title: Inflammation, Oxidative Stress, and Antioxidants Contribute to Selected Sleep Quality and Cardiometabolic Health Relationships: A Cross-Sectional Study.
abstract: Sleep is vital for cardiometabolic health, but a societal shift toward poor sleep is a prominent feature of many modern cultures. Concurrently, factors such as diet and lifestyle have also changed and may mediate the relationship between sleep quality and cardiometabolic health. Objectives were to explore (1) the interrelationship and (2) mediating effect of inflammation, oxidative stress, and antioxidants on sleep quality and cardiometabolic health. Cross-sectional data from the US National Health and Nutritional Examination Survey 2005-06 (≥20 y; N = 2,072) was used. Cardiometabolic health was defined as per the Joint Interim Statement; overall sleep quality was determined from six sleep habits and categorized as good, fair, poor, and very poor. Fair quality sleepers had optimal inflammation, oxidative stress, and antioxidant levels. Inflammation was above the current clinical reference range across all sleep quality categories, while oxidative stress was only within the clinical reference range for fair sleep quality. Selected sleep quality-cardiometabolic health relationships were mediated by inflammation, oxidative stress, and antioxidants and were moderated by sex. Our results provide initial evidence of a potential role for inflammation, oxidative stress, and antioxidants in the pathway between poor sleep quality-cardiometabolic decline. Further prospective research is needed to confirm our results.
authors.affiliation: School of Kinesiology and Health Science, York University, Toronto, ON, Canada M3J 1P3.
authors.forename: Thirumagal
authors.initials: T
authors.lastname: Kanagasabai
authors.affiliation: School of Kinesiology and Health Science, York University, Toronto, ON, Canada M3J 1P3.
authors.forename: Chris I
authors.initials: CI
authors.lastname: Ardern
mesh_terms: D000328:Adult; D000368:Aged; D000975:Antioxidants / Q000378:metabolism*; D001794:Blood Pressure; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007249:Inflammation / Q000503:physiopathology*; D008297:Male; D024821:Metabolic Syndrome / Q000503:physiopathology; D008875:Middle Aged; D009749:Nutrition Surveys; D018384:Oxidative Stress; D012890:Sleep / Q000502:physiology*; D055105:Waist Circumference; D055815:Young Adult
chemical_list: D000975:Antioxidants