TY - JOUR
T1 - Habitual sleep duration and its relationship with cardiovascular health, healthcare costs, and resource utilization in a working population
AU - Aneni, Ehimen C.
AU - Osondu, Chukwuemeka U.
AU - Joseph, Jeffrin
AU - Saeed, Guljana
AU - Valero-Elizondo, Javier
AU - Veledar, Emir
AU - Nasir, Khurram
N1 - Funding Information:
This publication was made possible by CTSA Grant Number KL2 TR001862 (EA) from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health (NIH) . Its contents are solely representative of the authors and do not necessarily represent the official view of the NIH.
Publisher Copyright:
© 2022 National Sleep Foundation
PY - 2023/2
Y1 - 2023/2
N2 - Objective: Little is known about the relationship between habitual sleep duration, cardiovascular health (CVH) and their impact on healthcare costs and resource utilization. We describe the relationship between sleep duration and ideal CVH, and the associated burden of healthcare expenditure and utilization in a large South Florida employee population free from known cardiovascular disease. Methods: The study used data obtained from a 2014 voluntary Health Risk Assessment among 8629 adult employees of Baptist Health South Florida. Health expenditures and resource utilization information were obtained through medical claims data. Frequencies of the individual and cumulative CVH metrics across sleep duration were computed. Mean and marginal per-capita healthcare expenditures were estimated. Results: The mean age was 43 years, 57% were of Hispanic ethnicity. Persons with 6-8.9hours and ≥9 hours of sleep were significantly more likely to report optimal goals for diet, physical activity, body mass index, and blood pressure when compared to those who slept less than 6 hours. Compared to those who slept less than 6 hours, those sleeping 6-8.9hours and ≥9hours had approximately 2- (odds ratio 2.1, 95% confidence interval: 1.9-3.0) and 3-times (odds ratio 3.0, 95% confidence interval: 1.6-5.6) higher odds of optimal CVH. Both groups with 6 or more hours of sleep had lower total per-capita expenditure (approximately $2000 and $2700 respectively), lower odds of visiting an emergency room, or being hospitalized compared to those who slept < 6 hours. Conclusion: Sleeping 6 or more hours was associated with better CVH, lower healthcare expenditures, and reduced healthcare resource utilization.
AB - Objective: Little is known about the relationship between habitual sleep duration, cardiovascular health (CVH) and their impact on healthcare costs and resource utilization. We describe the relationship between sleep duration and ideal CVH, and the associated burden of healthcare expenditure and utilization in a large South Florida employee population free from known cardiovascular disease. Methods: The study used data obtained from a 2014 voluntary Health Risk Assessment among 8629 adult employees of Baptist Health South Florida. Health expenditures and resource utilization information were obtained through medical claims data. Frequencies of the individual and cumulative CVH metrics across sleep duration were computed. Mean and marginal per-capita healthcare expenditures were estimated. Results: The mean age was 43 years, 57% were of Hispanic ethnicity. Persons with 6-8.9hours and ≥9 hours of sleep were significantly more likely to report optimal goals for diet, physical activity, body mass index, and blood pressure when compared to those who slept less than 6 hours. Compared to those who slept less than 6 hours, those sleeping 6-8.9hours and ≥9hours had approximately 2- (odds ratio 2.1, 95% confidence interval: 1.9-3.0) and 3-times (odds ratio 3.0, 95% confidence interval: 1.6-5.6) higher odds of optimal CVH. Both groups with 6 or more hours of sleep had lower total per-capita expenditure (approximately $2000 and $2700 respectively), lower odds of visiting an emergency room, or being hospitalized compared to those who slept < 6 hours. Conclusion: Sleeping 6 or more hours was associated with better CVH, lower healthcare expenditures, and reduced healthcare resource utilization.
KW - Cardiovascular health
KW - Healthcare costs
KW - Sleep Health
KW - Sleep duration
KW - Workplace health
UR - http://www.scopus.com/inward/record.url?scp=85141472138&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85141472138&partnerID=8YFLogxK
U2 - 10.1016/j.sleh.2022.10.001
DO - 10.1016/j.sleh.2022.10.001
M3 - Article
C2 - 36371382
AN - SCOPUS:85141472138
VL - 9
SP - 77
EP - 85
JO - Sleep Health
JF - Sleep Health
SN - 2352-7218
IS - 1
ER -