Habitual sleep duration and its relationship with cardiovascular health, healthcare costs, and resource utilization in a working population

Ehimen C. Aneni, Chukwuemeka U. Osondu, Jeffrin Joseph, Guljana Saeed, Javier Valero-Elizondo, Emir Veledar, Khurram Nasir

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)77-85
Number of pages9
JournalSleep Health
Issue number1
StatePublished - Feb 2023


  • Cardiovascular health
  • Healthcare costs
  • Sleep Health
  • Sleep duration
  • Workplace health
  • Sleep Duration
  • Cardiovascular Diseases
  • Health Care Costs
  • Risk Assessment
  • Humans
  • Adult
  • Florida/epidemiology

ASJC Scopus subject areas

  • Health(social science)
  • Neuropsychology and Physiological Psychology
  • Behavioral Neuroscience
  • Social Sciences (miscellaneous)


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