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Sleep Patterns and Obesity: Hispanic Community Health Study/Study of Latinos Sueño Ancillar Study.

TitleSleep Patterns and Obesity: Hispanic Community Health Study/Study of Latinos Sueño Ancillar Study.
Publication TypePublication
Year2019
AuthorsLoredo JS, Weng J, Ramos AR, Sotres-Alvarez D, Simonelli G, Talavera GA, Patel SR
JournalChest
Volume156
Issue2
Pagination348-356
Date Published2019 08
ISSN1931-3543
Keywordsactigraphy, Adolescent, Adult, Aged, Body mass index, Cross-Sectional Studies, Female, Hispanic Americans, Humans, Male, Middle Aged, Obesity, Prevalence, sleep, Young Adult
Abstract

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/m, 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.

DOI10.1016/j.chest.2018.12.004
Alternate JournalChest
PubMed ID30853108
PubMed Central IDPMC6689092
Grant ListK24 HL127307 / HL / NHLBI NIH HHS / United States
N01HC65236 / HL / NHLBI NIH HHS / United States
N01HC65235 / HL / NHLBI NIH HHS / United States
N01HC65234 / HL / NHLBI NIH HHS / United States
R21 HL140437 / HL / NHLBI NIH HHS / United States
N01HC65237 / HL / NHLBI NIH HHS / United States
R21 AG056952 / AG / NIA NIH HHS / United States
R01 HL098297 / HL / NHLBI NIH HHS / United States
P30 DK111022 / DK / NIDDK NIH HHS / United States
N01HC65233 / HL / NHLBI NIH HHS / United States
MS#: 
0336
Manuscript Lead/Corresponding Author Affiliation: 
Field Center: San Diego (San Diego State University)
ECI: 
Manuscript Status: 
Published