relationship between body mass index and perceived insufficient sleep among u.s. adults an analysis of 2008 brfss data身体质量指数之间的关系,认为睡眠不足美国成年人2008 brfss数据的分析.pdfVIP
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relationship between body mass index and perceived insufficient sleep among u.s. adults an analysis of 2008 brfss data身体质量指数之间的关系,认为睡眠不足美国成年人2008 brfss数据的分析
Wheaton et al. BMC Public Health 2011, 11:295
/1471-2458/11/295
RESEARCH ARTICLE Open Access
Relationship between body mass index and
perceived insufficient sleep among U.S. adults:
an analysis of 2008 BRFSS data
*
Anne G Wheaton , Geraldine S Perry, Daniel P Chapman, Lela R McKnight-Eily, Letitia R Presley-Cantrell and
Janet B Croft
Abstract
Background: Over the past 50 years, the average sleep duration for adults in the United States has decreased
while the prevalence of obesity and associated outcomes has increased. The objective of this study was to
determine whether perceived insufficient sleep was associated with body mass index (BMI) in a national sample.
Methods: We analyzed data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) survey (N = 384,541)
in which respondents were asked, “During the past 30 days, for about how many days have you felt you did not
get enough rest or sleep?” We divided respondents into six BMI categories and used multivariable linear regression
and logistic regression analyses to assess the association between BMI categories and days of insufficient sleep
after adjusting for sociodemographic variables, smoking, physical activity, and frequent mental distress.
Results: Adjusted mean days of insufficient sleep ranged from 7.9 (95% confidence interval [CI]: 7.8, 8.0) days for
people of normal weight to 10.5 (95% CI: 10.2, 10.9) days for those in the highest weight category (BMI ≥ 40). Days
of perceived insufficient sleep followed a linear trend across BMI categories. The likelihood of reporting ≥14 days of
insufficient sleep in the previous 30 days was higher for respondents in the highest weight category than for those
who were normal weight (34.9% vs. 25.2%; adjusted odds ratio = 1.7 (95% CI: 1.5, 1.8]).
Conclusion: Among U.S. adults, days of ins
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