Sleep duration and self-rated health: the national health interview survey 2008.

BACKGROUND Self-rated health (SRH) has been shown to consistently predict overall mortality and cardiovascular mortality in several population-based studies across the world. Similarly sleep duration have been found to be associated with cardiovascular disease (CVD) and mortality. However, relatively few studies have examined the association between sleep duration and SRH, and the results have not been consistent. METHODS We conducted a cross-sectional study of n = 20,663 National Health Interview Survey 2008 participants ≥ 18 years of age (56.2% women). Sleep duration was categorized as ≤ 5 h, 6 h, 7 h, 8 h, and ≥ 9 h. The main outcome interest was fair/poor SRH (n = 3043). RESULTS We found both short and long sleep duration to be independently associated with fair/poor SRH, independent of age, sex, race-ethnicity, smoking, alcohol intake, body mass index, physical activity, depression, diabetes mellitus, hypertension, and CVD. Compared with a sleep duration of 7 h (referent), the multivariate odds ratio (95% confidence interval) of fair/poor SRH was 2.29 (1.86-2.83), 1.68 (1.42-2.00), 1.38 (1.18-1.61), and 1.98 (1.63-2.40) for sleep duration ≤ 5, 6, 8, and ≥ 9 h. This association persisted in subgroup analyses by gender, race-ethnicity, and body mass index categories. CONCLUSION Compared with sleep duration of 7 h, there was a positive association between both shorter and longer sleep duration and fair/poor self-rated health in a representative sample of US adults.

[1]  O. Buxton,et al.  Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. , 2010, Social science & medicine.

[2]  C. Sabanayagam,et al.  Sleep duration and cardiovascular disease: results from the National Health Interview Survey. , 2010, Sleep.

[3]  T. Wetter,et al.  Impaired Glucose Tolerance in Sleep Disorders , 2010, PloS one.

[4]  P. Chanson,et al.  Endocrine aspects of obstructive sleep apnea. , 2010, The Journal of clinical endocrinology and metabolism.

[5]  F. Rodríguez‐Artalejo,et al.  Usual sleep duration and cognitive function in older adults in Spain , 2009, Journal of sleep research.

[6]  A. Shankar,et al.  Self-rated health, associated factors and diseases: a community-based cross-sectional study of Singaporean adults aged 40 years and above. , 2009, Annals of the Academy of Medicine, Singapore.

[7]  P. M. Krueger,et al.  Sleep duration in the United States: a cross-sectional population-based study. , 2009, American journal of epidemiology.

[8]  Jian-Min Yuan,et al.  Sleep duration and coronary heart disease mortality among Chinese adults in Singapore: a population-based cohort study. , 2008, American journal of epidemiology.

[9]  J. J. Wang,et al.  Association between self-rated health and incident severe hypertension among men: a population-based cohort study. , 2008, Singapore medical journal.

[10]  Kazushi Okamoto,et al.  Gender differences in the relationship between self-rated health (SRH) and 6-year mortality risks among the elderly in Japan. , 2008, Archives of gerontology and geriatrics.

[11]  S. Rubin,et al.  Sleep problems and associated daytime fatigue in community-dwelling older individuals. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[12]  N. Zhang,et al.  Effects of sleep deprivation on cognitive functions , 2008, Neuroscience bulletin.

[13]  L. Hale,et al.  Racial differences in self-reports of sleep duration in a population-based study. , 2007, Sleep.

[14]  Raoul Rooman,et al.  Sleep-disordered breathing and uric acid in overweight and obese children and adolescents. , 2007, Chest.

[15]  F. Speizer,et al.  Sleep Duration and Health in Young Adults , 2006, JAMA.

[16]  A. Simonds,et al.  Symptom burden of sleep-disordered breathing in mild-to-moderate congestive heart failure patients , 2006, European Respiratory Journal.

[17]  R. Cumming,et al.  Variables determining perceived global health ranks: findings from a population-based study. , 2006, Annals of the Academy of Medicine, Singapore.

[18]  F. Speizer,et al.  A prospective study of sleep duration and mortality risk in women. , 2004, Sleep.

[19]  Nader Rifai,et al.  Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. , 2004, Journal of the American College of Cardiology.

[20]  A. Tamakoshi,et al.  Self-reported sleep duration as a predictor of all-cause mortality: results from the JACC study, Japan. , 2004, Sleep.

[21]  G. Jean-Louis,et al.  Sleep and quality of well-being. , 2000, Sleep.

[22]  P Oja,et al.  Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. , 1997, Journal of clinical epidemiology.

[23]  Y. Benyamini,et al.  Self-rated health and mortality: a review of twenty-seven community studies. , 1997, Journal of health and social behavior.

[24]  T. Kristensen,et al.  Self rated health as a predictor of coronary heart disease in Copenhagen, Denmark. , 1996, Journal of epidemiology and community health.

[25]  J. Salonen,et al.  Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. , 1996, International journal of epidemiology.

[26]  Sanjay R. Patel,et al.  Epidemiology, risk factors, and consequences of obstructive sleep apnea and short sleep duration. , 2009, Progress in cardiovascular diseases.

[27]  J. Segovia,et al.  The association between self-assessed health status and individual health practices. , 1989, Canadian journal of public health = Revue canadienne de sante publique.