TY - JOUR
T1 - Sleep Patterns and Obesity
T2 - Hispanic Community Health Study/Study of Latinos Sueño Ancillar Study
AU - Loredo, José S.
AU - Weng, Jia
AU - Ramos, Alberto R.
AU - Sotres-Alvarez, Daniela
AU - Simonelli, G.
AU - Talavera, Gregory A.
AU - Patel, Sanjay R.
N1 - Funding Information:
Financial/nonfinancial disclosures: The authors have reported to CHEST the following: S. R. P. has received grant funding from the American Sleep Medicine Foundation and the ResMed Foundation and has also served as consultant for Covidien. None declared (J. S. L., J. W., A. R. R., D. S.-A., G. S., G. A. T.).
Funding Information:
FUNDING/SUPPORT: This study was supported by the National Heart, Lung, and Blood Institute (NHLBI) [Grant HL098297 and HL127307]. In addition, the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was conducted as a collaborative study supported by contracts from the NHLBI to the University of North Carolina [Grant N01-HC65233], University of Miami [Grant N01-HC65234], Albert Einstein College of Medicine [Grant N01-HC65235], Northwestern University [Grant N01-HC65236], and San Diego State University [Grant N01-HC65237]. The following institutes/center/offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: the National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. FUNDING/SUPPORT: This study was supported by the National Heart, Lung, and Blood Institute (NHLBI) [Grant HL098297 and HL127307]. In addition, the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was conducted as a collaborative study supported by contracts from the NHLBI to the University of North Carolina [Grant N01-HC65233], University of Miami [Grant N01-HC65234], Albert Einstein College of Medicine [Grant N01-HC65235], Northwestern University [Grant N01-HC65236], and San Diego State University [Grant N01-HC65237]. The following institutes/center/offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: the National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. Author contributions: J. S. L. takes responsibility for the content of the manuscript, including the accuracy of the data and analysis, and affirms that the manuscript is an honest, accurate, representation of the study design and aims. J. S. L. contributed to the design of the study, data collection, data analysis, interpretation, and was the primary writer of the manuscript. J. W. performed the statistical analysis and contributed substantially to the study design, analysis interpretation, and writing of the manuscript. S. R. P. was the principal investigator in the Sue?o ancillary study and contributed substantially to the study design, data collection, analysis and interpretation, and writing of the manuscript. A. R. R. D. S.-A. G. S. and G. A. T. contributed substantially to the study design, data analysis and interpretation, and the writing of the manuscript. Financial/nonfinancial disclosures: The authors have reported to CHEST the following: S. R. P. has received grant funding from the American Sleep Medicine Foundation and the ResMed Foundation and has also served as consultant for Covidien. None declared (J. S. L. J. W. A. R. R. D. S.-A. G. S. G. A. T.). Role of sponsors: The sponsors had no role in the design of the study, the collection and analysis of the data, or the preparation of the manuscript. Other contributions: The authors thank the participants of the Hispanic Community Health Study/Study of Latinos and participants of the Sue?o ancillary study for their willingness to take part in this research. They also thank the Hispanic Community Health Study publications committee for the review of this work and the National Heart, Lung, and Blood Institute for its support of this research project. Additional information: The e-Appendix can be found in the Supplemental Materials section of the online article. FUNDING/SUPPORT: This study was supported by the National Heart, Lung, and Blood Institute (NHLBI) [Grant HL098297 and HL127307]. In addition, the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was conducted as a collaborative study supported by contracts from the NHLBI to the University of North Carolina [Grant N01-HC65233], University of Miami [Grant N01-HC65234], Albert Einstein College of Medicine [Grant N01-HC65235], Northwestern University [Grant N01-HC65236], and San Diego State University [Grant N01-HC65237]. The following institutes/center/offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: the National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements.
Funding Information:
Other contributions: The authors thank the participants of the Hispanic Community Health Study/Study of Latinos and participants of the Sueño ancillary study for their willingness to take part in this research. They also thank the Hispanic Community Health Study publications committee for the review of this work and the National Heart, Lung, and Blood Institute for its support of this research project.
