Cited by 248Sleep and related disordersSleep and Work-Related FatigueObstructive Sleep Apnea Research

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Self-reported symptoms of sleep disturbance and inflammation, coagulation, insulin resistance and psychosocial distress: Evidence for gender disparity

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Suarez, Edward C.·2008·Brain, Behavior, and Immunity

DOI 10.1016/j.bbi.2008.01.011PMC PMC3652592

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Abstract

Self-reported ratings of sleep quality and symptoms of poor sleep have been linked to increased risk of coronary heart disease (CHD), Type 2 diabetes and hypertension with recent evidence suggesting stronger associations in women. At this time, the mechanisms of action that underlie these gender-specific associations are incompletely defined. The current study examined whether gender moderates the relation of subjective sleep and sleep-related symptoms to indices of inflammation, coagulation, insulin resistance (IR) and psychosocial distress, factors associated with increased risk of cardiovascular and metabolic disorders. Subjects were 210 healthy men and women without a history of sleep disorders. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality and frequency of sleep symptoms. In multivariate-adjusted models, overall poor sleep quality, more frequent problems falling asleep (>2 night/week) and longer periods to fall asleep (>30 min) were associated with greater psychosocial distress, higher fasting insulin, fibrinogen and inflammatory biomarkers, but only for women. The data suggest that subjective ratings of poor sleep, greater frequency of sleep-related symptoms, and longer period of time to fall asleep are associated with a mosaic of biobehavioral mechanisms in women and that these gender-specific associations have direct implications to recent observations suggesting gender differences in the association between symptoms of poor sleep and cardiovascular disease.

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Authors: Suarez, E. C.
Affiliations: Duke University (US)
Corresponding author: Suarez, Edward C.
ORCID: Suarez, Edward C.
Venue: Brain, Behavior, and Immunity
Publisher: Elsevier BV
Published: 2008-08
Volume: 22
Issue: 6
Pages: 960-968
ISSN: 0889-1591 (ISSN-L)
DOI: 10.1016/j.bbi.2008.01.011
PMC: PMC3652592
OpenAlex: W2076304654
Cited by: 248
References: 71
Citations by year: 2026: 3 · 2025: 8 · 2024: 6 · 2023: 11 · 2022: 18 · 2021: 12 · 2020: 18 · 2019: 15 · 2018: 15 · 2017: 8 · 2016: 16 · 2015: 19 · 2014: 13 · 2013: 27 · 2012: 15
FWCI: 19.96
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: Brain Behavior and Immunity (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Heart, Lung, and Blood Institute (R01HL067459, HL67459)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Keywords: sleep disorders, sleep quality, gender differences, psychosocial distress, inflammation, coagulation, insulin resistance, fibrinogen, insulin, Pittsburgh Sleep Quality Index, sleep latency, cardiovascular risk, metabolic disorders
MeSH terms: Adult, Blood Coagulation, Cardiovascular Diseases, Fasting, Female, Fibrinogen, Humans, Inflammation, Insulin, Insulin Resistance, Male, Surveys and Questionnaires, Risk Factors, Sex Factors, Sleep Wake Disorders, Biomarkers

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Self-reported symptoms of sleep disturbance and inflammation, coagulation, insulin resistance and psychosocial distress: Evidence for gender disparity

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