Associations among sleep, body mass index, waist circumference and risk of type 2 Diabetes among US childbearing age women : national health and nutrition examination survey

Background. Women of childbearing age (18 to 44 years) present an important group for understanding sleep, but few studies have focused on this population. No study has investigated the associations among sleep, overweight/obesity and risk of type 2 diabetes among childbearing age women in the National Health and Nutrition Examination Survey (NHANES). Methods. Data were from NHANES, 2005-2008. The study population consisted of 18 to 44 year old women. Pregnant women and those diagnosed with sleep disorders were excluded. Sleep duration and quality were self-reported. Body mass index (BMI), waist circumference (WC) measurements and a 2-hour 75 g oral glucose tolerance test (OGTT) were performed by trained NHANES staff. An unadjusted linear regression analysis; a second adjusted for demographics only (partially adjusted model); and a third adjusted for demographics and variables associated with overweight/obesity and diabetes (fully adjusted model) were computed to assess associations among sleep duration/quality and BMI, WC and 2-hour OGTT. Results. Total sample consisted of 2388 childbearing age women. Only sleep duration was significantly associated with BMI and WC in the unadjusted and partially adjusted models, but was no longer significant in the fully adjusted model. Neither sleep duration nor quality were significantly associated with 2-hour OGTT in any of the models. Conclusions. Targeting sleep duration and sleep quality alone would not likely contribute to significantly lower BMI, WC or risk of type 2 diabetes in US childbearing age women. Additional studies, especially longitudinal ones using objective measures of sleep are needed to confirm the present findings

Intergenerational effects of health issues among women of childbearing age : a review of the recent literature

Purpose of review. This review summarizes the latest scientific evidence, primarily from systematic reviews/meta-analyses and large cohort studies, on the impact of health issues among women of childbearing age and their effect on their offspring during pregnancy and from birth to adulthood. Recent findings. Women of childbearing age with overweight/obesity, diabetes and hypertension prior to pregnancy are at increased risk for adverse outcomes during pregnancy, such as excessive gestational weight gain, gestational diabetes mellitus and hypertensive disorders of pregnancy. These adverse outcomes could complicate delivery and put their offspring at risk of developing overweight/obesity, diabetes and hypertension (i.e., intergenerational transmission of health issues). Summary. Interventions should target women of childbearing age, especially those who wish to conceive, in order to possibly stop the transmission of women’s health issues to the offspring and favor a healthy pregnancy from the start. This could be one of the best strategies to promote both maternal and child health

Once Were Farmers: Occupation, Social Mobility, and Mortality during Industrialization in Saguenay-Lac-Saint-Jean, Quebec 1840-1971

We study men’s adult mortality and longevity by socio-occupational status during industrialization in Saguenay-Lac-Saint-Jean, Quebec. Data were extracted from the BALSAC database (Université du Québec à Chicoutimi), which comprehensively traces the demographic history of the region since the beginning of the French Canadian settlement in 1840 up to the early 1970s. Using five occupational classes and controlling for year, age at marriage, urbanrural residence, and literacy, we found no evidence for the emergence of socioeconomic differentials in mortality. At least until the early 1970’s, mortality in the region appears to be driven by ‘occupational risk’ rather than ‘fundamental social causes’

Are large surveys of adult literacy skills as comparable over time as we think?

Recent literature shows that younger cohorts have lower levels of literacy ceteris paribus in Canada, the United States, Norway and other developed countries. Very few explanations are provided to justify the existence of this negative cohort effect. Yet this decline has serious implications for the economy, education system and society. In this paper, we focus on Canada and replicate the results published in the literature using the same methodology (synthetic cohorts). We use the same data from surveys of adult skills, namely the International Adult Literacy Survey (IALS), the Adult Literacy and Life Skills Survey (ALL) and the Survey of Adult Skills, a product of the OECD Programme for the International Assessment of Adult Competencies (PIAAC). Second, we conduct further analyses to better understand the effect of time on adults’ literacy skills. We then show that age has a negative effect on the literacy score, but also that a significant “period” effect (or rather a “survey” effect) can only be explained by a change in the instrument used to measure literacy skills from one survey to another. This article reveals that the negative cohort effect mentioned in the literature may be fallacious as it is exacerbated when the control for measuring instrument distortions is omitted. This paper contributes to advancing knowledge about the effect that age and cohort has on adult literacy levels in Canada. The results weaken the idea of a clear negative cohort effect; much of this effect would in fact be caused by a non-comparable methodology that systematically assigned individuals lower scores in the most recent survey cycles. These findings are important because they highlight the limitations of analyses that can be done with the synthetic cohort method using cross-sectional surveys on adult literacy skills not only in Canada, but also in all other countries where these surveys have been conducted

