ArticlePsychosomatic medicine
Associations of Chronic Burden, Sleep Characteristics, and Metabolic Syndrome in the Coronary Artery Risk Development in Young Adults Study.
Article in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- A systematic review of acculturation and sleep health among adult immigrants in the United States.Sleep health · 2023Pooled it
- Bidirectional week-to-week relationships between weekly psychological stress across multiple life domains and engagement with an exercise intervention: secondary analysis of data from a randomized trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Trial
- Sleep Duration and Mortality in Women: Effect of Aging and Menopause.Sleep medicine clinics · 2026Review
- Interventions to Address Sleep Disparities in the United States: A Narrative Review.Current sleep medicine reports · 2026Article
- Morbidity burden and sleep disorder risk among occupational radiation-exposed workers: a cross-sectional study of 1,089 participants in southern China.Frontiers in public health · 2025Article
- An Update on Sleep Duration, Obesity, and Mortality Risk in Women.Sleep medicine clinics · 2023Review
- Dose-effect relationship of different acupuncture courses on chronic insomnia disorder: study protocol for a randomized controlled trial.Frontiers in psychiatry · 2023Article
- Ultrasound-guided stellate ganglion acupuncture for chronic insomnia disorder using fNIRS: study protocol for a randomized controlled trial.Frontiers in neurologyArticle
- Increased Cardiometabolic Risk in Healthy Young Adults With Early Life Stress.Psychosomatic medicineArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveChronic exposure to stress is associated with metabolic syndrome (MetS), but the mechanism is unclear. We investigated the associations between chronic burden, sleep, and MetS in the Coronary Artery Risk Development in Young Adults Study.
methodsChronic burden was self-reported (2000-2001) according to experiences with stressors for longer than 6 months. Wrist actigraphy-measured sleep duration and sleep efficiency were collected for 6 days; sleep duration, sleep quality, and daytime sleepiness were self-reported (2003-2004). MetS was measured during the clinic visit, from 2005 to 2006. Multivariable logistic and Cox proportional hazard models were fit to determine the associations of interest. Mediation by sleep was assessed using the product of coefficients approach.
resultsAmong participants ( n = 606), the average (standard deviation) age was 40 (3.6) years, 58% were female, and 43% were Black. The prevalences of chronic burden, short sleep (≤6 hours), and MetS were 35%, 43% and 20.5%, respectively. High versus low chronic burden was associated with shorter self-reported sleep duration and higher daytime sleepiness. Chronic burden was associated with 1.85 higher odds (95% confidence interval = 1.11-3.09) of MetS. Sleep characteristics were not associated with MetS. There was no evidence that sleep mediated the chronic burden-MetS relation.
conclusionBurden of chronic stress may be an emerging novel risk factor for both poor sleep and MetS.
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