TY - JOUR
T1 - Association of sleep characteristics with cardiovascular health among women and differences by race/ethnicity and menopausal status
T2 - findings from the American Heart Association Go Red for Women Strategically Focused Research Network
AU - Makarem, Nour
AU - St-Onge, Marie Pierre
AU - Liao, Ming
AU - Lloyd-Jones, Donald M.
AU - Aggarwal, Brooke
N1 - Funding Information:
This research was supported by an American Heart Association Go Red for Women Strategically Focused Research Network Award (Grant # AHA16SFRN27960011) awarded to Dr. Aggarwal and is also supported in part by Columbia University's CTSA Grant #UL1TR001873 from NCATS, NIH. Dr. Makarem is supported by an AHA Soter Collaborative Award 16SFRN27880000–1. Dr. St-Onge is supported by AHASFRN27950012 and R01 HL128226.
Publisher Copyright:
© 2019 National Sleep Foundation.
PY - 2019/10
Y1 - 2019/10
N2 - Background and Objective: Sleep is an emerging risk factor for cardiovascular disease (CVD) that is not currently included as a cardiovascular health (CVH) metric in the American Heart Association's Life's Simple 7 (AHA LS7). Our objective was to evaluate the association of sleep with CVH in women and examine differences by menopausal status and race/ethnicity. Methods: Baseline data from the Columbia University AHA Go Red for Women Strategically Focused Research Network were examined. Sleep habits were self-reported using validated questionnaires. A CVH score was computed using AHA LS7 criteria for smoking, diet, physical activity, BMI, blood pressure(BP), total cholesterol, and fasting glucose. Women received a score of 2 (ideal), 1 (intermediate), or 0 (poor) based on their level of meeting each AHA LS7 metric. Multivariable-adjusted regression models were used to evaluate associations of sleep with meeting overall and individual CVH metrics. Results: The analytical sample consisted of n = 507 women (62% minority/Hispanic, mean age:37 y). Participants with adequate sleep duration (≥7 h), good sleep quality, no insomnia nor snoring, and low risk for OSA were more likely to meet >4 of the AHA LS7 metrics (P <.01). Poorer sleep quality (β = −0.08, P =.002), higher insomnia severity (β = −0.05, P =.002), snoring (β = −0.77, P =.0001), and higher risk for OSA (β = −1.63, P <.0001) were associated with poorer CVH. Insomnia, snoring, and high OSA risk were associated with 69% to >300% higher odds of having poor CVH (P ≤.03). Associations were stronger in post-menopausal and racial/ethnic minority women. Conclusions: Better sleep habits were associated with more favorable CVH among women, suggesting that there may be benefit in incorporating sleep assessment into CVD risk screening.
AB - Background and Objective: Sleep is an emerging risk factor for cardiovascular disease (CVD) that is not currently included as a cardiovascular health (CVH) metric in the American Heart Association's Life's Simple 7 (AHA LS7). Our objective was to evaluate the association of sleep with CVH in women and examine differences by menopausal status and race/ethnicity. Methods: Baseline data from the Columbia University AHA Go Red for Women Strategically Focused Research Network were examined. Sleep habits were self-reported using validated questionnaires. A CVH score was computed using AHA LS7 criteria for smoking, diet, physical activity, BMI, blood pressure(BP), total cholesterol, and fasting glucose. Women received a score of 2 (ideal), 1 (intermediate), or 0 (poor) based on their level of meeting each AHA LS7 metric. Multivariable-adjusted regression models were used to evaluate associations of sleep with meeting overall and individual CVH metrics. Results: The analytical sample consisted of n = 507 women (62% minority/Hispanic, mean age:37 y). Participants with adequate sleep duration (≥7 h), good sleep quality, no insomnia nor snoring, and low risk for OSA were more likely to meet >4 of the AHA LS7 metrics (P <.01). Poorer sleep quality (β = −0.08, P =.002), higher insomnia severity (β = −0.05, P =.002), snoring (β = −0.77, P =.0001), and higher risk for OSA (β = −1.63, P <.0001) were associated with poorer CVH. Insomnia, snoring, and high OSA risk were associated with 69% to >300% higher odds of having poor CVH (P ≤.03). Associations were stronger in post-menopausal and racial/ethnic minority women. Conclusions: Better sleep habits were associated with more favorable CVH among women, suggesting that there may be benefit in incorporating sleep assessment into CVD risk screening.
KW - AHA Life's Simple 7
KW - Cardiovascular health
KW - Menopausal status
KW - Race/ethnicity
KW - Sleep
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U2 - 10.1016/j.sleh.2019.05.005
DO - 10.1016/j.sleh.2019.05.005
M3 - Article
C2 - 31302068
AN - SCOPUS:85068500658
SN - 2352-7218
VL - 5
SP - 501
EP - 508
JO - Sleep Health
JF - Sleep Health
IS - 5
ER -