Behavioral interventions to promote adequate sleep among women : protocol for a systematic review and meta-analysis

Background: Short and poor sleep have been associated with adverse health outcomes in adults, such as overweight/obesity and type 2 diabetes, especially among women. Women therefore represent an important target for interventions aimed at improving sleep and such interventions have been advocated to enhance maternal, fetal, and infant health. This systematic review will assess the efficacy or effectiveness of behavioral interventions aimed at promoting adequate sleep among women. The primary outcomes will be changes in sleep duration and/or sleep quality from baseline to post-intervention and to the last available follow-up measured either through self-reports or objectively. Secondary outcomes will be assessing the behavior change techniques that are responsible for the changes in sleep duration and quality among women. Methods: Behavioral interventions that are non-pharmacological and target either sleep directly or sleep hygiene behaviors will be included. Randomized controlled trials, quasi-experimental, and one-group pre-post studies will be included, but treated separately in the analyses, given that a limited number of studies on the topic of sleep is expected. MEDLINE/PubMed, PsycINFO, CINAHL, EMBASE, and Proquest Dissertations and Theses will be investigated. There will be no restriction on the year of publication of the articles, but we will include only the ones written in English or French. Two authors will independently assess articles for eligibility and will extract data using a standardized data extraction form that will have been previously pilot-tested. The quality of the studies will be assessed using the Effective Public Health Practice Project tool for quantitative study designs. The intervention procedures will be classified according to the latest validated taxonomy of behavior change techniques. If there is a sufficient number of studies (k > 5), a meta-analysis of the results will be performed with a random-effect model. If the heterogeneity is high (I 2 ≥ 75%), it will be investigated through sensitivity analyses and meta-regression. Discussion: This review will provide valuable information to those interested in promoting adequate sleep among women and, hopefully, encourage additional research in this important field to promote maternal, fetal, and infant health. Systematic review registration: The study protocol was registered in PROSPERO in October 2016 (CRD42016049538)

Association between sleep duration and body mass index among US low-income preschoolers

Objective. To verify whether sleep duration was related to body mass index z scores (zBMI) and bedtimes or ethnicity were moderators of the sleep duration-zBMI association among preschoolers from low-income families. Methods. 228 African-American and Hispanic parents and their preschoolers were recruited from Head Start Centers. Parents reported their preschoolers’ sleep duration and bedtimes using the Children’s Sleep Habits Questionnaire and their television watching. Food intake was measured using multiple days of digital photography to estimate energy intake at dinner. The Parenting Stress Index and the Center for Epidemiologic Studies Depression Scale were used to measure stress and depression. Parents’ and preschoolers’ height and weight were measured by trained staff. Results. Longer sleep duration was significantly associated with lower zBMI when controlling for demographics, bedtimes, energy intake at dinner and television watching, but not when also controlling for parents’ demographics, BMI, stress and depression. Preschoolers’ sleep duration-zBMI association was not moderated by bedtimes or ethnicity. Conclusions. Longer sleep duration was associated with lower zBMI among low-income preschoolers when controlling for preschoolers’ characteristics but this was no longer the case when also controlling for parents’ characteristics. Additional studies are needed on the moderators of the sleep duration-zBMI association among low-income preschoolers

Correlates of sleep among childbearing age women

Objective/Background : Women of childbearing age (WOCBA) may be at high risk for short or poor sleep. Yet few studies have focused on this population. The study objective was to identify individual correlates of sleep duration and quality among WOCBA. Participants : The sample consisted of 9,749 WOCBA aged 18–44 years from the Canadian Community Health Survey 2011–2014. Methods: All variables were self-reported. Sleep duration was dichotomized as insufficient (< 7 hr/night) or adequate (≥ 7 hr/night). A composite score of sleep quality was dichotomized as having sleeping problems none/little or some/most/all the time. Age, ethnicity, level of education, household income, mood disorders, parity, geographical location, fruit and vegetable (FV) intake, physical activity, smoking and alcohol consumption were tested as correlates of sleep duration or quality using hierarchical logistic regression. Results : Ethnicity, parity, geographical location and smoking were correlates of sleep duration; this model discriminated 56.9% of WOCBA. Ethnic minorities, WOCBA with many children, living in urban areas and smoking were associated with lower odds of having adequate sleep duration. Ethnicity, level of education, mood disorders, geographical location, FV intake, and alcohol consumption were correlates of sleep quality; this model discriminated 59.0% of WOCBA. Ethnic minorities, lower level of education, mood disorders, living in urban areas, low FV intake, and alcohol consumption were associated with lower odds of having quality sleep. Conclusions : Some WOCBA may be more at risk for short or poor sleep based on their demographics and health behaviors. This can be used to identify which WOCBA are most in need of sleep interventions

