Associations between habitual sleep characteristics and cardiometabolic disease risk in corporate executives

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY Sleep Health Pub Date : 2024-08-23 DOI:10.1016/j.sleh.2024.07.007

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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Abstract

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.

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企业高管的习惯性睡眠特征与心脏代谢疾病风险之间的关系。

目的：企业高管的工作要求可能会导致不良的睡眠习惯，从而增加他们罹患心脏代谢疾病的风险。本研究旨在描述和探讨客观测量的企业高管习惯性睡眠特征与心血管代谢疾病风险之间的关联，同时考虑职业、心理和生活方式因素。方法：使用腕戴式动态心电图仪和睡眠日记对 61 名（68.3% 男性）年龄为 46.4 ± 8.7 岁的企业高管连续七天的习惯性睡眠进行测量。利用体重指数、腰围、血压、空腹血糖和血脂浓度确定了综合的心脏代谢疾病风险评分。采用逆向逐步选择法建立预测模型，探讨睡眠特征与心血管代谢疾病风险因素之间的关联，并对职业、心理和生活方式协变量进行调整：平均总睡眠时间为 6.60 ± 0.75 小时，51.7% 的参与者表示睡眠质量差，26.2% 的参与者延长了周末睡眠时间。调整模型显示，较低的睡眠效率（β = -0.25，95%CI：-0.43；-0.08，P = .006）、较短的工作日总睡眠时间（β =-1.37，95%CI：-2.41，-0.32；P = .011）和补觉（β = 0.84，95%CI：0.08，1.60，P = .002）与较高的心脏代谢疾病风险评分相关。调整模型还发现，较短的平均卧床时间（β=-2.00，95%CI：-3.76; -0.18，P = .031）、平均总睡眠时间（β=1.98，95%CI：-3.70; -0.25，P = .025）和工作日总睡眠时间（β=-2.13，95%CI：-3.56；-0.69，P = .025）以及补觉（β=1.67，95%CI：0.52；2.83；P = .012）都与体重指数较高有关：结论：企业高管如果在工作周内缩短睡眠时间，可能会增加肥胖和未来患心脏代谢疾病的风险。

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来源期刊

Sleep Health CLINICAL NEUROLOGY-

CiteScore

6.30

自引率

9.80%

发文量

114

审稿时长

54 days

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.