Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters

IntroductionCardiovascular disease is the leading cause of on-duty fatalities among U.S. firefighters. Research has demonstrated that many modifiable risk factors are contributors to the high prevalence of cardiometabolic risk factors. The current study aimed to assess whether sleep is associated wi...

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Autores principales: Juan Luis Romero Cabrera, Mercedes Sotos-Prieto, Antonio García Ríos, Steven Moffatt, Costas A. Christophi, Pablo Pérez-Martínez, Stefanos N. Kales
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:6c4941c940c747b08fe45696dd8d33ab2021-11-11T08:22:39ZSleep and Association With Cardiovascular Risk Among Midwestern US Firefighters1664-239210.3389/fendo.2021.772848https://doaj.org/article/6c4941c940c747b08fe45696dd8d33ab2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.772848/fullhttps://doaj.org/toc/1664-2392IntroductionCardiovascular disease is the leading cause of on-duty fatalities among U.S. firefighters. Research has demonstrated that many modifiable risk factors are contributors to the high prevalence of cardiometabolic risk factors. The current study aimed to assess whether sleep is associated with cardiometabolic risk factors among Indianapolis firefighters. The findings could support improving sleep hygiene in this population.Material and MethodsThis cross-sectional study was conducted from the baseline data of eligible firefighters enrolled in “Feeding America’s Bravest”, a Mediterranean diet lifestyle intervention within the Indiana Fire Departments. Participants’ sleep quality was categorized as “good” (≤ 8 points) or “bad” (>8 points) by a sleep quality questionnaire based on some questions from Pittsburgh Sleep Quality Index. In addition, firefighters’ sleep duration was stratified based on the number of hours slept per night (≤6 as “short sleep” or >6 hours as normal). Linear and logistic regression models were used to examine the association of sleep with cardiometabolic risk factors.ResultsA total of 258 firefighters were included. Bad sleepers had higher weight, greater waist circumference, higher body mass index (BMI), and increased body fat (all p<0.01) compared to good sleepers. Similarly, participants with short sleep duration were heavier (p<0.02), had greater BMI (p<0.02) and increased body fat (p<0.04) compared with participants with normal sleep duration. Both bad and short sleepers had a higher prevalence of hypertension and obesity (p <0.05).ConclusionsOur study supports that both sleep quality and quantity are associated with cardiometabolic risk among firefighters.Juan Luis Romero CabreraJuan Luis Romero CabreraJuan Luis Romero CabreraMercedes Sotos-PrietoMercedes Sotos-PrietoAntonio García RíosAntonio García RíosSteven MoffattCostas A. ChristophiCostas A. ChristophiPablo Pérez-MartínezPablo Pérez-MartínezStefanos N. KalesStefanos N. KalesFrontiers Media S.A.articleobesityhypertensioncardiometabolic riskshift workerssleepDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic obesity
hypertension
cardiometabolic risk
shift workers
sleep
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle obesity
hypertension
cardiometabolic risk
shift workers
sleep
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Mercedes Sotos-Prieto
Mercedes Sotos-Prieto
Antonio García Ríos
Antonio García Ríos
Steven Moffatt
Costas A. Christophi
Costas A. Christophi
Pablo Pérez-Martínez
Pablo Pérez-Martínez
Stefanos N. Kales
Stefanos N. Kales
Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
description IntroductionCardiovascular disease is the leading cause of on-duty fatalities among U.S. firefighters. Research has demonstrated that many modifiable risk factors are contributors to the high prevalence of cardiometabolic risk factors. The current study aimed to assess whether sleep is associated with cardiometabolic risk factors among Indianapolis firefighters. The findings could support improving sleep hygiene in this population.Material and MethodsThis cross-sectional study was conducted from the baseline data of eligible firefighters enrolled in “Feeding America’s Bravest”, a Mediterranean diet lifestyle intervention within the Indiana Fire Departments. Participants’ sleep quality was categorized as “good” (≤ 8 points) or “bad” (>8 points) by a sleep quality questionnaire based on some questions from Pittsburgh Sleep Quality Index. In addition, firefighters’ sleep duration was stratified based on the number of hours slept per night (≤6 as “short sleep” or >6 hours as normal). Linear and logistic regression models were used to examine the association of sleep with cardiometabolic risk factors.ResultsA total of 258 firefighters were included. Bad sleepers had higher weight, greater waist circumference, higher body mass index (BMI), and increased body fat (all p<0.01) compared to good sleepers. Similarly, participants with short sleep duration were heavier (p<0.02), had greater BMI (p<0.02) and increased body fat (p<0.04) compared with participants with normal sleep duration. Both bad and short sleepers had a higher prevalence of hypertension and obesity (p <0.05).ConclusionsOur study supports that both sleep quality and quantity are associated with cardiometabolic risk among firefighters.
format article
author Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Mercedes Sotos-Prieto
Mercedes Sotos-Prieto
Antonio García Ríos
Antonio García Ríos
Steven Moffatt
Costas A. Christophi
Costas A. Christophi
Pablo Pérez-Martínez
Pablo Pérez-Martínez
Stefanos N. Kales
Stefanos N. Kales
author_facet Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Juan Luis Romero Cabrera
Mercedes Sotos-Prieto
Mercedes Sotos-Prieto
Antonio García Ríos
Antonio García Ríos
Steven Moffatt
Costas A. Christophi
Costas A. Christophi
Pablo Pérez-Martínez
Pablo Pérez-Martínez
Stefanos N. Kales
Stefanos N. Kales
author_sort Juan Luis Romero Cabrera
title Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
title_short Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
title_full Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
title_fullStr Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
title_full_unstemmed Sleep and Association With Cardiovascular Risk Among Midwestern US Firefighters
title_sort sleep and association with cardiovascular risk among midwestern us firefighters
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/6c4941c940c747b08fe45696dd8d33ab
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