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ABSTRACT: Objectives
To explore the interrelationship and mediating effect of factors that are beneficial (i.e., antioxidants) and harmful (i.e., inflammation and oxidative stress) to the relationship between sleep and cardiometabolic health.Design
Cross-sectional data from the 2005-2006 National Health and Nutrition Examination Survey.Setting
Nationally representative population sample from the US.Participants
Age ? 20 y with sleep data; final analytical sample of n = 2,079.Interventions
N/A.Measurements and results
Metabolic syndrome was classified according to the Joint Interim Statement, and sleep duration was categorized as very short, short, adequate, and long sleepers (? 4, 5-6, 7-8, and ? 9 h per night, respectively). The indirect mediation effect was quantified as large (? 0.25), moderate (? 0.09), modest (? 0.01), and weak (< 0.01). In general, inflammation was above the current clinical reference range across all sleep duration categories, whereas oxidative stress was elevated among short and very short sleepers. Select sleep duration- cardiometabolic health relationships were mediated by C-reactive protein (CRP), ?-glutamyl transferase (GGT), carotenoids, uric acid, and vitamins C and D, and were moderated by sex. Specifically, moderate-to-large indirect mediation by GGT, carotenoids, uric acid, and vitamin D were found for sleep duration-waist circumference and -systolic blood pressure relationships, whereas vitamin C was a moderate mediator of the sleep duration-diastolic blood pressure relationship.Conclusions
Several factors related to inflammation, oxidative stress, and antioxidant status were found to lie on the casual pathway of the sleep duration-cardiometabolic health relationship. Further longitudinal studies are needed to confirm our results.
SUBMITTER: Kanagasabai T
PROVIDER: S-EPMC4667380 | biostudies-literature | 2015 Dec
REPOSITORIES: biostudies-literature
Kanagasabai Thirumagal T Ardern Chris I CI
Sleep 20151201 12
<h4>Objectives</h4>To explore the interrelationship and mediating effect of factors that are beneficial (i.e., antioxidants) and harmful (i.e., inflammation and oxidative stress) to the relationship between sleep and cardiometabolic health.<h4>Design</h4>Cross-sectional data from the 2005-2006 National Health and Nutrition Examination Survey.<h4>Setting</h4>Nationally representative population sample from the US.<h4>Participants</h4>Age ≥ 20 y with sleep data; final analytical sample of n = 2,07 ...[more]