Journal
SLEEP MEDICINE
Volume 16, Issue 1, Pages 73-78Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.sleep.2014.10.005
Keywords
Sleep duration; Sleep debt; C-reactive protein; Adolescence; Sex; Race
Categories
Funding
- National Institutes of Health [HL025767, HL104607]
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Background: The prevalence of short sleep duration in adolescence and the relevance of early risk factors to cardiovascular disease in adulthood suggest that adolescence is an opportune time to evaluate links between sleep duration and cardiovascular disease risk. We examined associations among actigraphy-assessed sleep duration and sleep debt with elevated C-reactive protein (CRP), a known risk factor for cardiovascular disease. Methods: Participants were 244 (56% Black, 48% male) healthy high school students, each of whom wore wrist actigraphs for one week and provided a fasting blood draw. CRP was examined as both a continuous and categorical outcome, with CRP >3 mg/L identifying a High Risk Group. Results: Sleep duration and sleep debt were significantly associated with CRP High Risk Group in covariate-adjusted analyses. Shorter sleep duration on school nights was associated with a greater likelihood of being in the High Risk CRP Group. Likelihood of being in the High Risk CRP Group was doubled in students who obtained an average of two or more hours of catch up sleep on weekend nights. Conclusions: Reduced weekday sleep duration and sleep debt were both associated with CRP Risk Group in adolescence. That these relationships may be observed prior to the onset of clinical disease suggests that adolescence may provide an opportune period for disease prevention. (C) 2014 Elsevier B.V. All rights reserved.
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