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LeCroy MN, Hua S, Kaplan RC, Sotres-Alvarez D, Qi Q, Thyagarajan B, Gallo LC, Pirzada A, Daviglus ML, Schneiderman N, Talavera GA, Isasi CR. Associations of changes in fat free mass with risk for type 2 diabetes: Hispanic Community Health Study/Study of Latinos. Diabetes Res Clin Pract 2021; 171:108557. [PMID: 33242517 PMCID: PMC8425264 DOI: 10.1016/j.diabres.2020.108557] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 11/09/2020] [Accepted: 11/11/2020] [Indexed: 11/22/2022]
Abstract
AIMS To determine whether loss of muscle mass (approximated using fat free mass [FFM]) is associated with risk for type 2 diabetes mellitus (T2DM) in Hispanic/Latino adults in the United States. METHODS Participants were Hispanic/Latino adults (18-74-year-olds) who completed Visit 2 of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; multi-site, prospective cohort study; 6.1-year follow-up) and did not have T2DM at baseline (n = 6264). At baseline and Visit 2, FFM was measured using bioelectrical impedance analysis and fasting glucose, HbA1c, and fasting insulin were measured by examiners. Diabetes was defined according to American Diabetes Association criteria. Survey-weighted Poisson regression models examined the association of percent change in relative FFM (%ΔFFM) with incident prediabetes and T2DM. Survey-weighted multivariable regression models examined associations of %ΔFFM with changes in glucose and insulin measures. RESULTS Relative FFM declined by 2.1% between visits. %ΔFFM was inversely associated with incident prediabetes (p-for-trend = 0.001) and with changes in glucose and insulin measures (p-for-trend <0.0001). Findings were null, except for HOMA-IR, after adjustment for changes in adiposity measures. Associations were generally stronger for individuals with baseline overweight/obesity. CONCLUSIONS Reducing loss of FFM during adulthood may reduce prediabetes risk (primarily insulin resistance), particularly among individuals with overweight/obesity.
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Affiliation(s)
- M N LeCroy
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States.
| | - S Hua
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States
| | - R C Kaplan
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States
| | - D Sotres-Alvarez
- Collaborative Studies Coordinating Center, University of North Carolina at Chapel Hill, 123 W Franklin Street, CB #8030, Chapel Hill, NC 27516, United States
| | - Q Qi
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States
| | - B Thyagarajan
- Department of Laboratory Medicine and Pathology, University of Minnesota, 420 Delaware Street Southeast, MMC 609, Mayo 8609, Minneapolis, MN 55455, United States
| | - L C Gallo
- Department of Psychology, San Diego State University, 780 Bay Blvd, Suite 200, Chula Vista, CA 91010, United States
| | - A Pirzada
- Institute for Minority Health Research, University of Illinois at Chicago, 835 S Wolcott Ave, Mailbox 23, Chicago, IL 60612, United States
| | - M L Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, 835 S Wolcott Ave, Mailbox 23, Chicago, IL 60612, United States
| | - N Schneiderman
- Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL 33124, United States
| | - G A Talavera
- Department of Psychology, San Diego State University, 780 Bay Blvd, Suite 200, Chula Vista, CA 91010, United States
| | - C R Isasi
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States
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2
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Kaur S, Tarraf W, Wu B, Daviglus M, Shah N, Sotres-Alvarez D, Gallo L, Wohlgemuth W, Redline S, Gonzales H, Ramos A. 0423 Older Age Modifies the Association Between Combined Sleep Disordered Breathing and Sleep Duration with Neurocognitive Decline in Hispanic/Latino Adults. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
We aimed to determine if age or sex modifies associations between sleep-disordered breathing (SDB), sleep duration and severe phenotypes of combined SDB/sleep duration with 7-year neurocognitive change (NC) in a diverse sample of U.S. Hispanic/Latinos.
Methods
We analyzed data of 5,235 adults 50-80 years of age from SOL-INCA, an ancillary to the Hispanic Community Health Study/Study of Latinos that determines the risk factors for NC. The main outcome was NC after a mean follow-up of 7-years on measures of memory (SEVLT sum and SEVLT recall), language (word fluency), processing speed (DSS) and a cognitive impairment screener. We evaluated the effect of baseline SDB (AHI ≥ 15), sleepiness (Epworth Sleepiness Scale, ESS ≥ 10), self-reported sleep duration (i.e. <6 hours, 6-9 hours, ≥ 9 hours), age and sex on NC. Survey linear regression models with interaction terms were used to examine the relationship between SDB, sleep duration, combinations of SDB and sleep duration phenotypes and NC. Depression, vascular risk, sleep medication, and study site were entered into all models as covariates.
