Sleep epidemiology最新文献

{"title":"Sleep duration and consumption of ultra-processed foods among Brazilian adolescents","authors":"Luana Lara Rocha ,&nbsp;Monique Louise Cassimiro Inácio ,&nbsp;Lucia Helena Almeida Gratão ,&nbsp;Isabella Gomes Miquelanti ,&nbsp;Gustavo Julião Andaki ,&nbsp;Cristiane de Freitas Cunha ,&nbsp;Tatiana Resende Prado Rangel de Oliveira ,&nbsp;Milene Cristine Pessoa ,&nbsp;Larissa Loures Mendes","doi":"10.1016/j.sleepe.2024.100086","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100086","url":null,"abstract":"<div><h3>Background</h3><p>Sleep duration influences the dietary pattern and quality of life of adolescents and is associated with increased ultra-processed food (UPF) consumption among those with inadequate sleep duration, which may be related to the increased prevalence of obesity, insulin resistance, and high blood pressure in this age group. Thus, the study objective was to verify the association between sleep duration and UPF intake among Brazilian adolescents participating in the Study of Cardiovascular Risks in Adolescents (ERICA).</p></div><div><h3>Methods</h3><p>Cross-sectional study using ERICA data, conducted between March 2013 and December 2014 with adolescents aged 12 to 17 years from public and private schools in Brazilian cities with more than 100,000 inhabitants. UPF consumption was obtained by recording a 24-hour food diary and was used as the outcome variable (in grams). The sleep duration was obtained through a questionnaire, stratified into recommended sleep duration (eight to 10 h) and inadequate sleep duration (less than 8 h and more than 10 h). Linear regression was performed to verify the association between sleep duration and UPF consumption. The analyses were carried out using Stata.</p></div><div><h3>Results</h3><p>66,791 adolescents were included in the study, 55.94 % of whom had inadequate sleep duration. Regardless of sleep duration, male adolescents had a higher average UPF consumption, as did adolescents in the 14–15 age group, who belong to the high socioeconomic score. Adolescents who slept less than 8 or more than 10 h a night (inadequate sleep duration) showed an increase in UPF consumption compared to adolescents who complied with the recommended hours of sleep (37.20 (22.64 – 51.76).</p></div><div><h3>Conclusion</h3><p>The results show the importance of healthy lifestyle habits, such as adequate sleep duration and healthy eating, for health promotion. Food and Nutrition Education actions in schools are recommended to warn about the harm of inadequate sleep time and excessive UPF consumption.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000143/pdfft?md5=1de6f80bc2e5015a36951812b8f8dca9&pid=1-s2.0-S2667343624000143-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents’ sleep quality is associated with day of the week, school timing and chronotype","authors":"Guadalupe Rodríguez Ferrante ,&nbsp;Andrea Paula Goldin ,&nbsp;María Juliana Leone","doi":"10.1016/j.sleepe.2024.100092","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100092","url":null,"abstract":"<div><p>Late chronotypes and early school start times are associated with unhealthy sleep habits during adolescence. Here we examine the impact of the relationship between school timing and chronotype on sleep quality in 349 Argentinian high-school students (age: 17-18 y.o., 49% females) randomly assigned to attend school in the morning, afternoon or evening. Students completed the Munich Chronotype Questionnaire and ranked their sleep quality using a Likert-like scale. We found higher sleep quality on free days than on weekdays. Importantly, morning-attending students showed lower sleep quality on weekdays. Finally, the interaction between school timing and chronotype was associated with sleep quality on weekdays: later chronotypes were associated with poorer sleep quality in morning- and afternoon-attending students, but not in the evening. Altogether, our results suggest that attending school in the morning is associated with shorter sleep duration and higher social jetlag, but also with lower sleep quality during adolescence.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000180/pdfft?md5=bbdb7b2f38e4856fb5fb84f2ede7304e&pid=1-s2.0-S2667343624000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to “Modeling and Feature Assessment of the Sleep Quality among Chronic Kidney Disease Patients” [Sleep Epidemiology Volume 2, December 2022, 100041]","authors":"Surani Matharaarachchi ,&nbsp;Mike Domaratzki ,&nbsp;Chamil Marasinghe ,&nbsp;Saman Muthukumarana ,&nbsp;Varuni Tennakoon","doi":"10.1016/j.sleepe.2024.100072","DOIUrl":"10.1016/j.sleepe.2024.100072","url":null,"abstract":"","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100072"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of mood, stress, and social support with sleep duration and daytime sleepiness among adolescents in semi-rural Georgia","authors":"John T. Mitchener ,&nbsp;Lauren E. Barber ,&nbsp;Julie A. Gazmararian ,&nbsp;Gina Marie Mathew ,&nbsp;Lauren Hale ,&nbsp;Dayna A. Johnson","doi":"10.1016/j.sleepe.2024.100085","DOIUrl":"10.1016/j.sleepe.2024.100085","url":null,"abstract":"<div><h3>Objective</h3><p>Adolescents are at greater risk for poor sleep compared to childhood; however, there is limited data regarding psychosocial determinants of adverse sleep health among semi-rural adolescents. We investigated associations of mood, stress, and social support with self-reported sleep duration and daytime sleepiness among adolescents.