The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset

Objective: This study explores the associations between various sleep durations and metabolic health indices, including systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol levels, high-density lipoprotein (HDL) cholesterol, and waist circumference. Methods: Data from the...

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Main Authors: Shuo Feng, Jeong-Hui Park, Qiyue Zhang, Ping Ma, Jung-Min Lee, Jong Cheol Shin
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319251315599
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author Shuo Feng
Jeong-Hui Park
Qiyue Zhang
Ping Ma
Jung-Min Lee
Jong Cheol Shin
author_facet Shuo Feng
Jeong-Hui Park
Qiyue Zhang
Ping Ma
Jung-Min Lee
Jong Cheol Shin
author_sort Shuo Feng
collection DOAJ
description Objective: This study explores the associations between various sleep durations and metabolic health indices, including systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol levels, high-density lipoprotein (HDL) cholesterol, and waist circumference. Methods: Data from the National Health and Nutrition Examination Survey (NHANES) 2021 to 2023, were analyzed. MANOVA and Bonferroni-adjusted ANOVAs were conducted to examine the relationships between sleep duration (sleep deprivation (≤5 h), short sleep (5-7 h), recommended sleep (7-9 h), and long sleep (>9 h)) and metabolic health indices. Results: MANOVA revealed significant group differences between sleep duration and metabolic health indices, with Wilks’ Lambda (Λ) = .98, F (3, 5095) = 4.26, P  < .001. Compared to recommended sleep duration, both sleep deprivation and short sleep were associated with higher DBP ( P s < .01) and waist circumference ( P s < .001), and lower HDL levels ( P s < .05) Long sleep was associated with lower HDL levels ( P  < .01) and lower total cholesterol ( P  < .01). Conclusion: The study highlights the detrimental associations of both sleep deprivation and short sleep with metabolic health, such as elevated blood pressure and waist circumference, and lowered HDL cholesterol. Long sleep may also negatively impact metabolic health by reducing HDL.
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spelling doaj-art-15c86ac69dfd40959c09663e380ff42b2025-01-29T09:04:21ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-01-011610.1177/21501319251315599The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 DatasetShuo Feng0Jeong-Hui Park1Qiyue Zhang2Ping Ma3Jung-Min Lee4Jong Cheol Shin5Texas A&M Health Science Center, College Station, TX, USATexas A&M Health Science Center, College Station, TX, USATexas A&M University, College Station, TX, USATexas A&M Health Science Center, College Station, TX, USAKyung Hee University (Global Campus), Giheung-gu, Yongin-si, Gyeonggi-do, Republic of KoreaLehigh University, Bethlehem, PA, USAObjective: This study explores the associations between various sleep durations and metabolic health indices, including systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol levels, high-density lipoprotein (HDL) cholesterol, and waist circumference. Methods: Data from the National Health and Nutrition Examination Survey (NHANES) 2021 to 2023, were analyzed. MANOVA and Bonferroni-adjusted ANOVAs were conducted to examine the relationships between sleep duration (sleep deprivation (≤5 h), short sleep (5-7 h), recommended sleep (7-9 h), and long sleep (>9 h)) and metabolic health indices. Results: MANOVA revealed significant group differences between sleep duration and metabolic health indices, with Wilks’ Lambda (Λ) = .98, F (3, 5095) = 4.26, P  < .001. Compared to recommended sleep duration, both sleep deprivation and short sleep were associated with higher DBP ( P s < .01) and waist circumference ( P s < .001), and lower HDL levels ( P s < .05) Long sleep was associated with lower HDL levels ( P  < .01) and lower total cholesterol ( P  < .01). Conclusion: The study highlights the detrimental associations of both sleep deprivation and short sleep with metabolic health, such as elevated blood pressure and waist circumference, and lowered HDL cholesterol. Long sleep may also negatively impact metabolic health by reducing HDL.https://doi.org/10.1177/21501319251315599
spellingShingle Shuo Feng
Jeong-Hui Park
Qiyue Zhang
Ping Ma
Jung-Min Lee
Jong Cheol Shin
The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
Journal of Primary Care & Community Health
title The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
title_full The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
title_fullStr The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
title_full_unstemmed The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
title_short The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset
title_sort associations between sleep duration and various metabolic health indices among adults in the united states a multivariate analysis of variance manova using national health and nutrition examination survey nhanes 2021 to 2023 dataset
url https://doi.org/10.1177/21501319251315599
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