Publisher Copyright:
© 2019
PY - 2019/8
Y1 - 2019/8
N2 - Background: The relationship of poor sleep patterns to the increased risk of obesity has been reported, but the results are variable. This study evaluated the association between objectively measured sleep patterns and obesity in a representative adult population of Hispanic/Latino subjects living in the United States. Methods: This cross-sectional study was an analysis of a multicenter, community-based cohort of 2,156 participants aged 18 to 64 years from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Recruitment was conducted in San Diego, California; Chicago, Illinois; Bronx, New York; and Miami, Florida. Models were controlled for age, sex, ethnic background, site, income, education, and apnea-hypopnea index. Seven days of wrist actigraphy data were collected. Obesity was defined as BMI ≥ 30 kg/m2, and abdominal obesity was defined as waist circumference ≥ 88 cm in women and ≥ 102 cm in men. Napping was defined as more than one 15-min nap per week. Results: An inverse linear relationship was found between sleep duration and prevalence of obesity (P linear trend ≤ 0.01). A reduction of 1 h sleep increased obesity prevalence by 4.1% (95% CI, 1.6-6.6; P = .002) and abdominal obesity prevalence by 3.6% (95% CI, 1.1-6.1; P = .007). Daytime napping increased obesity prevalence by 10.4% (95% CI, 3.5-17.3; P = .004) and abdominal obesity prevalence by 7.1% (95% CI, 1.0-13.2; P = .02). Conclusions: In a population of young to older adult Hispanic/Latino subjects, we found an inverse linear association between sleep duration and the prevalence of obesity. Daytime napping was strongly associated with greater adiposity. Interventional and longitudinal studies are needed to better understand how abnormal sleep patterns contribute to the obesity epidemic.
AB - Background: The relationship of poor sleep patterns to the increased risk of obesity has been reported, but the results are variable. This study evaluated the association between objectively measured sleep patterns and obesity in a representative adult population of Hispanic/Latino subjects living in the United States. Methods: This cross-sectional study was an analysis of a multicenter, community-based cohort of 2,156 participants aged 18 to 64 years from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Recruitment was conducted in San Diego, California; Chicago, Illinois; Bronx, New York; and Miami, Florida. Models were controlled for age, sex, ethnic background, site, income, education, and apnea-hypopnea index. Seven days of wrist actigraphy data were collected. Obesity was defined as BMI ≥ 30 kg/m2, and abdominal obesity was defined as waist circumference ≥ 88 cm in women and ≥ 102 cm in men. Napping was defined as more than one 15-min nap per week. Results: An inverse linear relationship was found between sleep duration and prevalence of obesity (P linear trend ≤ 0.01). A reduction of 1 h sleep increased obesity prevalence by 4.1% (95% CI, 1.6-6.6; P = .002) and abdominal obesity prevalence by 3.6% (95% CI, 1.1-6.1; P = .007). Daytime napping increased obesity prevalence by 10.4% (95% CI, 3.5-17.3; P = .004) and abdominal obesity prevalence by 7.1% (95% CI, 1.0-13.2; P = .02). Conclusions: In a population of young to older adult Hispanic/Latino subjects, we found an inverse linear association between sleep duration and the prevalence of obesity. Daytime napping was strongly associated with greater adiposity. Interventional and longitudinal studies are needed to better understand how abnormal sleep patterns contribute to the obesity epidemic.
KW - Hispanic subjects
KW - actigraphy
KW - adiposity
KW - habitual short sleep duration
KW - napping and obesity
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U2 - 10.1016/j.chest.2018.12.004
DO - 10.1016/j.chest.2018.12.004
M3 - Article
C2 - 30853108
AN - SCOPUS:85069680222
VL - 156
SP - 348
EP - 356
JO - Diseases of the chest
JF - Diseases of the chest
SN - 0012-3692
IS - 2
ER -