Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States
Abstract
Research associates short (and to a lesser extent long) sleep duration with obesity, diabetes, and cardiovascular disease; and although 7-8 h of sleep seems to confer the least health risk, these findings are often based on non-representative data. We hypothesize that short sleep (<7 h) and long sleep (>8 h) are positively associated with the risk of obesity, diabetes, hypertension, and cardiovascular disease; and analyze 2004-2005 US National Health Interview Survey data (n=56,507 observations, adults 18-85) to test this. We employ multilevel logistic regression, simultaneously controlling for individual characteristics (e.g., ethnoracial group, gender, age, education), other health behaviors (e.g., exercise, smoking), family environment (e.g., income, size, education) and geographic context (e.g., census region). Our model correctly classified at least 76% of adults on each of the outcomes studied, and sleep duration was frequently more strongly associated with these health risks than other covariates. These findings suggest a 7-8 h sleep duration directly and indirectly reduces chronic disease risk.
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Lower quality or quantity of sleep is linked to poorer physical health, including elevated risks for cardiovascular disease, hypertension, and early mortality.
“A substantial body of evidence indicates that lower quality or quantity of sleep is linked to poorer physical health,20–22 including elevated risks for cardiovascular disease,23 hypertension,24 and early mortality.25”
From Social Media Use and Its Link to Physical Health Indicators (2022) · cites this paper as [23]
Self-reported short and long sleep duration have been associated with elevated risk of obesity in both children and adults.
“Both self-reported short and long sleep duration have been associated with elevated risk of obesity in both children and adults[1-7]”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [1]
Partial and total sleep deprivation result in elevated salivary and plasma cortisol the following afternoon and evening, while morning cortisol may be unchanged or decreased.
“Partial and total sleep deprivation resulted in elevated salivary and plasma cortisol the following afternoon and evening100,101,109,114,117 (Table 1), while morning cortisol levels may be unchanged or even decreased.90,97,117”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [114]
Total and partial sleep deprivation reduce glucose tolerance in lean individuals.
“Total and partial sleep deprivation reduced glucose tolerance in lean individuals.”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [114]
Sleep debt in the current sample was associated with various metabolic risk factors, including insulin resistance and measures of adiposity (P < .05).
“Consistent with previous reports (1,3), sleep debt in the current sample was associated with various metabolic risk factors, including insulin resistance and measures of adiposity (P Ͻ .05).”
From Social jetlag, chronotype, and cardiometabolic risk (2015) · cites this paper as [3]
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Changing Work, Changing Health
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Social and behavioral determinants of perceived insufficient sleep
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Role of sleep quality in the metabolic syndrome
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Sleep in America: role of racial/ethnic differences
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Interacting epidemics? Sleep curtailment, insulin resistance, and obesity
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The National Veteran Sleep Disorder Study: Descriptive Epidemiology and Secular Trends, 2000–2010
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Discrimination, Other Psychosocial Stressors, and Self-Reported Sleep Duration and Difficulties
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Work–family conflict, family-supportive supervisor behaviors (FSSB), and sleep outcomes.
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Self-citationExcessive sleep duration and quality of life
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Sleep: important considerations for the prevention of cardiovascular disease
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Sleep, its regulation and possible mechanisms of sleep disturbances
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Teen sleep and suicidality: results from the Youth Risk Behavior Surveys of 2007 and 2009
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Racial/ethnic disparities in sleep health and health care: importance of the sociocultural context
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National Health Interview Survey
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Sleep Disorders and the Development of Insulin Resistance and Obesity
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Association of Sleep Duration and Hypertension Among US Adults Varies by Age and Sex
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Sleep, Sleep Disorders, and Sexual Dysfunction
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Diet and Sleep Physiology: Public Health and Clinical Implications
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Why healthy sleep is good for business
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Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease
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Role of melatonin in blood pressure regulation: An adjunct anti‐hypertensive agent
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Circadian rhythm dysfunction: a novel environmental risk factor for Parkinson’s disease
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Sleep duration and self-rated health: The national health interview survey 2008
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Association between sleep duration and diabetes in black and white adults
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Neurobiological and Hormonal Mechanisms Regulating Women’s Sleep
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Everyday stress response targets in the science of behavior change
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Automating sleep stage classification using wireless, wearable sensors
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Deep Learning and Insomnia: Assisting Clinicians With Their Diagnosis
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Self-citationThe relation between sleep duration and sedentary behaviours in European adults
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A Population-Based Study on Nighttime Road Traffic Noise and Insomnia
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Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
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- Authors
- Buxton, O. M., & Marcelli, E.
- Affiliations
- Brigham and Women's Hospital (US)
- San Diego State University (US)
- Corresponding author
- Buxton, Orfeu M.
- ORCID
- Buxton, Orfeu M.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 71
- Issue
- 5
- Pages
- 1027-1036
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2046572262
- Cited by
- 818
- References
- 66
- Citations by year
- 2026: 24 · 2025: 47 · 2024: 42 · 2023: 55 · 2022: 61 · 2021: 69 · 2020: 65 · 2019: 53 · 2018: 65 · 2017: 63 · 2016: 62 · 2015: 73 · 2014: 46 · 2013: 36 · 2012: 32
- FWCI
- 36.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Sleep Foundation
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, short sleep duration, long sleep, obesity, diabetes mellitus, hypertension, cardiovascular disease, chronic disease risk, health behavior, family environment, socioeconomic factors
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Diabetes Mellitus, Female, Health Surveys, Humans, Hypertension, Male, Middle Aged, Obesity, Risk Factors, Sleep, Time Factors, United States, Logistic Models, Multilevel Analysis, Young Adult
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