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

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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

DOI 10.1016/j.socscimed.2010.05.041

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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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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)
DOI: 10.1016/j.socscimed.2010.05.041
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States

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