Weekly sleep trajectories and their associations with obesity and hypertension in the Hispanic/Latino population

Jinsong Chen, Sanjay R. Patel, Susan Redline, Ramon Durazo-Arvizu, Daniel B. Garside, Kathryn J. Reid, James Lash, Daniela Sotres-Alvarez, Linda C. Gallo, Megan E. Petrov, Krista M. Perreira, Gregory A. Talavera, Alberto R. Ramos, Phyllis Zee, Martha L. Daviglus

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Abstract

Study Objectives To identify weekly sleep trajectories (sleep pattern changing by day over a course of week) of specific characteristics and examine the associations between trajectory classes and obesity and hypertension. Methods A total of 2043 participants (mean age 46.9, 65.5% female) completed at least 7 days of actigraphy aged 18-64 from the Sueño ancillary study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Weekly sleep trajectories for three daily level measures (wake after sleep onset [WASO], daytime napping duration, and intranight instability index) were identified using latent class growth models. The outcomes were obesity and hypertension. Results Using the trajectory with low-stable WASO as reference, the trajectory classes with increasing and high-concave patterns had significantly higher odds for obesity (OR 3.64 [1.23-10.84]) and hypertension (OR 5.25 [1.33, 20.82]), respectively. Compared with individuals with a low-stable napping duration trajectory, those with the high-concave pattern class were associated with hypertension (OR 2.27 [1.10-4.67]), and the association was mediated in part by obesity (OR 1.11 [1.00-1.22]). Individuals in the high intranight instability index trajectory had significantly larger likelihood for both obesity (OR 1.90 [1.26-2.86]) and hypertension (OR 1.86 [1.13-3.06]) compared with those in the low intranight instability index trajectory. Conclusions Weekly trajectories varied for WASO, daytime napping duration, and intranight instability index. The trajectories with relatively larger values for these three measures were associated with greater risk for obesity and hypertension. These findings suggest that a stable pattern with relatively small weekly and nightly variability may be beneficial for cardiovascular health.

Original languageEnglish (US)
JournalSleep
Volume41
Issue number10
DOIs
StatePublished - Oct 1 2018

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Keywords

  • actigraphy
  • hypertension
  • napping duration
  • obesity
  • sleep trajectory
  • wake after sleep onset

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Chen, J., Patel, S. R., Redline, S., Durazo-Arvizu, R., Garside, D. B., Reid, K. J., Lash, J., Sotres-Alvarez, D., Gallo, L. C., Petrov, M. E., Perreira, K. M., Talavera, G. A., Ramos, A. R., Zee, P., & Daviglus, M. L. (2018). Weekly sleep trajectories and their associations with obesity and hypertension in the Hispanic/Latino population. Sleep, 41(10). https://doi.org/10.1093/sleep/zsy150