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    Waking up to sleep's role in obesity and blood pressure among Black adolescent girls in low-income, US urban communities: A longitudinal analysis.

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    Author
    Trude, Angela Cristina Bizzotto
    Armstrong, Bridget
    Kramer Fiala Machado, Adriana
    Wickwire, Emerson M
    Covington, Lauren B
    Wang, Yan
    Hager, Erin
    Black, Maureen M
    Date
    2022-02-10
    Journal
    Sleep Health
    Publisher
    Elsevier
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.sleh.2021.12.001
    Abstract
    Objective: To identify longitudinal bidirectional associations between unique sleep trajectories and obesity and hypertension among Black, adolescent girls. Design, setting, and participants: Longitudinal data were from a randomized controlled trial (2009-2013) implemented in schools serving low-income communities aimed at preventing obesity among adolescent girls (mean age = 12.2 years (standard deviation ± 0.72). Measures: Nocturnal sleep data were extracted from accelerometers at T1 (enrollment, n = 470), T2 (6-month, n = 348), and T3 (18-month follow-up, n = 277); height and weight were measured at T1-T3; and systolic/diastolic blood pressure at T1 and T3 using an oscillometric monitor. Multilevel models examined longitudinal associations. Finite mixture models identified sleep trajectory groups. Structural equation models examined whether T1 chronic disease risk predicted sleep profiles, and conversely, if sleep trajectories predicted T3 chronic disease risk. Data were analyzed in 2021. Results: For each additional hour of sleep and 1% increase in efficiency there was a 7% lower risk of overweight/obesity at T1 and 6% lower risk at T2, but not at T3. Four sleep trajectories emerged: Worsened, Irregular, Improved, and Regular, with no demographic or metabolic differences between the trajectories. Improved sleep trajectory predicted lower diastolic percentile at T3 (b = −8.81 [95% confidence interval −16.23, −1.40]). Conclusions: Group-based trajectories of sleep duration and quality provide information on modifiable factors that can be targeted in interventions to evaluate their impact on reducing chronic diseases and addressing disparities. Additional research is needed on samples beyond those recruited in the context of an intervention study. © 2022 The Authors
    Rights/Terms
    Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.
    Keyword
    Adolescent
    Blood pressure
    Longitudinal design
    Multigroup trajectory
    Obesity
    Poverty
    Sleep
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18045
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.sleh.2021.12.001
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