Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014

Abstract Background Data suggest that pesticides interact with the melatonin receptor, which may influence sleep. However, the link between pesticides and sleep remains unexplored among the general adult population. This study evaluated unstratified and sex-stratified associations between urinary pe...

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Autores principales: Astrid N. Zamora, Deborah J. Watkins, Karen E. Peterson, Erica C. Jansen
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Publicado: BMC 2021
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spelling oai:doaj.org-article:e659829bd31644f896ac39286518e9dc2021-12-05T12:09:40ZAssociation between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–201410.1186/s12889-021-12014-x1471-2458https://doaj.org/article/e659829bd31644f896ac39286518e9dc2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12014-xhttps://doaj.org/toc/1471-2458Abstract Background Data suggest that pesticides interact with the melatonin receptor, which may influence sleep. However, the link between pesticides and sleep remains unexplored among the general adult population. This study evaluated unstratified and sex-stratified associations between urinary pesticide exposure (N = 4,478) and self-reported acute household pesticide exposure (N = 14,956), with sleep health outcomes within a nationally representative sample of US adults. Methods Data from the National Health and Nutrition Examination Surveys (NHANES) 2009–2014 were combined for analysis of aim 1 and aim 2. Urinary pesticide metabolite concentrations served as biomarkers of pesticide exposure. Acute household pesticide exposure (if any chemical products were used in the home in the past seven days to control pests) was self-reported (yes/no). Insufficient sleep duration (< 7 h/night) and trouble sleeping (yes/no) were self-reported. Log-binomial regression models that accounted for complex survey weights and adjusted for confounders were used to compute prevalence ratios and 95% CI. Results Log urinary 3-phenoxybenzoic acid (3-PBA) was related to a higher probability of insufficient sleep [1.09 (95% CI: 1.00, 1.20), p = 0.04] and trouble sleeping [1.14 (95% CI: 1.02, 1.27), p = 0.02] among males. Self-reported acute household pesticide exposure was associated with a higher probability of insufficient sleep duration [1.16 (95% CI: 1.02, 1.32), p = 0.03] and trouble sleeping [1.20 (95% CI: 1.01, 1.44), p = 0.04] in the unstratified sample. Sex-stratified findings showed that associations between acute household pesticide exposure and trouble sleeping only persisted  among males [1.69 (95% CI: 1.27, 2.24), p < .001]. Conclusions In summary, acute pesticide exposure may be detrimental to adult sleep health, particularly among US males.Astrid N. ZamoraDeborah J. WatkinsKaren E. PetersonErica C. JansenBMCarticleNHANESUrinary pesticide metabolitesHousehold pesticide useSleep durationTrouble sleepingAdult sleep healthPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic NHANES
Urinary pesticide metabolites
Household pesticide use
Sleep duration
Trouble sleeping
Adult sleep health
Public aspects of medicine
RA1-1270
spellingShingle NHANES
Urinary pesticide metabolites
Household pesticide use
Sleep duration
Trouble sleeping
Adult sleep health
Public aspects of medicine
RA1-1270
Astrid N. Zamora
Deborah J. Watkins
Karen E. Peterson
Erica C. Jansen
Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
description Abstract Background Data suggest that pesticides interact with the melatonin receptor, which may influence sleep. However, the link between pesticides and sleep remains unexplored among the general adult population. This study evaluated unstratified and sex-stratified associations between urinary pesticide exposure (N = 4,478) and self-reported acute household pesticide exposure (N = 14,956), with sleep health outcomes within a nationally representative sample of US adults. Methods Data from the National Health and Nutrition Examination Surveys (NHANES) 2009–2014 were combined for analysis of aim 1 and aim 2. Urinary pesticide metabolite concentrations served as biomarkers of pesticide exposure. Acute household pesticide exposure (if any chemical products were used in the home in the past seven days to control pests) was self-reported (yes/no). Insufficient sleep duration (< 7 h/night) and trouble sleeping (yes/no) were self-reported. Log-binomial regression models that accounted for complex survey weights and adjusted for confounders were used to compute prevalence ratios and 95% CI. Results Log urinary 3-phenoxybenzoic acid (3-PBA) was related to a higher probability of insufficient sleep [1.09 (95% CI: 1.00, 1.20), p = 0.04] and trouble sleeping [1.14 (95% CI: 1.02, 1.27), p = 0.02] among males. Self-reported acute household pesticide exposure was associated with a higher probability of insufficient sleep duration [1.16 (95% CI: 1.02, 1.32), p = 0.03] and trouble sleeping [1.20 (95% CI: 1.01, 1.44), p = 0.04] in the unstratified sample. Sex-stratified findings showed that associations between acute household pesticide exposure and trouble sleeping only persisted  among males [1.69 (95% CI: 1.27, 2.24), p < .001]. Conclusions In summary, acute pesticide exposure may be detrimental to adult sleep health, particularly among US males.
format article
author Astrid N. Zamora
Deborah J. Watkins
Karen E. Peterson
Erica C. Jansen
author_facet Astrid N. Zamora
Deborah J. Watkins
Karen E. Peterson
Erica C. Jansen
author_sort Astrid N. Zamora
title Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
title_short Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
title_full Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
title_fullStr Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
title_full_unstemmed Association between pesticide exposure and sleep health among a representative sample of US adults: evidence from NHANES 2009–2014
title_sort association between pesticide exposure and sleep health among a representative sample of us adults: evidence from nhanes 2009–2014
publisher BMC
publishDate 2021
url https://doaj.org/article/e659829bd31644f896ac39286518e9dc
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