Cited by 818Sleep and related disordersSleep and Work-Related FatigueCircadian rhythm and melatonin

Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States

Buxton, Orfeu M., Marcelli, Enrico·2010·Social Science & Medicine

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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Crossref · 10.1016/j.socscimed.2010.05.041

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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]”
  • 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”
  • Total and partial sleep deprivation reduce glucose tolerance in lean individuals.

    “Total and partial sleep deprivation reduced glucose tolerance in lean individuals.”
  • 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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Authors
Buxton, O. M., & Marcelli, E.
Affiliations
  • Brigham and Women's Hospital (US)
  • San Diego State University (US)
Corresponding author
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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