Department of Community Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, United States of America.
PLoS One. 2010 Nov 30;5(11):e14189. doi: 10.1371/journal.pone.0014189.
A new question on insufficient rest/sleep was included in the 2008 Behavioral Risk Factor Surveillance System (BRFSS) for the 50 states, District of Columbia, and three US territories. No previous study, however, has examined perceived insufficient rest/sleep in relation to cardiovascular disease (CVD) or diabetes mellitus. We examined the association between self-reported insufficient rest/sleep and CVD, diabetes, and obesity in a contemporary sample of US adults.
Multiethnic, nationally representative, cross-sectional survey (2008 BRFSS) participants were >20 years of age (n=372, 144, 50% women). Self-reported insufficient rest/sleep in the previous month was categorized into four groups: zero, 1-13, 14-29, and 30 days. There were five outcomes: 1) any CVD, 2) coronary heart disease (CHD), 3) stroke, 4) diabetes mellitus, and 5) obesity (body mass index≥30 kg/m2). We employed multivariable logistic regression to calculate odds ratio (OR), (95% confidence interval (CI), of increasing categories of insufficient rest/sleep, taking zero days of insufficient rest/sleep as the referent category.
Insufficient rest/sleep was found to be associated with 1) any CVD, 2) CHD, 3) stroke, 4) diabetes mellitus, and 5) obesity, in separate analyses. Compared to those reporting zero days of insufficient sleep (referent), the OR (95% CI) associated with all 30 days of insufficient sleep was 1.67 (1.55-1.79) for any cardiovascular disease, 1.69(1.56-1.83) for CHD, 1.51(1.36-1.68) for stroke, 1.31(1.21-1.41) for diabetes, and 1.51 (1.43-1.59) for obesity.
In a multiethnic sample of US adults, perceived insufficient rest/sleep was found to be independently associated with CHD, stroke, diabetes mellitus and obesity.
2008 年行为风险因素监测系统（BRFSS）在 50 个州、哥伦比亚特区和 3 个美属领土增加了一个关于休息/睡眠不足的新问题。然而，之前没有研究调查过自我报告的休息/睡眠不足与心血管疾病（CVD）或糖尿病之间的关系。我们在当代美国成年人的样本中研究了自我报告的休息/睡眠不足与 CVD、糖尿病和肥胖之间的关系。
多民族、全国代表性、横断面调查（2008 年 BRFSS）参与者年龄>20 岁（n=372，144，50%为女性）。前一个月自我报告的休息/睡眠不足分为四组：零天、1-13 天、14-29 天和 30 天。有五个结果：1）任何 CVD，2）冠心病（CHD），3）中风，4）糖尿病，5）肥胖症（体重指数≥30kg/m2）。我们采用多变量逻辑回归计算比值比（OR）（95%置信区间（CI），随着休息/睡眠不足天数的增加，以零天的休息/睡眠不足为参考类别。
在单独的分析中，休息/睡眠不足与 1）任何 CVD，2）CHD，3）中风，4）糖尿病和 5）肥胖症有关。与报告零天休息/睡眠不足的人（参考）相比，所有 30 天休息/睡眠不足与任何心血管疾病相关的 OR（95%CI）为 1.67（1.55-1.79），与 CHD 相关的 OR（95%CI）为 1.69（1.56-1.83），与中风相关的 OR（95%CI）为 1.51（1.36-1.68），与糖尿病相关的 OR（95%CI）为 1.31（1.21-1.41），与肥胖相关的 OR（95%CI）为 1.51（1.43-1.59）。
在一个多民族的美国成年人样本中，人们发现休息/睡眠不足与 CHD、中风、糖尿病和肥胖症独立相关。
