- Author
-
K.O. Anujuo
- Title
- The role of sleep in ethnic inequalities in health: Cardiovascular disease and risk factors
- Supervisors
-
K. Stronks
- Co-supervisors
-
C.O. Agyemang
- Award date
- 21 September 2018
- Number of pages
- 211
- ISBN
- 9789463750462
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
Background: Cardiovascular disease (CVD) is the leading cause of death. The prevalence is higher among ethnic minority groups compared to host population in high income countries. Efforts to reduce increased prevalence of CVD by focusing on conventional CVD risk factors have not yielded much expected results. This thesis focused on sleep as a novelty modifiable CVD risk factor and investigates the role of sleep in ethnic inequalities in health specifically on CVD and risk factors.
Objectives: To assess inequalities in sleep duration in the Netherlands between ethnic groups in both adults and preschool children, and to explore possible factors that explain these inequalities.
Methods: Healthy Life in an Urban Setting (HELIUS) (2011-2015) study and Amsterdam Born Children and their Development (ABCD) (2003-2008) study were used for this thesis. Results: Prevalence of short sleep was higher in all ethnic minority groups than in Dutch in both adult and preschoolers. Short sleep was associated with obesity and diabetes, but the association with hypertension and dyslipidaemia was inconsistent across ethnic groups. Short sleep was associated with CVD and contributed 10-15% to ethnic differences in CVD.
Conclusion: Ethnic minority groups sleep shorter than native Dutch. Short sleep was associated with CVD and risk factors, and accounted significantly for ethnic inequalities in CVD. This suggests that sleep may be a new modifiable risk factor of CVD and could play a significant role in reducing ethnic inequalities in health. - Persistent Identifier
- https://hdl.handle.net/11245.1/171fd2bd-dd03-4523-9bc7-94dc03206c46
- Downloads
-
Thesis (complete)
Front matter
Chapter 1: General introduction
Chapter 2: Ethnic differences in self-reported sleep duration in the Netherlands: The HELIUS study
Chapter 3: Ethnic differences in sleep duration at 5 years, and its relationship with overweight and blood pressure
Chapter 4: Relationship between short sleep duration and cardiovascular risk factors in a multi-ethnic cohort: The HELIUS study
Chapter 5: Relationship between sleep duration and arterial stiffness in a multi-ethnic population: The HELIUS study
Chapter 6: Contribution of short sleep duration to ethnic differences in cardiovascular disease: Results from a cohort study in the Netherlands
Chapter 7: Association between depressed mood and sleep duration among various ethnic groups: The HELIUS study
Chapter 8: General discussion
Summary; Samenvatting; Acknowledgements; About the author; Lists of publications; Portfolio
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