Sleep Variability, Eating Timing Variability, and Carotid Intima‐Media Thickness in Early Adulthood

Author(s)Hoopes, Elissa K.
Author(s)Witman, Melissa A.
Author(s)D'Agata, Michele N.
Author(s)Brewer, Benjamin
Author(s)Edwards, David G.
Author(s)Robson, Shannon M.
Author(s)Malone, Susan K.
Author(s)Keiser, Thomas
Author(s)Patterson, Freda
Date Accessioned2024-03-15T17:33:08Z
Date Available2024-03-15T17:33:08Z
Publication Date2023-10-03
DescriptionThis article was originally published in Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease. The version of record is available at: https://doi.org/10.1161/JAHA.123.029662. Copyright © 2023 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell
AbstractBackground Day‐to‐day variability in sleep patterns and eating timing may disrupt circadian rhythms and has been linked with various adverse cardiometabolic outcomes. However, the extent to which variability in sleep patterns and eating timing relate to atherosclerotic development in subclinical stages remains unclear. Methods and Results Generally healthy adults (N=62, 29.3±7.3 years, 66% female) completed 14 days of sleep and dietary assessments via wrist accelerometry and photo‐assisted diet records, respectively. Variability in sleep duration, sleep onset, eating onset (time of first caloric consumption), eating offset (time of last caloric consumption), and caloric midpoint (time at which 50% of total daily calories are consumed) were operationalized as the SD across 14 days for each variable. Separate regression models evaluated the cross‐sectional associations between sleep and eating variability metrics with end‐diastolic carotid intima‐media thickness (CIMT) measured via ultrasonography. Models adjusted for age, sex, systolic blood pressure, sleep duration, and total energy intake. Each 60‐minute increase in sleep duration SD and sleep onset SD were associated with a 0.049±0.016 mm (P=0.003) and 0.048±0.017 mm (P=0.007) greater CIMT, respectively. Variability in eating onset and offset were not associated with CIMT; however, each 60‐minute increase in caloric midpoint SD was associated with a 0.033±0.015 mm greater CIMT (P=0.029). Exploratory post hoc analyses suggested that sleep duration SD and sleep onset SD were stronger correlates of CIMT than caloric midpoint SD. Conclusions Variability in sleep patterns and eating timing are positively associated with clinically relevant increases in CIMT, a biomarker of subclinical atherosclerosis, in early adulthood.
SponsorThis study was supported, in part, by the American Heart Association (Award #831488), a University of Delaware‐Strategic Initiative Award, and an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences of the National Institutes of Health (2P20GM113125).
CitationHoopes, Elissa K., Melissa A. Witman, Michele N. D’Agata, Benjamin Brewer, David G. Edwards, Shannon M. Robson, Susan K. Malone, Thomas Keiser, and Freda Patterson. “Sleep Variability, Eating Timing Variability, and Carotid Intima‐Media Thickness in Early Adulthood.” Journal of the American Heart Association 12, no. 19 (October 3, 2023): e029662. https://doi.org/10.1161/JAHA.123.029662.
ISSN2047-9980
URLhttps://udspace.udel.edu/handle/19716/34197
Languageen_US
PublisherJournal of the American Heart Association Cardiovascular and Cerebrovascular Disease
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
Keywordsactigraphy
Keywordscircadian misalignment
Keywordsdiet record
Keywordssleep health
Keywordssubclinical atherosclerosis
TitleSleep Variability, Eating Timing Variability, and Carotid Intima‐Media Thickness in Early Adulthood
TypeArticle
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