Cardiovascular Risks and Sociodemographic Correlates of Multidimensional Sleep Phenotypes in Two Samples of US Adults

Authors

Soomi Lee, University of South FloridaFollow
Claire E. Smith, University of South FloridaFollow
Meredith L. Wallace, University of Pittsburgh
Ross Andel, University of South Florida
David M. Almeida, The Pennsylvania State University
Sanjay R. Patel, University of Pittsburgh
Orfeu M. Buxton, The Pennsylvania State University

Document Type

Article

Publication Date

2022

Keywords

sleep health, sleep phenotypes, heart disease, cluster analysis, social disparities, middle adulthood

Digital Object Identifier (DOI)

https://doi.org/10.1093/sleepadvances/zpac005

Abstract

Study Objectives

Sleep is a modifiable risk factor for cardiovascular conditions. Holistic examination of within-person, multidimensional sleep patterns may offer more detailed information about the sleep-cardiovascular condition link, including who is more vulnerable to both. This study aimed to identify common sleep phenotypes in adulthood, establish the validity of the phenotypes in relation to cardiovascular conditions, and explore sociodemographic and background characteristics of the phenotypes.

Methods

Across two independent samples of adults (N₁ = 4600; N₂ = 2598) from the Midlife in the United States Study, latent class analysis (LCA) extracted sleep phenotypes using five key self-reported sleep dimensions. Log-binomial regression was used to determine whether sleep phenotypes differentially predicted cardiovascular conditions, adjusting for known risk factors. LCA with covariates was used to compare sociodemographic characteristics of the identified sleep phenotypes.

Results

Four sleep phenotypes were identified consistently across the two samples: good sleepers, nappers, dissatisfied/inefficient sleepers, and irregular sleepers. Compared to good sleepers (reference), dissatisfied/inefficient sleepers exhibited a higher risk of cardiovascular conditions in both samples (RR_Sample1: 29%, RR_Sample2: 53%) and consisted of relatively more racial/ethnic minorities. Nappers exhibited a higher risk of cardiovascular conditions in one sample (RR_Sample1: 38%) and consisted of more women and older adults. Irregular sleepers exhibited no significantly different cardiovascular risk and were relatively younger.

Conclusions

Common sleep phenotypes in adulthood exhibit differential risks for cardiovascular conditions. Cooccurring sleep dissatisfaction and inefficiency, in particular, may relate to increased risk of cardiovascular conditions. Certain sociodemographic groups (racial minorities, women, older adults) disproportionately fit within high-risk sleep phenotypes.

Rights Information

This work is licensed under a Creative Commons Attribution 4.0 License.

Citation / Publisher Attribution

Cardiovascular Risks and Sociodemographic Correlates of Multidimensional Sleep Phenotypes in Two Samples of US Adults, v. 3, issue 1, art. zpac005

Scholar Commons Citation

Lee, Soomi; Smith, Claire E.; Wallace, Meredith L.; Andel, Ross; Almeida, David M.; Patel, Sanjay R.; and Buxton, Orfeu M., "Cardiovascular Risks and Sociodemographic Correlates of Multidimensional Sleep Phenotypes in Two Samples of US Adults" (2022). Psychology Faculty Publications. 2512.
https://digitalcommons.usf.edu/psy_facpub/2512