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03 July 2022: Clinical Research

Association Between Sleep Duration and Sleep Disorder Data from the National Health and Nutrition Examination Survey and Stroke Among Adults in the United States

Jun Wang ABCDE* , Xin Ren BCD

DOI: 10.12659/MSM.936384

Med Sci Monit 2022; 28:e936384

Table 1 Screening for confounders associated with stroke.

VariablesTotal [n=10,442 (weighted %)]With stroke (n=402)Without stroke (n=10,040)StatisticsP
Gender, n (%)χ=5.460.019
 Male5,042 (48.04)190 (40.64)4,852 (48.25)
 Female5,400 (51.96)212 (59.36)5,188 (51.75)
Age, mean (S.E.)46.28 (0.42)64.90 (1.17)45.74 (0.40)t=16.36
BMI, mean (S.E.)28.50 (0.14)29.73 (0.37)28.47 (0.14)t=3.230.003
Race, n (%)χ=16.230.003
 Mexican American1,966 (8.21)36 (3.58)1,930 (8.35)
 Other Hispanic793 (4.19)18 (2.12)775 (4.25)
 Non-Hispanic white4,997 (70.56)231 (74.96)4,766 (70.44)
 Non-Hispanic black2,267 (11.44)107 (14.57)2,160 (11.35)
 Other race (including multi-raciala)419 (5.59)10 (4.76)409 (5.61)
Marital status, n (%)χ=138.70
 Married5,573 (57.23)195 (49.91)5,378 (57.45)
 Widowed929 (5.92)106 (23.27)823 (5.41)
 Divorced1,070 (9.94)51 (12.45)1,019 (9.87)
 Separated346 (2.43)10 (2.19)336 (2.43)
 Never married1,737 (16.77)28 (7.05)1,709 (17.05)
 Living with partner787 (7.71)12 (5.13)775 (7.79)
Education level, n (%)χ=39.19
 Less than 9 grade1,339 (6.45)83 (14.36)1,256 (6.22)
 9–11 grade1,736 (12.36)77 (14.78)1,659 (12.29)
 High school grade/GED or equivalent2,521 (25.09)105 (29.50)2,416 (24.97)
 Some college2,819 (30.22)89 (25.21)2,730 (30.37)
 College graduate or above2,027 (25.88)48 (16.15)1,979 (26.16)
Family PIR, mean (S.E.)3.06 (0.05)2.35 (0.11)3.08 (0.05)t=−9.09
Waist circumference, mean (S.E.)97.64 (0.40)103.67 (0.91)97.47 (0.41)t=6.81
Hypertension, n (%)χ=221.24
 Yes3,432 (29.24)305 (73.13)3,127 (27.95)
 No7,010 (70.76)97 (26.87)6,913 (72.05)
CHF, n (%)χ=590.92
 Yes338 (2.19)70 (15.80)268 (1.79)
 No10,104 (97.81)332 (84.20)9,772 (98.21)
CHD, n (%)χ=213.56
 Yes405 (3.11)67 (18.26)338 (2.66)
 No10,037 (96.89)335 (81.74)9,702 (97.34)
Angina pectoris, n (%)χ=128.60
 Yes286 (2.18)50 (11.36)236 (1.91)
 No10,156 (97.82)352 (88.64)9,804 (98.09)
Heart attack, n (%)χ=415.86
 Yes433 (3.16)83 (18.66)350 (2.71)
 No10,009 (96.84)319 (81.34)9,690 (97.29)
Pulse, mean (S.E.)73.20 (0.20)73.61 (0.64)73.19 (0.20)t=0.630.531
Platelet count, mean (S.E.)274.00 (1.29)263.91 (4.77)274.30 (1.27)t=−2.330.026
TC, mean (S.E.)5.13 (0.01)4.97 (0.09)5.13 (0.02)t=−1.620.115
HDL-cholesterol, mean (S.E.)1.38 (0.01)1.33 (0.03)1.38 (0.01)t=−1.980.057
Diabetes, n (%)χ=202.50
 Yes1,198 (8.05)141 (30.93)1,057 (7.38)
 No9,244 (91.95)261 (69.07)8,983 (92.62)
ACEi, n (%)χ=0.530.466
 Yes59 (0.48)2 (0.29)57 (0.49)
 No10,383 (99.52)400 (99.71)9,983 (99.51)
Beta-blockers, n (%)χ=238.51
 Yes1,228 (10.00)145 (33.94)1,083 (9.30)
 No9,214 (90.00)257 (66.06)8,957 (90.70)
Antidepressants, n (%)χ=58.47
 Yes1,005 (11.50)89 (25.51)916 (11.09)
 No9,437 (88.50)313 (74.49)9,124 (88.91)
Sleep duration, n (%)χ=22.00
1,655 (13.79)84 (22.63)1,569 (13.53)
 6–7 h2,410 (23.14)75 (17.64)2,334 (23.30)
 7–8 h2,790 (30.10)68 (20.91)2,722 (30.37)
 ≥8 h3,587 (32.97)172 (38.82)3,415 (32.80)
Sleep disorder, n (%)χ=23.11
 Yes758 (7.31)62 (16.33)696 (7.05)
 No9,684 (92.69)340 (83.67)9,344 (92.95)
Time required to fall asleep, min, mean (S.E.)21.40 (0.34)26.08 (1.32)21.26 (0.34)t=3.66
Frequency of sleep deprivation, n (%)χ=22.20
 Never3,440 (26.15)147 (32.88)3,293 (25.95)
 One time a month1,821 (18.93)57 (14.06)1,764 (19.08)
 2–4 times a month2,692 (28.97)96 (26.76)2,596 (29.03)
 5–15 times a month1,463 (15.92)36 (9.50)1,427 (16.10)
 16–30 times a month1,026 (10.04)66 (16.80)960 (9.84)
Frequency of early-morning wakefulness, n (%)χ=36.03
 Never4,770 (43.77)158 (36.91)4,612 (43.97)
 One time a month1,865 (19.73)57 (15.41)1,808 (19.85)
 2–4 times a month2,002 (19.82)79 (19.80)1,923 (19.82)
 5–15 times a month1,091 (10.57)48 (12.78)1,043 (10.51)
 16–30 times a month714 (6.11)60 (15.09)654 (5.85)
Frequency of midnight wakefulness, n (%)χ=28.13
 Never4,046 (35.62)127 (29.34)3,919 (35.80)
 One time a month1,936 (20.33)65 (17.30)1,871 (20.42)
 2–4 times a month2,389 (23.68)91 (21.79)2,298 (23.74)
 5–15 times a month1,268 (13.09)58 (16.02)1,210 (13.00)
 16–30 times a month803 (7.28)61 (15.55)742 (7.04)
S.E – standard error; BMI – body mass index; GED – general equivalent diploma; PIR – poverty income ratio; CHF – congestive heart failure; CHD – coronary heart disease; TC – serum total cholesterol; HDL – high-density lipoprotein; ACEi – angiotensin-converting enzyme inhibitors.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750