TABLE 5.
Adjusted prevalence ratios (95% confidence interval) for associations between sleep duration and general and abdominal obesity among 13,742 participants aged ≥20 years, National Health and Nutrition Examination Survey 2005–2010
| Population | General obesity (body mass index ≥30 kg/m2)
|
Abdominal obesity (waist circumference ≥102 cm in men, ≥88 cm in women)
|
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Sleep duration (hours/night)
|
P interaction | Sleep duration (hours/night)
|
P interaction | ||||||
| 1–6 | 7–9 | 10+ | 1–6 | 7–9 | 10+ | ||||
| Total (N = 13742) | Model 1a | 1.20 (1.13, 1.28) | 1.00 | 0.87 (0.70, 1.08) | 1.10 (1.05, 1.15) | 1.00 | 0.96 (0.85, 1.08) | ||
| Model 2b | 1.15 (1.09, 1.22) | 1.00 | 0.83 (0.67, 1.02) | 1.10 (1.06, 1.16) | 1.00 | 0.94 (0.83, 1.07) | |||
| Model 3c | 1.16 (1.10, 1.23) | 1.00 | 0.83 (0.67, 1.02) | 1.10 (1.05, 1.15) | 1.00 | 0.93 (0.82, 1.06) | |||
| Model 4d | 1.10 (1.03, 1.16) | 1.00 | 0.78 (0.64, 0.96) | 1.07 (1.02, 1.11) | 1.00 | 0.90 (0.80, 1.01) | |||
| Men (N = 6904) | Model 1a | 1.21 (1.10, 1.33) | 1.00 | 0.84 (0.61, 1.16) | 0.969 | 1.12 (1.03, 1.21) | 1.00 | 0.85 (0.66, 1.10) | 0.717 |
| Model 2b | 1.19 (1.07, 1.31) | 1.00 | 0.83 (0.60, 1.14) | 0.960 | 1.12 (1.04, 1.22) | 1.00 | 0.88 (0.68, 1.14) | 0.766 | |
| Model 3c | 1.21 (1.09, 1.33) | 1.00 | 0.82 (0.59, 1.14) | 0.905 | 1.13 (1.05, 1.23) | 1.00 | 0.87 (0.67, 1.13) | 0.694 | |
| Model 4d | 1.15 (1.04, 1.26) | 1.00 | 0.76 (0.57, 1.02) | 0.795 | 1.10 (1.02, 1.18) | 1.00 | 0.82 (0.65, 1.04) | 0.478 | |
| Women (N = 6838) | Model 1a | 1.20 (1.11, 1.30) | 1.00 | 0.88 (0.66, 1.18) | 1.12 (1.06, 1.18) | 1.00 | 0.99 (0.86, 1.14) | ||
| Model 2b | 1.11 (1.03, 1.21) | 1.00 | 0.82 (0.63, 1.07) | 1.08 (1.02, 1.14) | 1.00 | 0.95 (0.82, 1.09) | |||
| Model 3c | 1.12 (1.03, 1.21) | 1.00 | 0.82 (0.64, 1.05) | 1.07 (1.02, 1.13) | 1.00 | 0.94 (0.82, 1.07) | |||
| Model 4d | 1.05 (0.97, 1.14) | 1.00 | 0.80 (0.62, 1.03) | 1.04 (0.99, 1.10) | 1.00 | 0.92 (0.81, 1.06) | |||
| White (N = 6783) | Model 1a | 1.18 (1.09, 1.27) | 1.00 | 0.82 (0.61, 1.09) | 0.090 | 1.11 (1.05, 1.17) | 1.00 | 0.92 (0.78, 1.10) | 0.687 |
| Model 2b | 1.15 (1.06, 1.24) | 1.00 | 0.79 (0.60, 1.05) | 0.111 | 1.10 (1.04, 1.16) | 1.00 | 0.90 (0.75, 1.07) | 0.777 | |
| Model 3c | 1.16 (1.07, 1.25) | 1.00 | 0.77 (0.59, 1.02) | 0.093 | 1.10 (1.04, 1.16) | 1.00 | 0.89 (0.75, 1.05) | 0.801 | |
| Model 4d | 1.09 (<1.00, 1.18) | 1.00 | 0.72 (0.55, 0.93) | 0.130 | 1.06 (1.01, 1.12) | 1.00 | 0.85 (0.72, 〉1.00) | 0.855 | |
| African American (N = 2743) | Model 1a | 1.08 (0.99, 1.18) | 1.00 | 0.74 (0.49, 1.11) | 1.08 (1.00, 1.16) | 1.00 | 0.85 (0.66, 1.10) | ||