Results
Overall, the mean age was 56.0 years, 54.8% females, 62.2% completed high school, 17.3% had SDB, 6.6% had short sleep,and 14.8% had long sleep. Sleep duration and SDB were not associated with NC. There was a significant interaction between agexSDB+sleep duration on delayed recall (F10,599= 2.40, p=0.01) and processing speed (F10,597= 2.55, p=0.01). Combined SDB + short sleep was associated with decline in processing speed (β=-0.6, 95% CI= [-1.2, -0.1], and combined SDB+long sleep was associated with decline in verbal memory (β=-0.9, 95% CI=[-1.7, -0.2] in adults aged ≥ 65 years. There was no association in participants aged <65 years and no sex differences.
Conclusion
Age, but not sex, modified the association between SDB and sleep duration with decline on processing speed and verbal memory. Sleep interventions tailored for older adults may be useful in slowing or preventing neurocognitive decline.
Support
This work is supported by National Institute on Aging (R01AG048642, RF1AG054548, R01AG061022, and R21AG056952).
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Affiliation(s)
- S Kaur
- University of Miami Miller School of Medicine, Miami, FL
| | - W Tarraf
- Wayne State University, Detroit, MI
| | - B Wu
- University of California San Diego, San Diego, CA
| | - M Daviglus
- University of Illinois Chicago, Chicago, IL
| | - N Shah
- Mount Sinai Icahn School of Medicine, New York, NY
| | | | - L Gallo
- San Diego State University, San Diego, CA
| | | | - S Redline
- Brigham & Women’s Hospital, Harvard Medical School, Boston, MA
| | - H Gonzales
- University of California San Diego, San Diego, CA
| | - A Ramos
- University of Miami Miller School of Medicine, Miami, FL
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3
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Alcantara C, Wallace M, Sotres-Alvarez D, Vetter C, Phillips AJ, Shafazand S, Johnson DA, Wallace D, Gallo LC, Ramos AR, Penedo F, Wohlgemuth WK, Zee PC, Redline S, Patel SR. 1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States.
Methods
We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sueño Ancillary study (2010-2013). The study enrolled 2072 adults (ages 18-64; 51.5% females) who completed one-week wrist-actigraphy and sleep questionnaires. Sleep burden was operationalized as the total count of sleep disturbances across six domains (duration, efficiency, midpoint, variability, insomnia, sleepiness). Depressive symptoms were assessed using the Center for Epidemiological Studies Depression scale (CESD-10). We used weighted survey linear regressions to evaluate the association of sleep disturbances and sleep burden with elevated depressive symptoms (CESD≥10) in individual models adjusted for age, gender, site, heritage, nativity, education, income, and employment. Sensitivity analyses further adjusted for behavioral health risk factors and apnea-hypopnea index.
Results
An estimated 28.3% had elevated depressive symptoms, 8.0% had short sleep duration (<6 hours of sleep), 10.9% had long sleep duration (>9 hours), 45.2% exhibited a later sleep midpoint (≥4:00AM), 38.4% had high sleep timing variability (upper third tertile for between day sleep midpoint), 15.3% had insomnia (ISI≥10), 17.3% had excessive daytime sleepiness (ESS ≥10), 21.5% had poor sleep efficiency (<85%), and 77.4% had a total sleep burden count of ≥0. Insomnia (ß=0.49,95%CI:.43,.56), later sleep timing (ß=0.10,95%CI:.04,.16), excessive daytime sleepiness (ß=0.19,95%CI:.11,.27), poor sleep efficiency (ß=0.09,95%CI:.02,.17), high variability (ß=0.07, 95%CI:.01,.12), and sleep burden (ß=0.11,95%CI:.09,.13), were each positively associated with elevated depressive symptoms in individual adjusted models and sensitivity analyses. Extreme sleep durations were not associated with elevated depressive symptoms.
