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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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“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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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Metadata
- 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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