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Other contributing factors of perceived rest or sleep loss that needs further investigation as cardiovascular disease risk factors include occupational factors such as extended work schedules, jet lag, or shift work, resulting in irregular sleep schedules[1].
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Our foreign policy is hostage to how we are perceived, and how we are perceived rests on seeing that our laws are faithfully executed.
While short sleep duration may be a contributing factor for perceived insufficient rest or sleep, long sleep duration may be a manifestation of it.
Whereas most studies of the relationship between BMI and sleep have used sleep duration as the measure for sleep, we used days of perceived insufficient rest or sleep.
The 2008 BRFSS survey included the question, "During the past 30 days, for about how many days have you felt you did not get enough rest or sleep?" Data from all sites were aggregated, and the numbers of days of perceived insufficient rest or sleep were categorized into four groups as zero days, 1 13 days, 14 29 days, and 30 days.
Even though previous reports have studied sleep duration, to our knowledge, no previous study has examined perceived insufficient rest or sleep in relation to cardiovascular disease and diabetes mellitus.
Our findings on the association between perceived insufficient rest or sleep are consistent with these previous reports.
Therefore, the temporal nature of the association between perceived insufficient rest or sleep and cardiovascular disease and diabetes mellitus cannot be established from our study.
Therefore, in this report, we examined the association between perceived insufficient rest or sleep and coronary heart disease, stroke, diabetes mellitus, and obesity after adjusting for main confounding factors in the 2008 BRFSS survey, which is a large, multiethnic sample of US adults.
To confirm and expand on these previous findings showing a positive association between multiple levels of BMI and perceived insufficient rest or sleep in a national sample, we analyzed 2008 BRFSS data and adjusted results for sociodemographic variables, as well as for smoking, physical activity, and frequent mental distress.
Results of a previous analysis of 2002 BRFSS data from 18 states concerning perceived insufficient rest or sleep showed that the prevalence of obesity (defined as a BMI ≥ 30) was higher among respondents who reported ≥14 days of insufficient sleep in the previous 30 days than among those who reported <14 days [ 19].
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