title: Smoking, Screen-Based Sedentary Behavior, and Diet Associated with Habitual Sleep Duration and Chronotype: Data from the UK Biobank.
abstract: Sleep duration has been implicated in the etiology of obesity but less is known about the association between sleep and other behavioral risk factors for cardiovascular disease.
  
  
  
  The aim of this study was to examine the associations among sleep duration, chronotype, and physical activity, screen-based sedentary behavior, tobacco use, and dietary intake.
  
  
  
  Regression models were used to examine sleep duration and chronotype as the predictors and cardiovascular risk factors as outcomes of interest in a cross-sectional sample of 439,933 adults enrolled in the UK Biobank project.
  
  
  
  Short sleepers were 45 % more likely to smoke tobacco than adequate sleepers (9.8 vs. 6.9 %, respectively). Late chronotypes were more than twice as likely to smoke tobacco than intermediate types (14.9 vs. 7.4 %, respectively). Long sleepers reported 0.61 more hours of television per day than adequate sleepers. Early chronotypes reported 0.20 fewer daily hours of computer use per day than intermediate chronotypes. Early chronotypes had 0.25 more servings of fruit and 0.13 more servings of vegetables per day than late chronotypes.
  
  
  
  Short and long sleep duration and late chronotype are associated with greater likelihood of cardiovascular risk behaviors. Further work is needed to determine whether these findings are maintained in the context of objective sleep and circadian estimates, and in more diverse samples. The extent to which promoting adequate sleep duration and earlier sleep timing improves heart health should also be examined prospectively.
authors.affiliation: Department of Behavioral Health and Nutrition, University of Delaware, Bob Carpenter Sports Building, 26 N College Avenue, Newark, DE, 19716, USA. fredap@UDel.edu.
authors.forename: Freda
authors.identifier: 0000-0002-2290-8904
authors.initials: F
authors.lastname: Patterson
authors.affiliation: School of Nursing, University of Pennsylvania, 418 Curie Blvd, Philadelphia, PA, 19104, USA.
authors.forename: Susan Kohl
authors.initials: SK
authors.lastname: Malone
authors.affiliation: School of Nursing, University of Pennsylvania, 418 Curie Blvd, Philadelphia, PA, 19104, USA.|Drexel University School of Public Health, Nesbitt Hall, 3215 Market Street, Philadlephia, PA, 19104, USA.
authors.forename: Alicia
authors.initials: A
authors.lastname: Lozano
authors.affiliation: Sleep and Health Research Program, Department of Psychiatry, University of Arizona College of Medicine, 1501 N Campbell Ave, Box 245002, Tucson, AZ, 85724-5002, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Grandner
authors.affiliation: School of Nursing, University of Pennsylvania, 418 Curie Blvd, Philadelphia, PA, 19104, USA.
authors.forename: Alexandra L
authors.initials: AL
authors.lastname: Hanlon
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000503:physiopathology; D002940:Circadian Rhythm / Q000502:physiology*; D003430:Cross-Sectional Studies; D004032:Diet; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D057185:Sedentary Behavior; D012890:Sleep / Q000502:physiology*; D012907:Smoking / Q000009:adverse effects*; D006113:United Kingdom
keywords: Chronotype; Dietary intake; Physical activity; Sedentary behavior; Sleep duration; Tobacco use