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dc.contributor.authorCosta, Aline Silvapt_BR
dc.contributor.authorRotenberg, Lúciapt_BR
dc.contributor.authorNobre, Aline Araújopt_BR
dc.contributor.authorChor, Dorapt_BR
dc.contributor.authorAquino, Estela Maria Motta Lima Leão dept_BR
dc.contributor.authorMelo, Enirtes Caetano Pratespt_BR
dc.contributor.authorBarreto, Sandhi Mariapt_BR
dc.contributor.authorSchmidt, Maria Inêspt_BR
dc.contributor.authorGriep, Rosane Harterpt_BR
dc.date.accessioned2021-09-01T04:25:11Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn2049-3258pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/229318pt_BR
dc.description.abstractBackground: The U-shaped associations between sleep durations and cardiometabolic risk factors (glycated hemoglobin levels, obesity, hypertriglyceridemia, hypertension and cholesterol levels) are still inconclusive. Moreover, as sleep is comprised of quantitative and qualitative aspects, exploring both insomnia symptoms and sleep duration are relevant when evaluating the potential effects of sleep problems on health. The aim was to evaluate sex-specific associations between sleep problems and cardiometabolic risk factors. Methods: This cross-sectional study used data from wave two of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), including 7491 women and 6232 men. Questionnaires were administered to provide information about socioeconomic conditions, lifestyle, and sleep characteristics. A 12-h fasting blood sample was drawn to measure serum cholesterol, triglycerides, and glycated hemoglobin. Blood pressure, weight and height were also measured using standard equipment. Generalized additive models were used to evaluate the curve shape of the relationship between self-reported sleep duration and the outcomes. Logistic regression was performed to investigate the magnitude of the associations of self-reported sleep duration, insomnia symptoms, and short sleep plus insomnia symptoms with cardiometabolic risk factors. Results: For women, self-reported sleep duration and insomnia symptoms (either separately or linked to short sleep duration) were associated with obesity, hypertension and glycated hemoglobin after adjusting for the confounders. The magnitudes of the associations between self-reported short sleep duration plus insomnia symptoms and the outcomes were slightly increased, considering sleep duration or insomnia symptoms separately. For men, both long sleep duration and insomnia symptoms were associated with hypertriglyceridemia after adjusted for the confounders. Conclusion: These findings suggest possible sex-specific patterns, since obesity, hypertension and high glycated hemoglobin were associated with self-reported sleep duration and insomnia symptoms in women, but not in men, and reinforce the importance of considering quantitative and qualitative aspects of sleep for the prevention and management of the outcomes.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofArchives of public health. Londres. Vol. 78 (2020), 48, 13 p.pt_BR
dc.rightsOpen Accessen
dc.subjectSonopt_BR
dc.subjectSleep durationen
dc.subjectInsomniaen
dc.subjectHipertensãopt_BR
dc.subjectHypertensionen
dc.subjectObesidadept_BR
dc.subjectObesityen
dc.subjectFatores de riscopt_BR
dc.subjectMetabolismopt_BR
dc.subjectGlycated hemoglobinen
dc.subjectDistúrbios do início e da manutenção do sonopt_BR
dc.subjectHemoglobinas glicadaspt_BR
dc.subjectFatores sexuaispt_BR
dc.titleSex differences in the association between self-reported sleep duration, insomnia symptoms and cardiometabolic risk factors : cross-sectional findings from Brazilian longitudinal study of adult healthpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001130594pt_BR
dc.type.originEstrangeiropt_BR


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