Conclusion
Multiple inter-related sleep disturbances, particularly those pertaining to sleep quality and timing, are associated with depression and may be targets for future interventions aimed at improving mood among Hispanics/Latinos.
Support
HL127307, HL098927, HL125748
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Affiliation(s)
| | - M Wallace
- University of Pittsburgh School of Medicine, Pittsburgh, PA
| | | | - C Vetter
- University of Colorado--Boulder, Boulder, CO
| | | | | | | | | | - L C Gallo
- San Diego State University, San Diego, CA
| | | | | | | | - P C Zee
- Feinberg School of Medicine, Northwestern University, Chicago, IL
| | | | - S R Patel
- University of Pittsburgh School of Medicine, Pittsburgh, PA
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4
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Agudelo C, Tarraf W, Wu B, Wallace DM, Patel SR, Redline S, Daviglus ML, Zee PC, Simonelli G, Levin BE, Mossavar-Rahmani Y, Sotres-Alvarez D, Zeng D, González HM, Ramos AR. 1144 Actigraphy-defined Sleep And Neurocognitive Decline In Middle-age Hispanic/Latino Adults. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Few studies have evaluated objective sleep measures and longitudinal neurocognitive decline, particularly in middle-age or Hispanic/Latino adults. We evaluated prospective associations between actigraphy-defined sleep and 7-year neurocognitive change among Hispanic/Latino adults. We hypothesized that sleep duration would be associated with neurocognitive decline.
Methods
We analyzed data from 1,036 adults 45-64 years of age from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a multi-center prospective cohort study of diverse community-dwelling Hispanic/Latino adults. At Visit 1 (2008-2011), participants underwent neurocognitive assessments, 7-days of actigraphy, home sleep testing, and sleep questionnaires (including the Insomnia Severity Index). Seven years later, participants repeated neurocognitive assessments. The neurocognitive battery included the Six-Item Screener, Brief Spanish-English Verbal Learning Test, phonemic word fluency test, and Digit Symbol Subtest. Survey linear regression was used to evaluate prospective associations between actigraphy-defined or self-reported sleep variables and neurocognitive change. Final models adjusted for objectively-defined variables (age, body-mass index, Field Center, and time between neurocognitive assessments), and self-reported variables (sex, education, Hispanic/Latino background, alcohol consumption, physical activity, heart failure, cerebrovascular events, depression and anxiety symptoms, and antidepressant use).
Results
At Visit 1, the sample was 55% female and mean age was 54.9±2.2 years. The mean sleep duration was 402.6±27.6 minutes, mean sleep-onset latency was 11.3±9.7 minutes, mean number of days with naps of ≥ 15 minutes duration was 1.1±0.7, and mean sleep-time per nap was 51±14.1 minutes. Increased sleep-onset latency was associated with 7-year declines in global neurocognitive function (β=-0.0026, p<0.01), verbal learning (β=-0.0028, p<0.001) and verbal memory (β=-0.036, p<0.05). Increased sleep-time per nap predicted better verbal memory (β=0.0038, p<0.05). In contrast, sleep duration, sleep fragmentation, and self-reported sleep measures were not associated with neurocognitive change.
Conclusion
Among middle-age adults, sleep-onset latency and nap duration were associated with neurocognitive change. These findings may serve as targets for intervention of neurocognitive decline.
Support
This work is supported by the National Institute on Aging: R01AG048642, RF1AG054548, R01AG061022, R21AG056952, and R21HL140437 (AR).
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Affiliation(s)
- C Agudelo
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
| | - W Tarraf
- Department of Healthcare Sciences and Institute of Gerontology, Wayne State University, Detroit, MI
| | - B Wu
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California San Diego School of Medicine, San Diego, CA
| | - D M Wallace
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
| | - S R Patel
- Department of Medicine and Center for Sleep and Cardiovascular Outcomes Research, University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - S Redline
- Departments of Medicine and Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
| | - M L Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - P C Zee
- Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - G Simonelli
- Center For Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Springs, MD
| | - B E Levin
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
| | - Y Mossavar-Rahmani
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY
| | - D Sotres-Alvarez
- Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
| | - D Zeng
- Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
| | - H M González
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California San Diego School of Medicine, San Diego, CA
| | - A R Ramos
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
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5
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Wu B, Tarraf W, Wallace DM, Stickel A, Schneiderman N, Redline S, Patel SR, Gallo LC, Mossavar-Rahmani Y, Daviglus M, Zee PC, Talavera GA, Sotres-Alvarez D, Gonzalez HM, Ramos AR. 0609 Sleep Phenotypes in Middle-Aged and Older Hispanics/Latinos. Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Sleep 2020. [DOI: 10.1093/sleep/zsaa056.606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Introduction
Identifying sleep phenotypes in the diverse and understudied US Hispanic/Latino population is critical to developing interventions and mitigating distal clinical outcomes (e.g. dementias).