Individual, social and environmental determinants of sleep among women : protocol for a systematic review and meta-analysis

Introduction: Sleep is important to promote optimal health and avoid negative health outcomes. Short-duration and low-quality sleep may be more common and more detrimental among women compared with men. Identifying the determinants of behaviour is one of the first steps in designing effective interventions. To our knowledge, no systematic review has identified the individual, social and environmental determinants of sleep among adult women. Methods and analysis: Studies reporting data on adult women from 18 to 64 years of age will be included. On the basis of ecological models of health behaviour and sleep, the types of determinants that will be included in the review are individual (eg, demographic, psychological and behavioural), social (eg, family) and environmental (eg, physical environment and policies) determinants. Observational (cross-sectional and longitudinal) and experimental studies will be included. MEDLINE/PubMed, PsycINFO, CINAHL, EMBASE and Proquest Dissertations and Theses will be investigated. Data will be extracted independently by two reviewers using a standardised data extraction form. The quality of observational studies will be assessed using the National Institute of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and the quality of experimental studies will be assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Study. If there is a sufficient number of studies reporting data on a similar determinant among a similar population (k>5), a meta-analysis of the results will be performed with a random-effects model. If between-study heterogeneity is high (I² ≥75%), it will be investigated through sensitivity analyses and meta-regression. Ethics and dissemination: Formal ethical approval is not required as no primary data will be collected. The results will be published in a peer-reviewed journal. This review will provide valuable information to those interested in developing empirically based sleep interventions among women

Chickadees Faced with Unpredictable Food Increase Fat Reserves but Certain Components of Their Immune Function Decline

In winter, temperate resident birds are often faced with periodic low natural food availability. This reduction or unpredictability in resource availability might then have a negative impact on immune function, given that immune system support is highly resource dependent. We investigated the balance between energetic and immune management in captive black-capped chickadees (Poecile atricapilus) by manipulating the predictability of resources. The control group received food ad lib. every day, while the experimental group received a reduced amount of food on random days and food ad lib. on all other days. We measured two key metrics of energetic management (body and fat mass) as well as a suite of immune system components. Compared with control birds, experimental birds maintained significantly higher total body and fat mass, had lower acute phase protein concentrations, and had decreased body temperature and lost more body mass during the fever response following injection with lipopolysaccharides. Interestingly, birds in both groups had similar levels of complement lysis, delayed-type hypersensitivity response (phytohemagglutinin), and primary antibody production (keyhole limpet hemocyanin). This experiment demonstrates that black-capped chickadees strategically increase their fat mass in response to decreased food availability and that this might allow the birds to maintain most of the immune system unaltered, except some of the most costly immune components

Tracking Landscape-Scale Movements of Snow Buntings and Weather-Driven Changes in Flock Composition During the Temperate Winter

Nomadic movements of migratory birds are difficult to study, as the scale is beyond the capabilities of hand-held telemetry (10 s of kms) but too fine-scale for long-range tracking devices like geolocators (50–100 km accuracy). Recent widespread installation of automated telemetry receiving stations allowed us, for the first time, to quantify and test predictions about within-winter movements of a presumed nomadic species, the Snow Bunting (Pletrophenax nivalis). We deployed coded radio-transmitters on 40 individual Snow Buntings during two winters (2015-16 and 2016-17) in southern Ontario, Canada, and tracked movements over a 300 by 300 km area with 69–77 active radio-receiving stations (Motus Wildlife Tracking Network). To complement our tracking data, we also examined the influence of weather on the demographics of winter flocks at a single wintering site over 6 consecutive years (n = 9312 tagged birds). We recorded movements of 25 Snow Buntings from the deployment sites to 1–6 different radio recievers (mean 2.68 locations/bird). Birds traveled a minimum average distance of 49 km between detections (range: 3 to 490 km) in the core wintering period of Dec-Feb, and cumulative total movements ranged from 3 to 740 km (average 121 ± 46 km). In March distances between detections increased to an average of 110 km, suggesting an extended early-migration period. Overall, older birds (after-second year or older) tended to move more (higher cumulative distances traveled) than younger (first winter) birds, even during the Dec-Feb period. The long-term banding data revealed that larger, male birds were more likely to be captured in colder and snowier weather, relative to female and smaller birds, suggesting that they can withstand these conditions more easily owing to their body size. We have provided the first direct-tracking data on nomadic winter movements of Snow Buntings, and tested the hypothesis that winter weather drives flock composition at a single site. Site-specific banding data suggest that weather-related changes in flock composition could explain the nomadic, landscape-scale movements of Snow Buntings we observed by using automated telemetry. Future work should explore the importance of resource availability, competition, and predation risk as drivers of winter movements in Snow Buntings