Dataset Information

Association between sleep quality and cardiovascular health: a door-to-door survey in rural Ecuador.

ABSTRACT: Cardiovascular correlates of sleep disorders have not been well investigated in underserved populations. The aim of this door-to-door survey was to evaluate the association between sleep quality and cardiovascular health status in persons aged ?40 years living in a village that is representative of rural Ecuador.All stroke-free Atahualpa residents aged ?40 years were screened with a validated Spanish version of the Pittsburgh Sleep Quality Index and the seven cardiovascular health (CVH) metrics proposed by the American Heart Association to assess the CVH status.A total of 635 persons (mean age 59 ± 13 years; 58 % women) were identified. A poor sleep quality was present in 27 % of the subjects (95 % CI 24-31 %) and a poor cardiovascular health in 69 % (95 % CI 63-71 %). In a multivariate logistic regression model, a poor sleep quality was associated with some CVH metrics in the poor range, including smoking status (p = 0.026), physical activity (p = 0.01) and blood glucose levels (p = 0.036).A poor sleep quality may be linked to individual cardiovascular risk factors in this underserved Latin American population. This finding provides useful insights for the implementation of regional prevention priorities.

SUBMITTER: Del Brutto OH

PROVIDER: S-EPMC4019760 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Association between sleep quality and cardiovascular health: a door-to-door survey in rural Ecuador.

Del Brutto Oscar H OH Mera Robertino M RM Zambrano Mauricio M Del Brutto Victor J VJ Castillo Pablo R PR

Environmental health and preventive medicine 20140130 3

<h4>Objectives</h4>Cardiovascular correlates of sleep disorders have not been well investigated in underserved populations. The aim of this door-to-door survey was to evaluate the association between sleep quality and cardiovascular health status in persons aged ≥40 years living in a village that is representative of rural Ecuador.<h4>Methods</h4>All stroke-free Atahualpa residents aged ≥40 years were screened with a validated Spanish version of the Pittsburgh Sleep Quality Index and the seven c ...[more]

PMID: 24477858

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Project description:BackgroundFood insecurity, limited or uncertain access to enough food for an active, healthy life, affected over 37 million Americans in 2018. Food insecurity is likely to be associated with worse health-related quality of life (HRQoL), but this association has not been measured with validated instruments in nationally representative samples. Given growing interest understanding food insecurity's role in health outcomes, it would be useful to learn what HRQoL measures best capture the experience of those with food insecurity.ObjectiveTo determine the association between food insecurity and several validated HRQoL instruments in US adults.DesignCross-sectional.ParticipantsUS adults (age ≥ 18), weighted to be nationally representative.Main measuresFood insecurity was assessed with three items derived from the USDA Household Food Security Survey Module. HRQoL was assessed using PROMIS-Preference (PROPr), which contains 7 PROMIS domains, self-rated health (SRH), Euroqol-5D-5L (EQ-5D), Health Utilities Index (HUI), and Short Form-6D (SF-6D).Key resultsIn December 2017, 4142 individuals completed at least part of the survey (31% response rate), of whom 4060 (98.0%) reported food security information. Of survey respondents, 51.7% were women, 12.5% self-identified as black, 15.8% were Hispanic, and 11.0% did not have a high school diploma. 14.1% of respondents reported food insecurity. In adjusted analyses, food insecurity was associated with worse HRQoL across all instruments and PROMIS domains (p < .0001 for all). The magnitude of the difference between food-insecure and food-secure participants was largest with the SF-6D, EQ-5D, and PROPr; among individual PROMIS domain scores, the largest difference was for ability to participate in social roles.ConclusionsFood insecurity is strongly associated with worse HRQoL, with differences between food-secure and food-insecure individuals best measured using the SF-6D, EQ-5D, and PROPr. Future work should develop a specific instrument to measure changes in HRQoL in food insecurity interventions.

Dataset Information

Association between sleep quality and cardiovascular health: a door-to-door survey in rural Ecuador.

Publications

Association between sleep quality and cardiovascular health: a door-to-door survey in rural Ecuador.

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