Adiposity and Physical Activity Do Not Mediate the Longitudinal Association Between Sleep Quality and Arterial Thickness Among Adolescents

Sleep is a behavior with the potential to affect cardiovascular health. Given the fact that adiposity and physical activity seem to be related to cardiovascular risk factors during growth, it is still unclear whether sleep quality could affect arterial thickness among adolescents. Thus, the objectiv...

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Published in:Journal of clinical sleep medicine Vol. 15; no. 2; pp. 215 - 221
Main Authors: Cayres, Suziane Ungar, Vanderlei, Luiz Carlos Marque, Machado-Rodrigues, Aristides M, Werneck, André Oliveir, Barbosa, Maurício Fregones, Fernandes, Romulo Araúj
Format: Journal Article
Language:English
Published: United States American Academy of Sleep Medicine 15-02-2019
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Summary:Sleep is a behavior with the potential to affect cardiovascular health. Given the fact that adiposity and physical activity seem to be related to cardiovascular risk factors during growth, it is still unclear whether sleep quality could affect arterial thickness among adolescents. Thus, the objective of the current study was to analyze the effect of sleep quality on arterial thickness and identify the possible mediation role of physical activity and trunk fat in adolescents. This was a longitudinal study (12-month follow-up) composed of 71 adolescents with ages ranging from 11 to 14 years at baseline (absence of any known chronic diseases, and no regular medicine use). All variables were assessed twice (baseline and 12-month follow-up): (1) sleep quality was reported using the Mini Sleep Questionnaire (MSQ); (2) physical activity was estimated using pedometers; (3) trunk fat was assessed using a densitometry scanner; and (4) carotid intima-media thickness (CIMT) and femoral intima-media thickness (FIMT) were assessed using ultrasonography. Adolescents who presented poor sleep quality demonstrated significantly increased FIMT ( = .299, 95% confidence interval .071 to .498) and for every point increase in the MSQ score from baseline to follow-up there was a 1.12% (95% confidence interval 0.26 to 1.98) increase in FIMT over time. Moreover, trunk fat and physical activity did not mediate the association between sleep quality and arterial thickness, but FIMT had a positive and independent relationship only with trunk fat. Sleep quality was positively associated with FIMT among adolescents, whereas physical activity and adiposity did not mediate this process.
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ISSN:1550-9389
1550-9397
DOI:10.5664/jcsm.7620