Amy

N1 - NOTICE: this is the author’s version of a work that was accepted for publication in Sleep Health. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Health, 6:4, (2020) DOI: 10.1016/j.sleh.2020.03.003 © 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

PY - 2020/8

Y1 - 2020/8

N2 - Objectives: To investigate associations between self-reported sleep duration and cardiometabolic (CM) risk factors in African-origin adults residing in five countries spanning the epidemiologic transition. Design: Cross-sectional. Setting and participants: Ghanaian (n = 491), South African (n = 503), Jamaican (n = 508), Seychellois (n = 501) and American (n = 480) men and women. Measurements: Self-reported sleep duration was obtained using questionnaires. Sex- and site-stratified logistic regression analyses investigated relationships between sleep duration, individual CM risk factors and a binary CM risk variable (presence of ≥3 CM risk factors), adjusting for age, physical activity and education. Results: Sleep duration distributions varied by cohort: 44.5%, 41.4%, 35.9%, 16.8% and 2.5% of American, Jamaican, Seychellois, Ghanaian and South African men reported <7 h sleep per night respectively (p < 0.001). Similarly, 42.6%, 28.6%, 25.2%, 12.8% and 1.5% of American, Jamaican, Seychellois, Ghanaian and South African women reported <7 h sleep respectively (p < 0.001). American men reporting ≤6 h sleep were more likely to be in the elevated CM risk group (OR: 2.52, 95%CI: 1.02, 6.22, p = 0.045) and to have a high waist circumference (OR: 2.44, 95%CI: 1.07, 5.57, p = 0.034) compared to those reporting 8 h sleep. Jamaican women reporting ≤6 h sleep (OR: 2.53, 95%CI: 1.19, 5.36, p = 0.016) and American women reporting 7 h sleep (OR: 2.71, 95%CI: 1.17, 6.26, p = 0.002) were more likely to be obese than those reporting 8 h sleep. Conclusions: Associations between short sleep and CM risk factors were only evident in the American men and women and Jamaican women. Future interventions to address CM risk and sleep health may need to be country-specific when targeting high-risk populations.

AB - Objectives: To investigate associations between self-reported sleep duration and cardiometabolic (CM) risk factors in African-origin adults residing in five countries spanning the epidemiologic transition. Design: Cross-sectional. Setting and participants: Ghanaian (n = 491), South African (n = 503), Jamaican (n = 508), Seychellois (n = 501) and American (n = 480) men and women. Measurements: Self-reported sleep duration was obtained using questionnaires. Sex- and site-stratified logistic regression analyses investigated relationships between sleep duration, individual CM risk factors and a binary CM risk variable (presence of ≥3 CM risk factors), adjusting for age, physical activity and education. Results: Sleep duration distributions varied by cohort: 44.5%, 41.4%, 35.9%, 16.8% and 2.5% of American, Jamaican, Seychellois, Ghanaian and South African men reported <7 h sleep per night respectively (p < 0.001). Similarly, 42.6%, 28.6%, 25.2%, 12.8% and 1.5% of American, Jamaican, Seychellois, Ghanaian and South African women reported <7 h sleep respectively (p < 0.001). American men reporting ≤6 h sleep were more likely to be in the elevated CM risk group (OR: 2.52, 95%CI: 1.02, 6.22, p = 0.045) and to have a high waist circumference (OR: 2.44, 95%CI: 1.07, 5.57, p = 0.034) compared to those reporting 8 h sleep. Jamaican women reporting ≤6 h sleep (OR: 2.53, 95%CI: 1.19, 5.36, p = 0.016) and American women reporting 7 h sleep (OR: 2.71, 95%CI: 1.17, 6.26, p = 0.002) were more likely to be obese than those reporting 8 h sleep. Conclusions: Associations between short sleep and CM risk factors were only evident in the American men and women and Jamaican women. Future interventions to address CM risk and sleep health may need to be country-specific when targeting high-risk populations.

KW - short sleep

KW - long sleep

KW - obesity

KW - non-communicable diseases

UR - http://www.scopus.com/inward/record.url?scp=85083310648&partnerID=8YFLogxK

U2 - 10.1016/j.sleh.2020.03.003

DO - 10.1016/j.sleh.2020.03.003

M3 - Article

SN - 2352-7218

VL - 6

SP - 469

EP - 477

JO - Sleep Health

JF - Sleep Health

IS - 4

ER -

Associations between self-reported sleep duration and cardiometabolic risk factors in young African-origin adults from the five-country Modeling the Epidemiologic Transition Study (METS)

Abstract

Bibliographical note

Keywords

UN SDGs

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