Cited by 917Sleep and related disordersSleep and Work-Related FatigueCircadian rhythm and melatonin

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Prevalence of healthy sleep duration among adults – United States, 2014

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Liu, Yong, Wheaton, Anne G., Chapman, Daniel P., Cunningham, Timothy J., Lu, Hua, Croft, Janet B.·2016·MMWR. Morbidity and Mortality Weekly Report

DOI 10.15585/mmwr.mm6506a1

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Abstract

To promote optimal health and well-being, adults aged 18-60 years are recommended to sleep at least 7 hours each night (1). Sleeping <7 hours per night is associated with increased risk for obesity, diabetes, high blood pressure, coronary heart disease, stroke, frequent mental distress, and all-cause mortality (2-4). Insufficient sleep impairs cognitive performance, which can increase the likelihood of motor vehicle and other transportation accidents, industrial accidents, medical errors, and loss of work productivity that could affect the wider community (5). CDC analyzed data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) to determine the prevalence of a healthy sleep duration (≥ 7 hours) among 444,306 adult respondents in all 50 states and the District of Columbia. A total of 65.2% of respondents reported a healthy sleep duration; the age-adjusted prevalence of healthy sleep was lower among non-Hispanic blacks, American Indians/Alaska Natives, Native Hawaiians/Pacific Islanders, and multiracial respondents, compared with non-Hispanic whites, Hispanics, and Asians. State-based estimates of healthy sleep duration prevalence ranged from 56.1% in Hawaii to 71.6% in South Dakota. Geographic clustering of the lowest prevalence of healthy sleep duration was observed in the southeastern United States and in states along the Appalachian Mountains, and the highest prevalence was observed in the Great Plains states. More than one third of U.S. respondents reported typically sleeping <7 hours in a 24-hour period, suggesting an ongoing need for public awareness and public education about sleep health; worksite shift policies that ensure healthy sleep duration for shift workers, particularly medical professionals, emergency response personnel, and transportation industry personnel; and opportunities for health care providers to discuss the importance of healthy sleep duration with patients and address reasons for poor sleep health.

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“In addition, the sleep duration for both groups was within the normal range (Liu, 2016), although it is already known that short sleep durations are common in people with T2D and often result in poor sleep quality.”
Background
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“Consequently, chronic sleep restriction has become prevalent in modern society as a result of occupational and social demands (Akerstedt & Wright, 2009; Costa, 2015; Liu et al., 2016).”
Background
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“Although the Life’s Simple 7 score alone does not associate with incident CVD, adding sleep health scores does show an association with CVD incidence (HR 0.53 (CI 0.32–0.89)) 30 , a result that prompted the AHA to incorporate sleep into Life’s Essential 8.”
Influential
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Real-world longitudinal data collected from the SleepHealth mobile app study
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MethodInfluential
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Authors: Liu, Y., Wheaton, A. G., Chapman, D. P., Cunningham, T. J., Lu, H., & Croft, J. B.
Affiliations: Centers for Disease Control and Prevention (US)
Corresponding author: Liu, Yong
ORCID: Liu, Yong
Wheaton, Anne G.
Chapman, Daniel P.
Lu, Hua
Croft, Janet B.
Venue: MMWR. Morbidity and Mortality Weekly Report
Publisher: Centers for Disease Control MMWR Office
Published: 2016-02-19
Volume: 65
Issue: 6
Pages: 137-141
ISSN: 0149-2195 (ISSN-L)
1545-861X
DOI: 10.15585/mmwr.mm6506a1
OpenAlex: W2281809314
Cited by: 914
References: 8
Citations by year: 2026: 54 · 2025: 110 · 2024: 114 · 2023: 107 · 2022: 106 · 2021: 109 · 2020: 109 · 2019: 82 · 2018: 62 · 2017: 43 · 2016: 18
FWCI: 97.00
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: MMWR Morbidity and Mortality Weekly Report (publishedVersion)
PubMed (publishedVersion)
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: insufficient sleep, adults, prevalence, racial and ethnic disparities, regional variation, Behavioral Risk Factor Surveillance System, shift work, sleep health, public health education
MeSH terms: Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Sleep, Sleep Deprivation, Time Factors, United States, Health Behavior, Prevalence, Behavioral Risk Factor Surveillance System, Young Adult

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Prevalence of healthy sleep duration among adults – United States, 2014

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