Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity

Background: Sleep is important for health, but its relationship to cardiometabolic health in women of childbearing age remains unclear. Furthermore, stress, unmet basic needs, and lack of physical activity may be related to disrupted sleep and poor cardiometabolic health in women of childbearing age...

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Main Authors: Sarah S. Farabi, Cindy Schwarz, Alicia Persaud, Amanda Gilbert, Debra Haire-Joshu, Rachel G. Tabak
Format: Article
Language:English
Published: Mary Ann Liebert 2024-04-01
Series:Women's Health Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/whr.2023.0138
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author Sarah S. Farabi
Cindy Schwarz
Alicia Persaud
Amanda Gilbert
Debra Haire-Joshu
Rachel G. Tabak
author_facet Sarah S. Farabi
Cindy Schwarz
Alicia Persaud
Amanda Gilbert
Debra Haire-Joshu
Rachel G. Tabak
author_sort Sarah S. Farabi
collection DOAJ
description Background: Sleep is important for health, but its relationship to cardiometabolic health in women of childbearing age remains unclear. Furthermore, stress, unmet basic needs, and lack of physical activity may be related to disrupted sleep and poor cardiometabolic health in women of childbearing age and these relationships may differ by ethnicity. The purposes of this study were to investigate the relationship between sleep, markers of cardiometabolic health, stress, unmet basic needs, and physical activity in women of childbearing age with overweight or obesity and identify if these relationships differed between women that identified as Latino/Hispanic and non-Latino/Hispanic ethnicity. Methods: A secondary cross-sectional analysis was conducted using baseline data from a trial that embeds healthy eating and activity into a national home visiting program, Parents as Teachers. The sample was stratified based on self-reported ethnicity (Hispanic/Latino or non-Hispanic/Latino). Pearson's and Spearman's correlations were used to determine bivariate relationships among sleep, cardiometabolic variables, stress, unmet basic needs, and physical activity. Results: Two hundred seventy-six women, 46% of whom identified as Hispanic/Latino, were included in the analysis. Body mass index (BMI) was significantly correlated with sleep disturbance (ρ = 0.23, p = 0.01) in women who identify as Hispanic/Latino. Stress was positively related to sleep disturbance, sleep duration, and unmet needs for both groups of women. BMI was correlated with unmet basic needs in women who identified as non-Hispanic/Latino (ρ = 0.25, p = 0.01). Conclusions: Our results suggest that sleep, stress, and basic needs are important in understanding cardiometabolic health in women of childbearing age and these relationships differ depending on ethnicity. Clinical Trial Registration Number: NCT03758638.
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spelling doaj-art-e5f9ed3f1e7e4d2b947f9686d4c2a4b02025-08-20T02:30:55ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-015114315110.1089/whr.2023.0138Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and ObesitySarah S. Farabi0Cindy Schwarz1Alicia Persaud2Amanda Gilbert3Debra Haire-Joshu4Rachel G. Tabak5Office of Nursing Research, Goldfarb School of Nursing, St. Louis, Missouri, USA.Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.Public Health at the Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.Background: Sleep is important for health, but its relationship to cardiometabolic health in women of childbearing age remains unclear. Furthermore, stress, unmet basic needs, and lack of physical activity may be related to disrupted sleep and poor cardiometabolic health in women of childbearing age and these relationships may differ by ethnicity. The purposes of this study were to investigate the relationship between sleep, markers of cardiometabolic health, stress, unmet basic needs, and physical activity in women of childbearing age with overweight or obesity and identify if these relationships differed between women that identified as Latino/Hispanic and non-Latino/Hispanic ethnicity. Methods: A secondary cross-sectional analysis was conducted using baseline data from a trial that embeds healthy eating and activity into a national home visiting program, Parents as Teachers. The sample was stratified based on self-reported ethnicity (Hispanic/Latino or non-Hispanic/Latino). Pearson's and Spearman's correlations were used to determine bivariate relationships among sleep, cardiometabolic variables, stress, unmet basic needs, and physical activity. Results: Two hundred seventy-six women, 46% of whom identified as Hispanic/Latino, were included in the analysis. Body mass index (BMI) was significantly correlated with sleep disturbance (ρ = 0.23, p = 0.01) in women who identify as Hispanic/Latino. Stress was positively related to sleep disturbance, sleep duration, and unmet needs for both groups of women. BMI was correlated with unmet basic needs in women who identified as non-Hispanic/Latino (ρ = 0.25, p = 0.01). Conclusions: Our results suggest that sleep, stress, and basic needs are important in understanding cardiometabolic health in women of childbearing age and these relationships differ depending on ethnicity. Clinical Trial Registration Number: NCT03758638.https://www.liebertpub.com/doi/10.1089/whr.2023.0138sleepbasic needsobesitystresswomen of childbearing age
spellingShingle Sarah S. Farabi
Cindy Schwarz
Alicia Persaud
Amanda Gilbert
Debra Haire-Joshu
Rachel G. Tabak
Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
Women's Health Reports
sleep
basic needs
obesity
stress
women of childbearing age
title Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
title_full Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
title_fullStr Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
title_full_unstemmed Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
title_short Sleep, Stress, and Cardiometabolic Health in Women of Childbearing Age with Overweight and Obesity
title_sort sleep stress and cardiometabolic health in women of childbearing age with overweight and obesity
topic sleep
basic needs
obesity
stress
women of childbearing age
url https://www.liebertpub.com/doi/10.1089/whr.2023.0138
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