Methods
Using latent class analyses (LCA), we identify empirically derived and clinically meaningful sleep phenotypes using data on community dwelling middle-aged/older adults (ages ≥45-years) from the HCHS/SOL (2008-2011) - Investigation of Neurocognitive Aging (n=6,377). Sleep variables used included Apnea/Hypopnea Index (AHI), percent time SpO2<90%, Epworth Sleepiness Scale (ESS), Women’s Health Initiative Insomnia Rating Scale (WHIIRS), self-reported average sleep duration, restless legs symptoms, napping frequency, and sleep quality.
Results
Mean (M) age was 56.4±8.1 years, and 54.7% were female. Average AHI, ESS, WHIIRS, and sleep duration were 8.7±13.1, 6.0±5.0, 7.6±5.5, and 7.8±1.4, respectively, and 25.8% had zero percent time SpO2 <90%. Fit statistics indicated that a four-class solution provided the best data fit. The derived classes, adjusting for age, sex, income, and acculturation, corresponded with four clinically meaningful groups: (1) 28.8% were asymptomatic [(M) AHI=0.8; (M) ESS=5.6; (M)WHIIRS=7.6; (M) sleep duration=7.8; 0% SpO2<90%=74.1%], (2) 25.7 % were asymptomatic mild sleep apnea [(M) AHI=6.2; (M) ESS=3.8; (M) WHIIRS=2.9; (M) sleep duration=7.8; 0% SpO2<90%=8.8%], (3) 19.4% were symptomatic sleep apnea [(M) AHI=25.6; (M) ESS=8.5; (M) WHIIRS=7.2; (M) sleep duration=7.7; 0% SpO2<90%= 0.5%], and (4) 26.1% were insomnia [(M) AHI=5.7; (M) ESS=6.7; (M) WHIIRS=13.0; (M) sleep duration=7.8; 0% SpO2<90%=10.3%]. Classification into groups 3 and 4 were primarily driven by elevated AHI and WHIIRS scores, respectively. The distribution of scores in the derived groups suggest variations relative to current clinical thresholds.
Conclusion
We identified 4-groups using LCA in a community-based sample of diverse U.S. Hispanic/Latino adults. Better characterization of sleep phenotypes for Hispanics/Latinos can help in developing targeted interventions studies and ameliorate health disparities.
Support
5R01AG048642-05; R21AG056952; R21HL140437.
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Affiliation(s)
- B Wu
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA, University of California San Diego, CA
| | - W Tarraf
- Institute of Gerontology & Department of Healthcare Sciences, Wayne State University, Detroit, Michigan, Wayne State University, MI
| | - D M Wallace
- University of Miami, Miller School of Medicine, University of Miami, FL
| | - A Stickel
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA, University of California San Diego, CA
| | - N Schneiderman
- University of Miami, Department of Psychology, University of Miami, FL
| | - S Redline
- Harvard Medical School, Harvard University, MA
| | - S R Patel
- University of Pittsburgh, School of Medicine, University of Pittsburgh, PA
| | - L C Gallo
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, San Diego, CA
| | - Y Mossavar-Rahmani
- Albert Einstein College of Medicine, Department of Epidemiology & Population Health, Bronx, NY
| | - M Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, College of Medicine, Chicago, Illinois, Chicago, IL
| | - P C Zee
- Northwestern University, Feinberg School of Medicine, Department of Neurology, Chicago, IL
| | - G A Talavera
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, San Diego, CA
| | - D Sotres-Alvarez
- University of North Carolina, Department of Biostatistics, Chapel Hill, NC
| | - H M Gonzalez
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA, University of California San Diego, CA
| | - A R Ramos
- University of Miami, Miller School of Medicine, Miami, FL
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6
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Gonzalez KT, Tarraf W, Wallace DM, Stickel A, Schneiderman N, Redline S, Patel SR, Gallo LC, Mossavar-Rahmani Y, Daviglus M, Zee PC, Talavera GA, Sotres-Alvarez D, Gonzalez HM, Ramos AR. 0607 Clinical Phenotypes of OSA in Diverse Hispanics/Latinos: Results from the Hispanic Community Health Study/Study of Latinos. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Recent work on US non-Latino Whites and Europeans from clinical samples used obstructive sleep apnea (OSA) symptoms to generate OSA phenotypes for individuals with moderate-severe OSA and proposed between 3-5 clusters. Validating these clusters in a diverse Hispanic/Latino community-based population with different biopsychosocial characteristics is crucial for early OSA identification and more personalized treatment.
