Associations of Objectively Measured Sleep Characteristics and Incident Hypertension Among Police Officers: The Role of Obesity

Details

• Personal Author:
  Andrew, Michael E. ; Bhandari R ; Charles LE ; Fekedulegn D ; Gu JK ; Ma CC ; Violanti JM
• Description:
  This study investigated the associations of baseline sleep onset latency, wake after sleep onset, longest wake episode, number of awakenings, sleep efficiency and sleep duration with incident hypertension during a 7-year follow-up (n = 161, 68% men) and the joint effect of insufficient sleep and obesity on incident hypertension. Sleep parameters were derived from 15-day actigraphy data. Relative risks and 95% confidence intervals were estimated using a robust Poisson regression model. Each 10-min increase in sleep onset latency was associated with an 89% higher risk of hypertension (95% confidence interval [CI] = 1.12-3.20). Each 10-min increase in longest wake episode was associated with a 23% higher risk of hypertension (95% CI = 1.01-1.50) and each 10% decrease in sleep efficiency was associated with a 50% higher risk of hypertension (95% CI = 1.02-2.22). These associations were independent of demographic and lifestyle characteristics, depressive symptoms, shift work, sleep duration and body mass index. Having <6 hr of sleep and a body mass index >/=30 kg/m2 increased the risk of hypertension (relative risk = 2.81; 95% CI = 1.26-6.25) compared with having >/=6 hr of sleep and a body mass index <30 after controlling for confounders. Relative excess risk due to interaction was 3.49 (95% CI = -1.69-8.68) and ratio of relative risk was 3.21 (95% CI = 0.72-14.26). These results suggest that poor sleep quality is a risk factor for hypertension. Longitudinal studies with larger sample sizes are warranted to examine the joint effect of insufficient sleep and obesity on development of hypertension. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Law Enforcement Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders
• Keywords:
  Activity Levels Author Keywords: Additive Interaction BCOPS Blood Pressure BMI Body Mass Index Hypertension Multiplicative Interaction Obesity Police Officers Sleep Deprivation Sleep Initiation Sleep Maintenance

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• ISSN:
  0962-1105
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2 ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  29
• Issue:
  6
• NIOSHTIC Number:
  nn:20058621
• Citation:
  J Sleep Res 2020 Dec; 29(6):e12988
• Contact Point Address:
  Claudia C. Ma, National Institute for Occupational Safety and Health, MS L-4050, 1095 Willowdale Road, Morgantown, WV, USA
• Email:
  iia4@cdc.gov
• Federal Fiscal Year:
  2021
• NORA Priority Area:
  Public Safety
• Performing Organization:
  State University of New York at Buffalo
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  Journal of Sleep Research
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b66f46b1e051dfd6a3971e37d236bdfbd0fa438351b3e8441951f3d741d34a8f4d1b19b1ab188cf5191a26ccd95776e9d178560dc69bc6babe0435ef8403106d
• Download URL:
  https://stacks.cdc.gov/view/cdc/221664/cdc_221664_DS1.pdf
• File Type:
  [PDF - 474.14 KB ]