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14. The relationship between obstructive sleep apnea and haemoglobin A1c and the moderating role of glycaemic status in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

Author

López‐Cepero, Andrea, Pérez, Cynthia M., González‐Lorenzo, Keyla, Suárez, Erick, Ramos, Alberto R., Teng, Yanping, and Avilés‐Santa, M. Larissa

Subjects
*SLEEP apnea syndromes, *HEALTH of Hispanic Americans, *HISPANIC Americans, *HEMOGLOBINS, *BLOOD sugar
Abstract

Summary: This study investigated the relationship between obstructive sleep apnea and haemoglobin A1c (HbA1c) among Hispanics/Latinos in the United States and assessed whether this relationship was moderated by glycaemic status. This was a cross‐sectional analysis of the Hispanic Community Health Study/Study of Latinos cohort. The sample consisted of 13,394 participants with valid measures of obstructive sleep apnea, HbA1c, and study covariates. Obstructive sleep apnea was assessed with the apnea–hypopnea index and categorised as obstructive sleep apnea if the apnea–hypopnea index was ≥5 events/h. HbA1c measures were obtained through fasting blood samples. Fasting plasma glucose (FPG), 2‐h post‐load plasma glucose (2h‐PG) and use of antihyperglycaemic medications were used to define glycaemic status (i.e., normoglycaemia [FPG < 5.6 mmol/L (< 100 mg/dL) and 2h‐PG < 7.8 mmol/L (140 mg/dL)], prediabetes [FPG 5.6‐6.9 mmol/L (100‐125 mg/dL), and/or 2h‐PG 7.8‐11.0 mmol/L (140‐199 mg/dL)], diabetes without treatment [FPG > 7.0 mmol/L (≥ 126 mg/dL) and/or 2h‐PG ≥ 11.1 mmol/L (≥ 200 mg/dL)], and diabetes with treatment. Multivariable linear regression was used to calculate adjusted least square means. Overall, 25.9% of the sample had obstructive sleep apnea and 49.2% had normal glycaemic levels, 36.1% had prediabetes, 6.5% diabetes without receiving treatment, and 8.3% diabetes and undergoing treatment for it. Participants with obstructive sleep apnea had significantly higher adjusted mean HbA1c (adjusted mean [standard error] 5.85 [0.03)]) than those without (5.70 [0.02)]; p < 0.001). Models stratified by diabetes status showed that the association between obstructive sleep apnea (versus not) and higher HbA1c was only for participants with normal glycaemic status (adjusted mean [standard error] 5.27 [0.01] versus 5.30 [0.01]; p = 0.013) and prediabetes (5.59 [0.01] versus 5.66 [0.01]; p < 0.001). In conclusion, obstructive sleep apnea was associated with higher HbA1c in a diverse sample of Hispanic/Latino adults in the United States. This association was present only for participants with normal glycaemic status or with prediabetes. Studies are needed to further understand the clinical implications of the association between obstructive sleep apnea and HbA1c according to glycaemic status. [ABSTRACT FROM AUTHOR]

Published
2024
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15. The Puerto Rico community engagement alliance (PR-CEAL) against COVID-19 disparities: outreach and research engagement efforts in disproportionately affected communities.

Author

Pons-Calvo, Adriana D., Pérez, Cynthia M., Canales-Birriel, Karelys, Tamarit-Quevedo, Zaydelis, Solís-Torres, Norangelys, López-Cepero, Andrea, García-Rivera, Enid, Larriuz, María, Acosta-Pérez, Edna, Colón, Marcilyn, Román, Zuleska Soto, Ortiz, Ana P., Rivera-Gastón, Fabiola, and Colón-López, Vivian

Published
2024
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36. Association between poor sleep quality and emotional eating in US Latinx adults and the mediating role of negative emotions.

Author

López-Cepero, Andrea, Frisard, Christine, Mabry, Guadalupe, Spruill, Tanya, Mattei, Josiemer, Austin, S. Bryn, Lemon, Stephenie C., and Rosal, Milagros C.

