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Association between sleep duration and differences between weekday and weekend sleep with body mass index & waist circumference among Black women in Sistertalk II

  • Tayla Ash
    Correspondence
    Corresponding author: Tayla Ash, Brown University School of Public Health, Department of Behavioral & Social Sciences, 121 S. Main St., 824-E, Providence, Rhode Island RI 02912, United States
    Affiliations
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA
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  • Augustine Kang
    Affiliations
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA
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  • Christina Hom
    Affiliations
    Brown School of Public Health, 121 S. Main St., Providence, RI, USA
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  • Patricia Markham Risica
    Affiliations
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA

    Department of Epidemiology, Brown School of Public Health, Providence, RI, USA
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      Abstract

      Objectives

      Examine associations between sleep duration and differences between weekday and weekend sleep with body mass index and waist circumference in a sample of high-risk Black women from the SisterTalk II study.

      Design

      Cross-sectional analysis of baseline data from an intervention study targeting dietary and physical activity behaviors.

      Setting

      Women were recruited from the Providence, RI, USA, area.

      Participants

      The sample includes 569 middle-aged Black women who were hypertensive or at risk for hypertension.

      Measurements

      Participants self-reported their weekday and weekend sleep duration. Body mass index (BMI) and waist circumference (WC) were objectively measured. Associations between the sleep and anthropometric measures were examined using analysis of variance and multivariable regression models controlling for birthplace, educational attainment, employment status, and annual household income.

      Results

      25.5% of the sample were very short sleepers (≤6 hrs), 28.8% short sleepers (≥6 to <7 hrs), 40.4% recommended sleepers (≥7 to ≤9 hrs), and 5.3% long sleepers (>9 hrs); 70.7% had a consistent sleep duration (≤2-hour difference between weekday and weekend sleep duration), 21.6% were classified as “weekend snoozers” (>2-hours more sleep on weekends), and 7.7% were classified as “weekend warriors” (>2-hours less sleep on weekends). Compared to recommended sleepers, very short sleepers and long sleepers had significantly greater BMIs, while long sleepers had significantly larger WCs. Being a weekend snoozer was also associated with increased BMI and WC.

      Conclusions

      In this sample of high-risk Black women, sleep duration and differences between weekday and weekend sleep were independently associated with excess weight and abdominal obesity.

      Keywords

      Abbreviations:

      BMI (body mass index), WC (waist circumference)
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