Health through Physical Activity Lifestyle and Sport Research Centre & Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public & Occupational Health and Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Health through Physical Activity Lifestyle and Sport Research Centre & Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; School of Life Sciences, Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom.
Sleep Health. 2024 Oct;10(5):550-557. doi: 10.1016/j.sleh.2024.07.007. Epub 2024 Aug 23.
Corporate executive job demands may lead to poor sleep habits, increasing their risk for cardiometabolic disease. This study aimed to describe and explore associations between objectively measured habitual sleep characteristics and cardiometabolic disease risk of corporate executives, while accounting for occupational, psychological, and lifestyle factors.
Habitual sleep was measured using wrist-worn actigraphy and a sleep diary over seven consecutive days in 61 (68.3% men) corporate executives aged 46.4 ± 8.7years. A composite cardiometabolic disease risk score was determined using body mass index, waist circumference, blood pressure and fasting glucose and lipid concentrations. Prediction models were built using a backward stepwise selection approach to explore associations between sleep characteristics and cardiometabolic disease risk factors adjusting for occupational, psychological, and lifestyle covariates.
Average total sleep time was 6.60 ± 0.75 hours, with 51.7% of participants reporting poor sleep quality and 26.2% extending their weekend sleep. Adjusted models showed that lower sleep efficiency (β = -0.25, 95%CI: -0.43; -0.08, P = .006), shorter weekday total sleep time (β = -1.37, 95% CI: -2.41, -0.32; P = .011) and catch-up sleep (β = 0.84, 95%CI: 0.08, 1.60, P = .002) were associated with higher cardiometabolic disease risk scores. Adjusted models also found that shorter average time-in-bed (ß=-2.00, 95%CI: -3.76; -0.18, P = .031), average total sleep time (ß=1.98, 95%CI: -3.70; -0.25, P = .025) and weekday total sleep time (β = -2.13, 95%CI: -3.56; -0.69, P = .025) as well as catch-up sleep (β = 1.67, 95% CI: 0.52; 2.83; P = .012) were all associated with a higher body mass index.
Corporate executives who compromise sleep duration during the working week may increase their risk for obesity and future cardiometabolic disease.
企业高管的工作要求可能导致不良的睡眠习惯，增加患心血管代谢疾病的风险。本研究旨在描述和探讨通过手腕佩戴活动记录仪和睡眠日记连续七天测量的习惯性睡眠特征与企业高管的心血管代谢疾病风险之间的关系，同时考虑职业、心理和生活方式因素。
在 61 名（68.3%为男性）年龄 46.4±8.7 岁的企业高管中，使用手腕佩戴活动记录仪和睡眠日记连续七天测量习惯性睡眠。使用体重指数、腰围、血压和空腹血糖和血脂浓度来确定心血管代谢疾病风险的综合评分。使用逐步向后选择方法建立预测模型，以探索调整职业、心理和生活方式协变量后，睡眠特征与心血管代谢疾病风险因素之间的关联。
平均总睡眠时间为 6.60±0.75 小时，51.7%的参与者报告睡眠质量差，26.2%的参与者延长周末睡眠时间。调整后的模型显示，睡眠效率较低（β=-0.25，95%CI：-0.43；-0.08，P=0.006）、工作日总睡眠时间较短（β=-1.37，95%CI：-2.41，-0.32；P=0.011）和补觉（β=0.84，95%CI：0.08，1.60，P=0.002）与心血管代谢疾病风险评分较高相关。调整后的模型还发现，平均卧床时间较短（ß=-2.00，95%CI：-3.76；-0.18，P=0.031）、总睡眠时间较短（ß=1.98，95%CI：-3.70；-0.25，P=0.025）和工作日总睡眠时间较短（β=-2.13，95%CI：-3.56；-0.69，P=0.025）以及补觉（β=1.67，95%CI：0.52；2.83；P=0.012）与较高的体重指数相关。
在工作日期间缩短睡眠时间的企业高管可能会增加肥胖和未来心血管代谢疾病的风险。
