Goal‐Striving Stress and Repeated Measures of Adiposity in the Jackson Heart Study

2021 ◽  
Author(s):  
Loretta Cain‐Shields ◽  
LáShauntá Glover ◽  
Joshua J. Joseph ◽  
Alain G. Bertoni ◽  
Mario Sims
Keyword(s):  
Repeated Measures ◽  
Jackson Heart Study ◽  
Goal Striving ◽  
Heart Study

Abstract P336: The Association Between Goal-Striving Stress, Sleep Duration and Sleep Quality in the Jackson Heart Study

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Loretta Cain ◽  
LáShauntá Glover ◽  
Dayna Johnson ◽  
Mario Sims
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Poor Sleep ◽  
Jackson Heart Study ◽  
Poor Sleep Quality ◽  
Short Sleep Duration ◽  
Logistic Regression Models ◽  
Short Sleep ◽  
Goal Striving ◽  
Heart Study

Introduction: Research shows that compared to non-Hispanic whites, African Americans (AAs) have poorer sleep quality, lower mean sleep duration, and a higher prevalence of sleep-disordered breathing. AAs also report more frequent exposures to certain stressors over the life course, which may impact physiological processes that may impair sleep. Goal-striving-stress (GSS), the discrepancy between aspiration and achievement, weighted by the subjective probability of success, and the level of disappointment experienced if goals are not reached, may be an important stressor among AA’s that may influence sleep; however this has yet to be explored. The objective of this study was to assess the relationship between GSS and sleep duration and sleep quality in AAs. Hypothesis: We assessed the hypothesis that high (versus low) GSS would be associated with short or long sleep duration and poor sleep quality. Methods: We utilized data from the baseline exam of the Jackson Heart Study (JHS; n=5306), an AA sample of women and men, 35-84 years old. There were a total of 5082 participants in the sample; 63.34% female with a mean age of 55.30 (± 12.75) and mean sleep duration of 6.43 hours (±1.51). The sample was categorized into GSS tertiles: low (n=2121), moderate (n=1716), high (n=1296). Participants self-reported sleep duration (hours) and rated their sleep quality. Sleep duration was categorized as short ( < 6 hours), normal (7 or 8 hours) and long ( > 9 hours). Sleep quality was categorized as high (good/very good/excellent) and low (fair/poor). Logistic regression models were used to obtain odds ratios (OR, 95% confidence interval-CI) to assess the associations of GSS levels with sleep duration and sleep quality categories. Models were adjusted for sex, age, socioeconomic status, health behaviors, discrimination, and health outcomes. Results: Significant results showed that participants who reported high (versus low) GSS had a 29% increased odds [1.29 (1.10, 1.52)] of short (versus normal) sleep after full adjustment. Participants who reported high (versus low) GSS had a 42% increased odds [1.42 (1.20, 1.67)] of low (versus high) sleep quality after full adjustment. Conclusion In conclusion, the deficit between goal aspiration and achievement is associated with short sleep duration and poor sleep quality. Potential interventions should consider the extent to which GSS may contribute to the development of short sleep duration and poor sleep quality.

Abstract P052: Glucometabolic State Transitions: The Jackson Heart Study

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Alain G Bertoni ◽  
Haiying Chen ◽  
Valery S Effoe ◽  
Adolfo Correa ◽  
Mercedes Carnethon ◽  
...  
Keyword(s):  
African American ◽  
Weight Change ◽  
Repeated Measures ◽  
Fasting Glucose ◽  
State Transitions ◽  
Average Weight ◽  
Jackson Heart Study ◽  
Glycemic Status ◽  
Heart Study ◽  
Diabetes Status

Background: To assess the frequency and determinants of transitions between normal fasting glucose (NFG), prediabetes and diabetes in an African American cohort. Methods: We included participants from the Jackson Heart Study who attended the baseline exam (2000-2004) and at least one of two subsequent exams (2005-2008 and 2009-2013), and were not missing data (fasting glucose, hemoglobin A1c, diabetes medication) used classify the glycemic status of participants as NFG, prediabetes, and diabetes at each visit. Transitions were defined as progression (deterioration) or remission (improvement) of glycemic status. Two transitions were possible for those attending all 3 visits. A generalized multinomial logit model, accounting for repeated measures from individuals with 2 transitions as clusters, was used to estimate the odds ratios (OR) for remission versus stable and progression versus stable, adjusting for demographic, anthropometric, behavioral, and biochemical factors. Results: Among 3,316 participants (baseline mean age 55 years, 36% male, 32% with IFG, 24% with diabetes) with data on at least one consecutive transition, 58.5% remained in their baseline status, 32.5% experienced a progression, 3.0% a remission, and 6.1% both a remission and progression. Among those classified as NFG, prediabetes, and diabetes at baseline: 1) progression occurred among 59%, 39%, and 2%; and 2) remission occurred among 7%, 13%, and 7%, respectively. The average weight change between exams was +1.4 kg for those experiencing only a progression and -4.5 kg for those with only a remission. Subsequent analyses included 2171 with complete data for all covariates which included baseline age, sex, education, BMI, smoking, alcohol use, hypertension medication, systolic blood pressure, log(triglycerides), baseline diabetes status, change in weight and change in log(CRP) between visits. The outcome of remission was associated only with weight change. A 1 kg increment in weight change was associated with a reduced likelihood of remission (OR 0.97, 95%CI: 0.96 - 0.99, p<0.001). The outcome of progression was associated with baseline BMI, log(triglycerides), diabetes status, and weight change (OR for 1 kg increment weight change 1.04, 95%CI: 1.03 - 1.06, p<0.001). Conclusions: In a contemporary adult African American population, transitions between glucometabolic statuses were frequent and most commonly involved deterioration. Weight changes between examinations were strongly associated with both remission and progression.

