Korean J Fam Pract 2019; 9(1): 89-95  https://doi.org/10.21215/kjfp.2019.9.1.89
A Retrospective Study of the Relationship between Sleep Duration, Carbohydrate Intake and the Atherosclerotic Cardiovascular Disease Risk in Korean, Based on the 2013-2015 Korean National Health and Nutrition Examination Survey
Young Hwan Han, Hyun Jin Kim, Rae Ho Chung*, Won Suk Baek
Department of Family Medicine, Daegu Veterans Hospital, Daegu, Korea
Rae Ho Chung, Tel: +82-53-630-7000, Fax: +82-53-630-7849, E-mail: urierl@hanmail.net, ORCID: http://orcid.org/0000-0001-7629-9449
Received: July 12, 2018; Revised: September 27, 2018; Accepted: October 17, 2018; Published online: February 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Atherosclerotic cardiovascular disease (ASCVD) is known to be related to various factors. The aim of this study was to evaluate the association between the risk of ASCVD and sleep duration or carbohydrate intake using the Pooled Cohort Risk Assessment equations, which estimate a patient’s 10-year primary risk.
Methods: A total of 7,781 adults were selected from the 6th Korean National Health and Nutrition Examination Survey, with no missing data as the inclusion criteria for analysis. The 10-year estimated risk of ASCVD risk was calculated using the Pooled Cohort Risk Assessment Equations. The χ2 test was used to analyze the difference in the rates of ASCVD high-risk groups due to sleep duration and carbohydrate intake. Multiple logistic regression analysis was performed to verify the effects of sleep duration and carbohydrate intake on ASCVD risk.
Results: Shorter sleep duration (≤5 hours) was 1.166-times more likely in the ASCVD high-risk group than was optimal sleep duration (6–8 hours) (odds ratio [OR], 1.166; P<0.05). Excessive sleep duration (≥9 hours) was also 1.504-times more likely in the ASCVD high-risk group than was optimal sleep duration (OR, 1.504; P<0.001). Excessive carbohydrate intake (>65%) was 1.185-times more likely in the ASCVD high-risk group than was recommended carbohydrate intake (55%–65%) (OR, 1.185; P>0.05).
Conclusion: Inappropriate sleep duration and excessive carbohydrate intake increase the risk of ASCVD.
Keywords: Sleep; Dietary Carbohydrates; Cardiovascular Disease


This Article


Author ORCID Information

Services
Social Network Service

e-submission

Archives