The Role of Race and Ethnicity in Sleep, Circadian Rhythms and Cardiovascular Health

Details

• Personal Author:
  Egan KJ ; Knutson KL ; Pereira AC ; von Schantz M
• Description:
  In recent years, strong evidence has emerged suggesting that insufficient duration, quality, and/or timing of sleep are associated with cardiovascular disease (CVD), and various mechanisms for this association have been proposed. Such associations may be related to endophenotypic features of the sleep homeostat and the circadian oscillator, or may be state-like effects of the environment. Here, we review recent literature on sleep, circadian rhythms and CVD with a specific emphasis on differences between racial/ethnic groups. We discuss the reported differences, mainly between individuals of European and African descent, in parameters related to sleep (architecture, duration, quality) and circadian rhythms (period length and phase shifting). We further review racial/ethnic differences in cardiovascular disease and its risk factors, and develop the hypothesis that racial/ethnic health disparities may, to a greater or smaller degree, relate to differences in parameters related to sleep and circadian rhythms. When humans left Africa some 100,000 years ago, some genetic differences between different races/ethnicities were acquired. These genetic differences have been proposed as a possible predictor of CVD disparities, but concomitant differences in culture and lifestyle between different groups may equally explain CVD disparities. We discuss the evidence for genetic and environmental causes of these differences in sleep and circadian rhythms, and their usefulness as health intervention targets. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Circadian Rhythm Healthcare Disparities Occupational Health Race Factors Risk Assessment Risk Factors Safety Sleep Sleep Initiation And Maintenance Disorders

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• Keywords:
  Author Keywords: Admixture Cardiovascular Disease Circadian Rhythm Circadian Rhythms Genetic Factors Health Disparities Heart Disease Racial Factors Risk Factors Sleep Deprivation Sleep Disorders

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• ISSN:
  1087-0792
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  70-78
• Volume:
  33
• NIOSHTIC Number:
  nn:20052690
• Citation:
  Sleep Med Rev 2017 Jun; 33:70-78
• Contact Point Address:
  Malcolm von Schantz, Faculty of Health and Medical Sciences, University of Surrey Guildford, Surrey GU2 7XH, UK
• Email:
  m.von.schantz@surrey.ac.uk
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Chicago
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  Sleep Medicine Reviews
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8ce1da4d53a7b2eea4c670fcdccd6d88f2b8bb63a66d82a8588ac019c3910f8b75513e108ae211787fe08721d73820fbe1c9431d4789e36f3c7775d2000d3f31
• Download URL:
  https://stacks.cdc.gov/view/cdc/212186/cdc_212186_DS1.pdf
• File Type:
  [PDF - 478.78 KB ]