</p></div><div><h3>Methods</h3><p>Adolescents (<em>n</em> = 254) in semi-rural Georgia self-reported depressive and anxiety symptoms, stress, social support, sleep duration and daytime sleepiness in November 2020. Multinomial linear and logistic models were fit to examine associations of psychosocial factors with sleep duration and sleepiness; and effect modification by social support was tested after adjustment for covariates.</p></div><div><h3>Results</h3><p>Most participants were non-Hispanic White (55 %), female (53 %), and approximately 35 % were eligible for free-reduced lunch. Mean sleep duration (± SD) and daytime sleepiness was 8.04 ± 1.36 and 5.17 ± 2.37, respectively; and 42 % of participants reported insufficient sleep (&lt;8 h). Depressive (β = 0.13, 95 % CI: 0.08, 0.18) and anxiety (β = 1.20, 95 % CI 0.51, 1.88) symptoms, and stress (β = 1.97, 95 % CI 1.21, 2.74) were associated with higher sleepiness scores. The psychosocial factors were associated with higher odds of insufficient sleep duration, but not continuous sleep duration. Higher social support was associated with lower sleepiness, but not sleep duration. There was no observed effect modification by social support.</p></div><div><h3>Conclusions</h3><p>Experiences of psychosocial factors were associated with more sleepiness and insufficient sleep, while social support was associated with less sleepiness. Future studies should explore intervention strategies to enhance mood and social support and reduce stress to improve sleep among semi-rural adolescents.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000131/pdfft?md5=4b3bfe02703c268f55e1dfff0ebb6371&pid=1-s2.0-S2667343624000131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Listening to patients: Incidence and distribution of sleep disorders in Prader-Willi syndrome","authors":"Amee Revana ,&nbsp;E. Robert Wassman ,&nbsp;Niva Haber ,&nbsp;Lara C. Pullen ,&nbsp;Terry Jo Bichell ,&nbsp;Jessica Duis ,&nbsp;Randy Bartlett ,&nbsp;Christopher DeFelice ,&nbsp;Maria Picone","doi":"10.1016/j.sleepe.2024.100101","DOIUrl":"10.1016/j.sleepe.2024.100101","url":null,"abstract":"<div><div>While the medical community continues to recognize the contributions of disordered sleep to the burden of Prader-Willi syndrome (PWS), the medical literature lacks characterization of the patient burden of sleep disorders by people living with PWS and their caregivers. We developed and fielded a 72-question survey to the online PWS community, to query caregivers about their experiences with sleep symptoms. Respondents for all age groups reported sleep-disordered breathing (40 %), cataplexy-like symptoms (28.4 %), and insomnia (43.5 %). The presentation of cataplexy-like symptoms tended to change as children aged, presenting initially (ages 0–4 years) as head bobbing while eating, then transitioning to knee buckling between the ages of 5–12 years. Finally, loss of generalized tone associated with extreme emotions became more common in the teenage years. Frequent screening for potentially treatable sleep disorders should be considered the standard of care for individuals with PWS.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep problem and its association with physical activity and functional limitation: Brazilian national health survey","authors":"Raquel Lisboa Oliveira ,&nbsp;Renata Lara Freitas ,&nbsp;Fabíola Bof de Andrade","doi":"10.1016/j.sleepe.2024.100080","DOIUrl":"10.1016/j.sleepe.2024.100080","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the association of sleep problems with physical activity and functional limitations in Basic Activities of Daily Living (BADL) in non-institutionalized Brazilian older adults and to investigate if there is a moderating effect of functional limitations in the association between physical activity and sleep problems.</p></div><div><h3>Method</h3><p>This was a cross-sectional study of 22,728 older adults aged 60 or older interviewed in the National Health Survey in 2019. The outcome variable was self-reported sleep problems. The independent variables of interest were the practice of physical activity and functional limitations in BADL. The association between the independent variables and the outcome was assessed using logistic regression models adjusted for covariates.