Methods
This work is based on baseline data from The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). HCHS/SOL is a prospective cohort study designed using a multisite (Bronx, NY, Chicago, IL, Miami, FL, San Diego, CA) multistage probability sample. The subpopulation of interest included adults 18-74 years (unweighted n=1,623) meeting criteria for moderate-severe OSA symptoms (≥15 Apnea-Hypopnea index (AHI) events per hour). We performed latent class analysis (LCA) using 15 common OSA symptoms to identify phenotype clusters.
Results
Average age was 52.4 ± 13.9 years and 34.1% were female. Mean AHI was 33.8 ± 22.5 events per hour. Fit statistics and clinical significance suggested that a three-class solution provided best fit to the data. The symptom profiles were consistent with (1) a Minimally Symptomatic group (46.8%), (2) a Disturbed Sleep group (38.1%), and (3) a Daytime Sleepiness group (15.1%). Validation analyses using alternative hierarchical and partitioning algorithms also suggested support for a three-class solution.
Conclusion
Sleep apnea phenotypes among diverse Hispanics/Latinos were consistent with recent findings from the Sleep Apnea Global Interdisciplinary Consortium. However, we found notable differences in the prevalence of these clusters relative to Whites. This suggests that other biopsychosocial factors may be contributing to OSA phenotypes among Hispanics/Latinos. Identification of OSA phenotypes in Hispanics/Latinos could inform better sleep interventions and therapeutics and help better align public health resources.
Support
5R01AG048642-05; R21AG056952; R21HL140437.
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Affiliation(s)
- K T Gonzalez
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA
| | - W Tarraf
- Wayne State University, Detroit, MI
| | | | - A Stickel
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA
| | | | - S Redline
- Harvard Medical School, Harvard University, MA
| | - S R Patel
- University of Pittsburgh, School of Medicine, University of Pittsburgh, PA
| | - L C Gallo
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California
| | - Y Mossavar-Rahmani
- Albert Einstein College of Medicine, Department of Epidemiology & Population Health, Bronx, NY
| | - M Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, College of Medicine, Chicago, Illinois
| | - P C Zee
- Northwestern University, Feinberg School of Medicine, Department of Neurology, Chicago, IL
| | - G A Talavera
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California
| | | | - H M Gonzalez
- Department of Neurosciences and Shiley-Marcos Alzheimer’s Disease Research Center, University of California, San Diego, La Jolla, CA
| | - A R Ramos
- University of Miami, Miller School of Medicine, Miami, FL
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7
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Ogilvie RP, Simonelli G, Sotres-Alvarez D, St-Onge M, Mossavar-Rahmani Y, Perreira K, Petrov M, Kim Y, Balkin T, Wallace D, Reid KJ, Daviglus M, Zee PC, Patel SR. 0152 Caffeine Use And Sleep In U.S. Hispanic/Latinos: Findings From HCHS/SOL Sueño Ancillary Study. Sleep 2018. [DOI: 10.1093/sleep/zsy061.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - G Simonelli
- Walter Reed Army Institute of Research, Silver Spring, MD
| | | | | | | | - K Perreira
- University of North Carolina, Chapel Hill, NC
| | - M Petrov
- Arizona State University, Phoenix, AZ
| | - Y Kim
- University of Miami, Miami, FL
| | - T Balkin
- Walter Reed Army Institute of Research, Silver Spring, MD
| | - D Wallace
- University of Miami Miller School of Medicine, Miami, FL
| | - K J Reid
- Northwestern University, Chicago, IL
| | - M Daviglus
- University of Illinois at Chicago, Chicago, IL
| | - P C Zee
- Northwestern University, Chicago, IL
| | - S R Patel
- University of Pittsburgh, Pittsburgh, PA
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8
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Ramos A, Weng J, Wallace D, Petrov M, Wohlgemuth W, Sotres-Alvarez D, Loredo J, Reid K, Zee P, Mossavar-Rahmani Y, Patel S. Actigraphic sleep patterns and hypertension in the Hispanic community health study/study of Latinos. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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9