| Model 2b | 1.09 (1.00, 1.18) | 1.00 | 0.74 (0.49, 1.13) | 1.09 (1.02, 1.17) | 1.00 | 0.85 (0.68, 1.07) | |||
| Model 3c | 1.09 (1.01, 1.19) | 1.00 | 0.77 (0.52, 1.14) | 1.10 (1.02, 1.18) | 1.00 | 0.86 (0.69, 1.07) | |||
| Model 4d | 1.06 (0.97, 1.15) | 1.00 | 0.77 (0.52, 1.15) | 1.07 (<1.00, 1.16) | 1.00 | 0.85 (0.69, 1.05) | |||
| Mexican American (N = 2498) | Model 1a | 1.18 (1.07, 1.30) | 1.00 | 1.21 (0.87, 1.70) | 1.09 (0.99, 1.19) | 1.00 | 1.10 (0.81, 1.49) | ||
| Model 2b | 1.16 (1.06, 1.28) | 1.00 | 1.16 (0.84, 1.59) | 1.07 (0.99, 1.17) | 1.00 | 0.99 (0.74, 1.33) | |||
| Model 3c | 1.17 (1.06, 1.29) | 1.00 | 1.16 (0.86, 1.56) | 1.08 (0.99, 1.17) | 1.00 | 0.98 (0.74, 1.31) | |||
| Model 4d | 1.14 (1.03, 1.25) | 1.00 | 1.11 (0.82, 1.49) | 1.06 (0.98, 1.15) | 1.00 | 0.96 (0.73, 1.26) | |||
| Age 20–39 y (N = 4544) | Model 1a | 1.28 (1.16, 1.41) | 1.00 | 0.93 (0.60, 1.47) | 0.148 | 1.19 (1.09, 1.30) | 1.00 | 1.00 (0.73, 1.37) | 0.133 |
| Model 2b | 1.21 (1.10, 1.32) | 1.00 | 0.91 (0.57, 1.44) | 0.139 | 1.17 (1.08, 1.27) | 1.00 | 0.98 (0.72, 1.35) | 0.120 | |
| Model 3c | 1.24 (1.13, 1.36) | 1.00 | 0.93 (0.58, 1.47) | 0.036 | 1.19 (1.10, 1.29) | 1.00 | 0.99 (0.72, 1.36) | 0.044 | |
| Model 4d | 1.16 (1.05, 1.28) | 1.00 | 0.86 (0.54, 1.35) | 0.018 | 1.14 (1.05, 1.24) | 1.00 | 0.95 (0.69, 1.30) | 0.030 | |
| Age 40–59 y (N = 4604) | Model 1a | 1.18 (1.07, 1.29) | 1.00 | 0.64 (0.39, 1.06) | 1.06 (1.00, 1.13) | 1.00 | 0.89 (0.66, 1.21) | ||
| Model 2b | 1.14 (1.04, 1.25) | 1.00 | 0.59 (0.36, 0.99) | 1.07 (1.00, 1.14) | 1.00 | 0.82 (0.61, 1.12) | |||
| Model 3c | 1.14 (1.04, 1.24) | 1.00 | 0.58 (0.37, 0.93) | 1.06 (1.00, 1.13) | 1.00 | 0.82 (0.61, 1.09) | |||
| Model 4d | 1.08 (0.99, 1.18) | 1.00 | 0.56 (0.35, 0.89) | 1.03 (0.97, 1.09) | 1.00 | 0.78 (0.60, 1.03) | |||
| Age 60+ y (N = 4594) | Model 1a | 1.11 (1.01, 1.22) | 1.00 | 1.03 (0.77, 1.37) | 1.06 (1.00, 1.13) | 1.00 | 1.04 (0.89, 1.21) | ||
| Model 2b | 1.08 (0.99, 1.19) | 1.00 | 0.99 (0.75, 1.30) | 1.07 (1.01, 1.14) | 1.00 | 1.03 (0.89, 1.19) | |||
| Model 3c | 1.07 (0.98, 1.17) | 1.00 | 0.96 (0.74, 1.25) | 1.07 (1.00, 1.13) | 1.00 | 1.01 (0.88, 1.17) | |||
| Model 4d | 1.03 (0.94, 1.12) | 1.00 | 0.90 (0.68, 1.19) | 1.05 (0.99, 1.11) | 1.00 | 0.98 (0.85, 1.14) | |||
a
Adjusted for age.
b
Adjusted for age, gender, race or ethnicity, education, employment status, and children aged ≤17 years in household.
c
Adjusted for variables in model 2 plus smoking status, leisure-time physical activity, and alcohol use.
d
Adjusted for variables in model 3 plus any prescription medication use, depression score, histories of diabetes, cardiovascular disease, chronic obstructive pulmonary disease, arthritis, thyroid disease, liver disease, cancer, and sleep disorder.