Abstract
Objectives
This study assessed the associations between short and long sleep duration and prevalence
of cardiometabolic outcomes in American Indians and Alaska Natives (AI/ANs) and compared
these associations to those evident among other race/ethnicities.
Methods
We analyzed data from the 2013-2014 Behavioral Risk Factor Surveillance System. In
total, 14,536 AI/ANs, 729,962 non-Hispanic whites, 71,765 blacks, and 59,472 Hispanics
were included. Logistic regressions were conducted to compute unadjusted and adjusted
odds ratios (OR) for the associations of interest.
Results
Among AI/ANs, 38.6% reported sleeping <7 hours per night (short sleepers) while 39.3%
reported 8+ hours of sleep (long sleepers). After adjusting for age and gender, both
short and long sleep durations were associated with higher odds of reporting diabetes,
stroke, coronary heart disease and heart attack in almost all race/ethnic groups.
After multiple adjustments, the sleep-diabetes association was more pronounced (OR
= 1.71 and OR = 1.56 for short and long sleepers, respectively) among AI/ANs than
other race/ethnicities.
Conclusions
Future studies are warranted to examine race/ethnic variability in the association
between sleep duration and cardiometabolic outcomes.
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Article info
Publication history
Published online: April 13, 2019
Accepted:
February 17,
2019
Received in revised form:
February 11,
2019
Received:
May 22,
2018
Identification
Copyright
© 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
