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 Elizabeth Rae; Lara Ruth Dugas; Laura Catherine Roden; Estelle Vicki Lambert; Pascal Bovet; Jacob Plange-Rhule; Terrence Forrester; Walter Riesen; Wolfgang Korte; Stephanie J. 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 Elizabeth Rae
, Lara Ruth Dugas
, Laura Catherine Roden
, Estelle Vicki Lambert
, Pascal Bovet
, Jacob Plange-Rhule
, Terrence Forrester
, Walter Riesen
, Wolfgang Korte
, Stephanie J. Crowley
, Sirimon Reutrakul
, Amy Luke

University of Cape Town
Loyola University Chicago
University Center for Primary Care and Public Health (Unisanté)
Kwame Nkrumah University of Science and Technology
The University of the West Indies
Kantonsspital St. Gallen
Rush University Medical Center
University of Illinois

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

7 Citations (Scopus)

231 Downloads (Pure)

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/

Funding

Funders	Funder number
National Institutes of Health	R01DK80763
National Institute of Diabetes and Digestive and Kidney Diseases	R01DK090360

UN SDGs

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

SDG 3 Good Health and Well-being

Keywords

short sleep
long sleep
obesity
non-communicable diseases

Access to Document

10.1016/j.sleh.2020.03.003

Post-PrintAccepted author manuscript, 548 KBLicence: CC BY-NC-ND

Cite this

Rae, D. E., Dugas, L. R., Roden, L. C., Lambert, E. V., Bovet, P., Plange-Rhule, J., Forrester, T., Riesen, W., Korte, W., Crowley, S. J., 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

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). / Rae, Dale Elizabeth; Dugas, Lara Ruth; Roden, Laura Catherine et al.
In: Sleep Health, Vol. 6, No. 4, 08.2020, p. 469-477.

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

Rae, DE, Dugas, LR, Roden, LC, Lambert, EV, Bovet, P, Plange-Rhule, J, Forrester, T, Riesen, W, Korte, W, Crowley, SJ, 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 Elizabeth\} and Dugas, \{Lara Ruth\} and Roden, \{Laura Catherine\} and Lambert, \{Estelle Vicki\} and Pascal Bovet and Jacob Plange-Rhule and Terrence Forrester and Walter Riesen and Wolfgang Korte and Crowley, \{Stephanie J.\} 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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number = "4",

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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 Elizabeth

AU - Dugas, Lara Ruth

AU - Roden, Laura Catherine

AU - Lambert, Estelle Vicki

AU - Bovet, Pascal

AU - Plange-Rhule, Jacob

AU - Forrester, Terrence

AU - Riesen, Walter

AU - Korte, Wolfgang

AU - Crowley, Stephanie J.

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 - https://www.scopus.com/pages/publications/85083310648

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

Funding

UN SDGs

Keywords

Access to Document

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Cite this