Subjects
*SLEEP quality, *EMOTIONAL eating, *SLEEP, *EMOTIONS, *POISSON regression, *FOOD habits, *PSYCHOLOGICAL burnout
Abstract

Poor sleep quality is associated with negative emotions and may modulate emotional eating (EE). However, this has not been studied among US Latinx adults, a group experiencing sleep disparities. To examine the association between sleep quality and EE in Latinx adults and explore the mediating role of negative emotions. This cross-sectional analysis used data from the Latino Health and Well-being Study. Sleep quality was measured with the Pittsburgh Sleep Quality Index. EE was measured with the EE subscale of the Three Factor Eating Questionnaire R18-V2 (categorized as no EE, low EE, and high EE). Negative emotions were measured via a composite score that included depression, anxiety, and perceived stress. Poisson regression models with robust variance errors estimated prevalence ratios (PR) and 95% confidence intervals (CI). Mediation was evaluated with the Karlsson-Holm-Breen method. More individuals with poor (vs. good) sleep quality experienced high EE (39.1% vs. 17.9%). Individuals with poor (vs. good) sleep quality were more likely to experience high EE vs. no EE (total effect = 1.74; 95% CI = 1.34, 2.26). Controlling for negative emotions, the effect of poor sleep on high EE was reduced to 1.23 (95% CI = 0.92, 1.65), leaving an indirect effect of 1.41 (95% CI = 1.25, 1.60); 62.6% of the effect was explained by negative emotions. Poor sleep quality was associated with high EE in US Latinx adults and negative emotions partially mediated this relationship. Longitudinal studies are needed. Interventions and clinical programs should concomitantly address sleep quality and negative emotions to help prevent dysfunctional eating behaviors. [ABSTRACT FROM AUTHOR]

Published
2023
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38. Association between Optimism and Emotional Eating in US Latino adults

Author

López-Cepero, Andrea A., Frisard, Christine, Spruill, Tanya M., Suglia, Shakira F., Lewis, Tené T., Lemon, Stephenie C., and Rosal, Milagros C.

Abstract

Background: Emotional eating (EE), a dysfunctional eating behavior characterized by eating due to negative emotions or adversity, is prevalent among Latinos in the United States (US) and has been shown to be associated with risk factors for cardiovascular disease in this population. Optimism has been consistently linked with favorable cardiovascular health and health behaviors, likely due to more adaptive coping to negative emotions and adversity. However, the association between optimism and EE has remained largely understudied, especially among US Latinos. Objective: To examine the association between optimism and EE in a sample of US Latinos. Methods: This cross-sectional analysis used data from the Latino Health and Well-being Study, a cohort of Latino men and women aged 21-84 years residing in the northeast US (analytic sample: n=587). Optimism was measured with the Life Orientation Test – Revised version (categorized in tertiles: low, moderate, and high). EE was measured with the Three-Factor Eating Questionnaire R18-V2 (categorized as no EE, low EE, and high EE). Adjusted Poisson models with robust error variance estimated prevalence ratios (PR) and 95% confidence intervals (CI). Results: Overall, 50.3% of the sample were female, 73.3% self-identified as Dominicans, and mean (SD) age was 46.6 ± 15.5 yr. In the total sample, high EE was reported by 34.2%, low EE in 26.9%, and no EE in 38.8%. The proportion of individuals reporting high EE was greater in the low (39.0%) and moderate (36.8%) optimism groups than that in the high optimism group (24.8%; p=0.011). In adjusted models, individuals with high optimism (vs. low) were 32% less likely to report high EE over no EE (PR=0.68; 95% CI=0.53-0.88). Moderate optimism was not significantly associated with high EE. Optimism was not associated with low EE. Conclusion: High levels of optimism were negatively associated with high EE in a sample of US Latinos. Longitudinal studies are needed to confirm our findings. Interventions and clinical programs promoting optimism may hold promise for preventing EE in US Latinos.

Published
2022
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