Paula R. Pienaar PhD , Laura C. Roden PhD , Cécile R.L. Boot PhD , Willem van Mechelen PhD, MD , Jason A. Suter MD , Estelle V. Lambert PhD , Dale E. Rae PhD
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A composite cardiometabolic disease risk score was determined using body mass index, waist circumference, blood pressure and fasting glucose and lipid concentrations. Prediction models were built using a backward stepwise selection approach to explore associations between sleep characteristics and cardiometabolic disease risk factors adjusting for occupational, psychological, and lifestyle covariates.</p></div><div><h3>Results</h3><p>Average total sleep time was 6.60 ± 0.75 hours, with 51.7% of participants reporting poor sleep quality and 26.2% extending their weekend sleep. Adjusted models showed that lower sleep efficiency (β = −<!--> <!-->0.25, 95%CI: −<!--> <!-->0.43; −<!--> <!-->0.08, <em>P</em> = .006), shorter weekday total sleep time (β = −<!--> <!-->1.37, 95% CI: −<!--> <!-->2.41, −<!--> <!-->0.32; <em>P</em> = .011) and catch-up sleep (β = 0.84, 95%CI: 0.08, 1.60, <em>P</em> = .002) were associated with higher cardiometabolic disease risk scores. Adjusted models also found that shorter average time-in-bed (ß<!--> <!-->=<!--> <!-->−<!--> <!-->2.00, 95%CI: −<!--> <!-->3.76; −<!--> <!-->0.18, <em>P</em> = .031), average total sleep time (ß<!--> <!-->=<!--> <!-->1.98, 95%CI: −<!--> <!-->3.70; −<!--> <!-->0.25, <em>P</em> = .025) and weekday total sleep time (β = −<!--> <!-->2.13, 95%CI: −<!--> <!-->3.56; −<!--> <!-->0.69, <em>P</em> = .025) as well as catch-up sleep (β = 1.67, 95% CI: 0.52; 2.83; <em>P</em> = .012) were all associated with a higher body mass index.</p></div><div><h3>Conclusion</h3><p>Corporate executives who compromise sleep duration during the working week may increase their risk for obesity and future cardiometabolic disease.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352721824001669/pdfft?md5=fe19e6cb2127c89d30fcbdbcbb6e8715&pid=1-s2.0-S2352721824001669-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Associations between habitual sleep characteristics and cardiometabolic disease risk in corporate executives\",\"authors\":\"Paula R. Pienaar PhD , Laura C. Roden PhD , Cécile R.L. Boot PhD , Willem van Mechelen PhD, MD , Jason A. Suter MD , Estelle V. Lambert PhD , Dale E. Rae PhD\",\"doi\":\"10.1016/j.sleh.2024.07.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Corporate executive job demands may lead to poor sleep habits, increasing their risk for cardiometabolic disease. This study aimed to describe and explore associations between objectively measured habitual sleep characteristics and cardiometabolic disease risk of corporate executives, while accounting for occupational, psychological, and lifestyle factors.</p></div><div><h3>Methods</h3><p>Habitual sleep was measured using wrist-worn actigraphy and a sleep diary over seven consecutive days in 61 (68.3% men) corporate executives aged 46.4 ± 8.7<!--> <!-->years. A composite cardiometabolic disease risk score was determined using body mass index, waist circumference, blood pressure and fasting glucose and lipid concentrations. Prediction models were built using a backward stepwise selection approach to explore associations between sleep characteristics and cardiometabolic disease risk factors adjusting for occupational, psychological, and lifestyle covariates.</p></div><div><h3>Results</h3><p>Average total sleep time was 6.60 ± 0.75 hours, with 51.7% of participants reporting poor sleep quality and 26.2% extending their weekend sleep. Adjusted models showed that lower sleep efficiency (β = −<!--> <!-->0.25, 95%CI: −<!--> <!-->0.43; −<!--> <!-->0.08, <em>P</em> = .006), shorter weekday total sleep time (β = −<!--> <!-->1.37, 95% CI: −<!--> <!-->2.41, −<!--> <!-->0.32; <em>P</em> = .011) and catch-up sleep (β = 0.84, 95%CI: 0.08, 1.60, <em>P</em> = .002) were associated with higher cardiometabolic disease risk scores. Adjusted models also found that shorter average time-in-bed (ß<!--> <!-->=<!--> <!-->−<!--> <!-->2.00, 95%CI: −<!--> <!-->3.76; −<!--> <!-->0.18, <em>P</em> = .031), average total sleep time (ß<!--> <!-->=<!--> <!-->1.98, 95%CI: −<!--> <!-->3.70; −<!--> <!-->0.25, <em>P</em> = .025) and weekday total sleep time (β = −<!--> <!-->2.13, 95%CI: −<!--> <!-->3.56; −<!--> <!-->0.69, <em>P</em> = .025) as well as catch-up sleep (β = 1.67, 95% CI: 0.52; 2.83; <em>P</em> = .012) were all associated with a higher body mass index.</p></div><div><h3>Conclusion</h3><p>Corporate executives who compromise sleep duration during the working week may increase their risk for obesity and future cardiometabolic disease.</p></div>\",\"PeriodicalId\":48545,\"journal\":{\"name\":\"Sleep Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-08-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2352721824001669/pdfft?md5=fe19e6cb2127c89d30fcbdbcbb6e8715&pid=1-s2.0-S2352721824001669-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352721824001669\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352721824001669","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Associations between habitual sleep characteristics and cardiometabolic disease risk in corporate executives
Objectives
Corporate executive job demands may lead to poor sleep habits, increasing their risk for cardiometabolic disease. This study aimed to describe and explore associations between objectively measured habitual sleep characteristics and cardiometabolic disease risk of corporate executives, while accounting for occupational, psychological, and lifestyle factors.
Methods
Habitual sleep was measured using wrist-worn actigraphy and a sleep diary over seven consecutive days in 61 (68.3% men) corporate executives aged 46.4 ± 8.7 years. A composite cardiometabolic disease risk score was determined using body mass index, waist circumference, blood pressure and fasting glucose and lipid concentrations. Prediction models were built using a backward stepwise selection approach to explore associations between sleep characteristics and cardiometabolic disease risk factors adjusting for occupational, psychological, and lifestyle covariates.
Results
Average total sleep time was 6.60 ± 0.75 hours, with 51.7% of participants reporting poor sleep quality and 26.2% extending their weekend sleep. Adjusted models showed that lower sleep efficiency (β = − 0.25, 95%CI: − 0.43; − 0.08, P = .006), shorter weekday total sleep time (β = − 1.37, 95% CI: − 2.41, − 0.32; P = .011) and catch-up sleep (β = 0.84, 95%CI: 0.08, 1.60, P = .002) were associated with higher cardiometabolic disease risk scores. Adjusted models also found that shorter average time-in-bed (ß = − 2.00, 95%CI: − 3.76; − 0.18, P = .031), average total sleep time (ß = 1.98, 95%CI: − 3.70; − 0.25, P = .025) and weekday total sleep time (β = − 2.13, 95%CI: − 3.56; − 0.69, P = .025) as well as catch-up sleep (β = 1.67, 95% CI: 0.52; 2.83; P = .012) were all associated with a higher body mass index.
Conclusion
Corporate executives who compromise sleep duration during the working week may increase their risk for obesity and future cardiometabolic disease.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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