Abstract P253: The Association of Goal-Striving Stress With Measures of Adiposity in the Jackson Heart Study

Circulation ◽  
2019 ◽  
Vol 139 (Suppl_1) ◽  
Author(s):  
Loretta R Cain ◽  
LáShauntá Glover ◽  
Joshua Joseph ◽  
Alain Bertoni ◽  
Mario Sims
Keyword(s):  
Jackson Heart Study ◽  
Goal Striving ◽  
Heart Study

scholarly journals The association of goal-striving stress with sleep duration and sleep quality among African Americans in the Jackson Heart Study

Sleep Health ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 117-123 ◽  
Author(s):  
Loretta R. Cain-Shields ◽  
Dayna A. Johnson ◽  
LáShauntá Glover ◽  
Mario Sims
Keyword(s):  
African Americans ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Jackson Heart Study ◽  
Goal Striving ◽  
Heart Study

scholarly journals Goal‐Striving Stress and Incident Cardiovascular Disease in Blacks: The Jackson Heart Study

2020 ◽  
Vol 9 (9) ◽  
Author(s):  
LáShauntá M. Glover ◽  
Loretta R. Cain‐Shields ◽  
Tanya M. Spruill ◽  
Emily C. O'Brien ◽  
Sharrelle Barber ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiovascular Disease ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Jackson Heart Study ◽  
Goal Striving ◽  
Hazard Ratios ◽  
Heart Study ◽  
Increased Risk ◽  
Unit Increase

Background Goal‐striving stress (GSS), the stress from striving for goals, is associated with poor health. Less is known about its association with cardiovascular disease (CVD). Methods and Results We used data from the JHS (Jackson Heart Study), a study of CVD among blacks (21–95 years old) from 2000 to 2015. Participants free of CVD at baseline (2000–2004) were included in this analysis (n=4648). GSS was examined in categories (low, moderate, high) and in SD units. Incident CVD was defined as fatal or nonfatal stroke, coronary heart disease (CHD), and/or heart failure. We used Cox proportional hazards regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of incident CVD by levels of GSS, adjusting for demographics, socioeconomic status, health behaviors, risk factors, and perceived stress. The distribution of GSS categories was as follows: 40.77% low, 33.97% moderate, and 25.26% high. Over an average of 12 years, there were 140 incident stroke events, 164 CHD events, and 194 heart failure events. After full adjustment, high (versus low) GSS was associated with a lower risk of stroke (HR, 0.38; 95% CI, 0.17–0.83) and a higher risk of CHD (HR, 1.91; 95% CI, 1.10–3.33) among women. A 1‐standard deviation unit increase in GSS was associated with a 31% increased risk of CHD (HR, 1.31; 95% CI, 1.10–1.56) among women. Conclusions Higher GSS may be a risk factor for developing CHD among women; however, it appears to be protective of stroke among women. These analyses should be replicated in other samples of black individuals.

A Longitudinal Evaluation of Goal-Striving Stress and Sleep Duration among African Americans in the Jackson Heart Study

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Loretta R. Cain-Shields ◽  
Dayna A. Johnson ◽  
LáShauntá Glover ◽  
Mario Sims
Keyword(s):  
African Americans ◽  
Sleep Duration ◽  
Jackson Heart Study ◽  
Longitudinal Evaluation ◽  
Goal Striving ◽  
Heart Study

Relationship of Overall Cardiovascular Health and Hearing Loss in The Jackson Heart Study Population

2019 ◽  
Vol 130 (12) ◽  
pp. 2879-2884
Author(s):  
Steven A. Curti ◽  
Joseph A. DeGruy ◽  
Christopher Spankovich ◽  
Charles E. Bishop ◽  
Dan Su ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cardiovascular Health ◽  
Jackson Heart Study ◽  
Heart Study ◽  
Study Population ◽  
Relationship Of

scholarly journals Neighborhood social environment as risk factors to health behavior among African Americans: The Jackson Heart Study

2017 ◽  
Vol 45 ◽  
pp. 199-207 ◽  
Author(s):  
Xu Wang ◽  
Amy H. Auchincloss ◽  
Sharrelle Barber ◽  
Stephanie L. Mayne ◽  
Michael E. Griswold ◽  
...  
Keyword(s):  
Risk Factors ◽  
African Americans ◽  
Health Behavior ◽  
Social Environment ◽  
Jackson Heart Study ◽  
Heart Study
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