Associations of Sleep Disordered Breathing and Insomnia with Incident Hypertension and Diabetes: The Hispanic Community Health Study/Study of Latinos

Citation

Li, Xiaoyu; Sotres-Alvarez, Daniela T.; Gallo, Linda C.; Ramos, Alberto R.; Aviles-Santa, M. Larissa; Perreira, Krista M.; Isasi, Carmen R.; Zee, Phyllis C.; Savin, Kimberly L.; & Schneiderman, Neil, et al. (Online ahead of print). Associations of Sleep Disordered Breathing and Insomnia with Incident Hypertension and Diabetes: The Hispanic Community Health Study/Study of Latinos. American Journal of Respiratory and Critical Care Medicine.

Abstract

RATIONALE: Sleep disorders are associated with hypertension and diabetes, primary risk factors for cardiovascular diseases and mortality. It is important to understand these associations in Hispanics/Latinos, in whom cardiovascular death is the leading cause of mortality.
OBJECTIVES: To investigate the prospective associations of sleep disordered breathing (SDB) and insomnia with incident hypertension and diabetes among US Hispanics/Latinos over 6 years of follow-up and to assess potential gender differences in these associations.
METHODS: Data from 11,623 Hispanic/Latino participants in the Hispanic Community Health Study/Study of Latinos (Visit 1: 2008-2011; Visit 2: 2014-2017) were analyzed using survey logistic regression models, adjusting for potential confounders.
MEASUREMENTS AND MAIN RESULTS: SDB (apnea-hypopnea index ≥ 5) and insomnia (Women's Health Initiative Insomnia Rating Scale ≥ 9) were measured at baseline. Incident hypertension (≥ Stage 2) and diabetes were defined according to national guidelines. In the target population, 52.6% were female with mean age 41.1 ± 14.9 years at baseline. SDB was associated with a 1.54 higher adjusted odds of incident hypertension (95% confidence interval (CI) [1.18, 2.00]) and 1.37 higher odds of incident diabetes (95% CI [1.07, 1.75]) compared to no SDB. Insomnia was associated with incident hypertension (Odds Ratio (OR) = 1.37; 95% CI [1.11, 1.69]), but not diabetes. The association between insomnia and incident hypertension was stronger among men than women.
CONCLUSIONS: SDB was associated with incident hypertension and diabetes. Insomnia was associated with incident hypertension. These findings support the importance of sleep disorders as modifiable targets for disease prevention and reduction.

URL

http://dx.doi.org/10.1164/rccm.201912-2330OC

Reference Type

Journal Article

Article Type

Regular

Year Published

Online ahead of print

Journal Title

American Journal of Respiratory and Critical Care Medicine

Author(s)

Li, Xiaoyu
Sotres-Alvarez, Daniela T.
Gallo, Linda C.
Ramos, Alberto R.
Aviles-Santa, M. Larissa
Perreira, Krista M.
Isasi, Carmen R.
Zee, Phyllis C.
Savin, Kimberly L.
Schneiderman, Neil
Wassertheil-Smoller, Sylvia
Sofer, Tamar
Daviglus, Martha L.
Redline, Susan S.

Data Set/Study

The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Continent/Country

United States of America

State

Nonspecific

Race/Ethnicity

Cuban
Puerto Rican
Dominican
Mexican
Central/South American