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Abbott S, Weng J, Reid K, Daviglus M, Gallo L, Loredo J, Nyenhuis S, Penedo F, Ramos A, Shah N, Sotres-Alvarez D, Wohlgemuth W, Patel S, Zee P. 1016 SLEEP-WAKE TIMING AND STABILITY ARE ASSOCIATED WITH INCREASED BLOOD PRESSURE IN THE SUEÑO ANCILLARY STUDY OF THE HISPANIC COMMUNITY HEALTH STUDY/STUDY OF LATINOS (HCHS/SOL). Sleep 2017. [DOI: 10.1093/sleepj/zsx050.1015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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10
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Dudley KA, Johnson DA, Weng J, Wallace DM, Alcantara C, Wallace M, Ramos AR, Mossavar-Rahmani Y, Perreira K, Zee PC, Salazar ZU, Redline S, Reid KJ, Sotres-Alvarez D, Patel SR. 0838 ACCULTURATION AND SLEEP PATTERNS IN U.S. HISPANIC/LATINOS: THE HISPANIC COMMUNITY HEALTH STUDY/STUDY OF LATINOS (HCHS/SOL) SUEÑO ANCILLARY STUDY. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.837] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Palta P, McMurray R, Gouskova N, Sotres-Alvarez D, Davis S, Carnethon M, Castañeda S, Gellman M, Hankinson A, Isasi C, Schneiderman N, Talavera G, Evenson K. Self-reported and accelerometer-measured physical activity by body mass index in US Hispanic/Latino adults: HCHS/SOL. Prev Med Rep 2015; 2:824-8. [PMID: 26835248 PMCID: PMC4721348 DOI: 10.1016/j.pmedr.2015.09.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The association between obesity and physical activity has not been widely examined in an ethnically diverse sample of Hispanic/Latino adults in the US. A cross-sectional analysis of 16,094 Hispanic/Latino adults 18–74 years was conducted from the multi-site Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Body mass index (BMI) was measured and categorized into normal, overweight, and obese; underweight participants were excluded from analyses. Physical activity was measured using the 16-item Global Physical Activity Questionnaire and by an Actical accelerometer. Minutes/day of physical activity and prevalence of engaging in ≥ 150 moderate–vigorous physical activity (MVPA) minutes/week were estimated by BMI group and sex adjusting for covariates. No adjusted differences were observed in self-reported moderate (MPA), vigorous (VPA), or MVPA across BMI groups. Accelerometry-measured MPA, VPA, and MVPA were significantly higher for the normal weight (females: 18.9, 3.8, 22.6 min/day; males: 28.2, 6.1, 34.3 min/day, respectively) compared to the obese group (females: 15.3, 1.5, 16.8 min/day; males: 23.5, 3.6, 27.1 min/day, respectively). The prevalence of engaging in ≥ 150 MVPA minutes/week using accelerometers was lower compared to the self-reported measures. Efforts are needed to reach the Hispanic/Latino population to increase opportunities for an active lifestyle that could reduce obesity in this population at high risk for metabolic disorders.
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Affiliation(s)
- P. Palta
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States
- Corresponding author at: 137 E. Franklin Street, Suite 306, Chapel Hill, NC 27514, United States. Tel.: + 1 919 966 1967; fax: + 1 919 966 9800.137 E. Franklin StreetSuite 306Chapel HillNC27514United States
| | - R.G. McMurray
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, United States
| | - N.A. Gouskova
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - D. Sotres-Alvarez
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - S.M. Davis
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - M. Carnethon
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - S.F. Castañeda
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
| | - M.D. Gellman
- Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - A.L. Hankinson
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - C.R. Isasi
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, United States
| | - N. Schneiderman
- Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - G.A. Talavera
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
| | - K.R. Evenson
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States
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