</p></div><div><h3>Results</h3><p>The prevalence of sleep problems was 24.8% (95% CI 23.8–25.8). Physically active individuals were less likely to have sleep problems (OR 0.85; 95% CI 0.72–0.99), while those with functional limitations in BADL (OR 2.10; 95% CI 1.77–2.49) were more likely to have sleep problems, after adjustment for covariates. There was a significant interaction between physical activities and functional limitations in BADL.</p></div><div><h3>Conclusions</h3><p>The prevalence of sleep problems in the Brazilian older adults was associated with physical activity and functional limitations in BADL. Physical activity is associated with lower odds of sleep problems among older adults with functional limitations in BADL.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266734362400009X/pdfft?md5=d3c63f9c5885659b531e37b969f1db79&pid=1-s2.0-S266734362400009X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dentists’ role in obstructive sleep apnea: A more comprehensive review","authors":"Najla S. Alrejaye ,&nbsp;Hamdan Al-Jahdali","doi":"10.1016/j.sleepe.2024.100073","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100073","url":null,"abstract":"<div><p>Obstructive Sleep Apnea (OSA) is a prevalent disorder with significant morbidity and mortality. Positive Airway Pressure (PAP) therapy is considered the gold standard and the most effective management option for OSA. However, a considerable number of patients are unable to tolerate or decline PAP therapy and seek alternative or complementary treatments. Studies have reported insufficient knowledge among physicians regarding OSA management, including the role of dentists. Furthermore, the focus on dentists' role in OSA management has primarily been limited to the provision of oral appliances, despite the potential for dentists to play a more significant role. This review article aims to provide a comprehensive and clear understanding of the dentists' role in OSA management to assist physicians in better recognizing their patients' needs and providing timely referrals for more efficient management.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000027/pdfft?md5=61780cb03fc30b0cf58c16cebeb7cacd&pid=1-s2.0-S2667343624000027-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139714763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of sleep apnea among a sample of adults from Samoa","authors":"Lacey W. Heinsberg ,&nbsp;Alysa Pomer ,&nbsp;Brian E. Cade ,&nbsp;Jenna C. Carlson ,&nbsp;Take Naseri ,&nbsp;Muagututia Sefuiva Reupena ,&nbsp;Satupa'itea Viali ,&nbsp;Daniel E. Weeks ,&nbsp;Stephen T. McGarvey ,&nbsp;Susan Redline ,&nbsp;Nicola L. Hawley","doi":"10.1016/j.sleepe.2024.100099","DOIUrl":"10.1016/j.sleepe.2024.100099","url":null,"abstract":"<div><div>Sleep apnea is a global public health concern, but little research has examined this issue in low- and middle-income countries, including Samoa. The purpose of this study was to examine the sample prevalence and characteristics of sleep apnea using a validated home sleep apnea device (WatchPAT, Itamar) and explore factors that may influence sleep health in the Samoan setting. This study used data collected through the <em>Soifua Manuia</em> (“Good Health”) study, which investigated the impact of the body mass index (BMI)-associated genetic variant rs373863828 in <em>CREBRF</em> on metabolic traits in Samoan adults (sampled to overrepresent the obesity-risk allele of interest). A total of 330 participants had sleep data available. Participants (53.3 % female) had a mean (SD) age of 52.0 (9.9) years and BMI of 35.5 (7.5) kg/m², and 36.3 % of the sample had type 2 diabetes. Based on the 3 % and 4 % apnea hypopnea indices (AHI) and the 4 % oxygen desaturation index (ODI), descriptive analyses revealed moderate to severe sleep apnea (defined as <span><math><mo>≥</mo></math></span>15 events/hr) in 54.9 %, 31.5 %, and 34.5 % of the sample, respectively. Sleep apnea was more severe in men (e.g., AHI 3 % <span><math><mo>≥</mo></math></span>15 in 61.7 % of men and 48.9 % of women). Correction for non-representational sampling related to the <em>CREBRF</em> obesity-risk allele resulted in only slightly lower estimates. Multiple linear regression linked a higher number of events/hr to higher age, male sex, higher BMI, higher abdominal-hip circumference ratio, and geographic region of residence. Further research and an increased focus on equitable and affordable diagnosis and access to treatment are crucial to addressing sleep apnea in Samoa and globally.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social determinants of sleep apnea in Canada: A cross-sectional study exploring the intersection between immigrants’ length of residence and visible minority status","authors":"Joseph A. Braimah ,&nbsp;Emmanuel Kyeremeh ,&nbsp;Roger Antabe ,&nbsp;Bradley P. Stoner ,&nbsp;Eugena Kwon","doi":"10.1016/j.sleepe.2024.100089","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100089","url":null,"abstract":"<div><p>This study aims to explore the intersection between immigrants' length of residence and visible minority status, examining how these factors influence the likelihood of obstructive sleep apnea (OSA) reported by a health professional. Utilizing data from the 2015–16 Canadian Community Health Survey and employing logistic regression analyses, we compare the prevalence of OSA reported by a health professional among distinct groups: white native-born, visible minority native-born, white recent immigrants, visible minority recent immigrants, white established immigrants, and visible minority established immigrants. At the unadjusted level, our findings indicate that visible minority native-born (cOR=0.57, <em>p</em> &lt; 0.001) and recent immigrants (cOR=0.34, <em>p</em> &lt; 0.001) are less likely to receive a sleep apnea diagnosis compared to white native-born individuals. However, when adjusting for demographic variables, particularly the age of respondents, the robustness of the significance diminishes for visible minority native-born (aOR=1.07, <em>p</em> &gt; 0.05), while becoming significant for white established immigrants (aOR=0.79, <em>p</em> &lt; 0.01). Despite remaining largely consistent after accounting for socioeconomic, behavioural, and health characteristics, the significance for visible minority recent immigrants (aOR=0.69, <em>p</em> &gt; 0.05) and white established immigrants (aOR=0.82, <em>p</em> &lt; 0.05) is substantially explained when considering BMI. Based on these findings, we discuss implications for policymakers and suggest avenues for future research.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000179/pdfft?md5=b614096aa591d3af7d6d2168740f40a2&pid=1-s2.0-S2667343624000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex-specific associations between self-reported sleep characteristics and 10-year cardiovascular disease risk in men and women of African descent living in a low socioeconomic status environment","authors":"Philippa E. Forshaw ,&nbsp;Arron T.L. Correia ,&nbsp;Laura C. Roden ,&nbsp;Estelle V. Lambert ,&nbsp;Brian T. Layden ,&nbsp;Sirimon Reutrakul ,&nbsp;Stephanie J. Crowley ,&nbsp;Amy Luke ,&nbsp;Lara R. Dugas ,&nbsp;Dale E. Rae","doi":"10.1016/j.sleepe.2024.100091","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100091","url":null,"abstract":"<div><h3>Background</h3><p>Risk factors for cardiovascular disease (CVD) and sleep health are well-known to be sex- and race-specific. To build on the established relationship between sleep duration and CVD risk, this cross-sectional study aimed to describe sex-specific associations between CVD risk and other sleep characteristics (sleep quality, sleep timing and sleep onset latency) in low-income adults of African descent.</p></div><div><h3>Methods</h3><p>Self-reported sleep (Pittsburgh Sleep Quality Index [PSQI], Epworth Sleepiness Scale [ESS], Insomnia Severity Index [ISI]), demographic and lifestyle data were collected in 412 adults (56 % women, 35.0 ± 7.6y, 40 % employed) living in an informal settlement in South Africa. CVD risk was determined using the BMI-modified Framingham 10-year CVD risk formula.</p></div><div><h3>Results</h3><p>Logistic regression analyses, adjusted for employment, alcohol use and physical activity, indicated that men reporting poor sleep quality (OR: 1.95[95 %CI: 1.07–3.51], <em>p</em>=0.025) and earlier bedtimes (0.54[0.39–0.74], <em>p</em>&lt;0.001) were more likely to belong to a higher 10-year CVD risk score quintile. Women reporting earlier bedtimes (0.72[0.55–0.95], <em>p</em>=0.020) and wake-up times (0.30[0.13–0.73], <em>p</em>=0.007), longer sleep-onset latency (1.47[1.43–1.88], <em>p</em>=0.003), shorter total sleep times (0.84[0.72–0.98], <em>p</em>=0.029), higher PSQI global scores (1.93[1.29–2.90], <em>p</em>=0.001) and more moderate to severe symptoms of insomnia (ISI≥15)(3.24[1.04–10.04], <em>p</em>=0.016) were more likely to belong to higher 10-year CVD risk score quintile.</p></div><div><h3>Conclusion</h3><p>In addition to sleep duration, we found that sleep quality, sleep timing and sleep onset latency are additional risk factors for CVD in adults of African descent. Sex-specific differences in the sleep-CVD-risk relationship observed suggests that future studies and recommendations about sleep health in relation to CVD should take sex into account.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000192/pdfft?md5=47dcbda18a62a232c37e69536183743c&pid=1-s2.0-S2667343624000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}