Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel

Hruby, Adela; Lieberman, Harris R.; Smith, Tracey J.

doi:10.1186/s12889-018-5781-2

Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel

Journal Article · Wed Jul 11 00:00:00 EDT 2018 · BMC Public Health (Online)

DOI:https://doi.org/10.1186/s12889-018-5781-2· OSTI ID:1626865

Hruby, Adela ^[1]; Lieberman, Harris R. ^[2]; Smith, Tracey J. ^[2]

Army Research Inst. of Environmental Medicine, Natick, MA (United States). Military Nutrition Division; Tufts Univ., Medford, MA (United States). Jean Mayer USDA Human Nutrition Research Center on Aging; DOE/OSTI
Army Research Inst. of Environmental Medicine, Natick, MA (United States). Military Nutrition Division

Health behaviors and cardiometabolic disease risk factors may differ between military and civilian populations; therefore, in U.S. active duty military personnel, we assessed relationships between demographic characteristics, self-reported health behaviors, and doctor-informed medical conditions.

Methods

Data were self-reported by 27,034 active duty military and Coast Guard personnel who responded to the 2011 Department of Defense Health Related Behaviors Survey. Multivariate linear and logistic regressions were used to estimate cross-sectional associations between (1) demographic characteristics (age, sex, service branch, marital status, children, race/ethnicity, pay grade) and self-reported behaviors (exercise, diet, smoking, alcohol, sleep); (2) demographic characteristics and doctor-informed medical conditions (hypertension, hypercholesterolemia, low high density lipoprotein (HDL) cholesterol, hyperglycemia) and overweight/obesity; and (3) behaviors and doctor-informed medical conditions.

Results

Among respondents (age 29.9 ± 0.1 years, 14.7% female), females reported higher intake than men of fruit, vegetables, and dairy; those with higher education reported higher intakes of whole grains; those currently married and/or residing with children reported higher intake of starches. Older age and female sex were associated with higher odds (ORs 1.25 to 12.54 versus the youngest age group) of overweight/obesity. Older age and female sex were also associated with lower odds (ORs 0.29 to 0.65 versus male sex) of doctor-informed medical conditions, except for blood glucose, for which females had higher odds. Those currently married had higher odds of high cholesterol and overweight/obesity, and separated/divorced/widowed respondents had higher odds of high blood pressure and high cholesterol. Short sleep duration (< 5 versus 7–8 h/night) was associated with higher odds (ORs 1.36to 2.22) of any given doctor-informed medical condition. Strength training was associated with lower probability of high cholesterol, high triglycerides, and low HDL, and higher probability of overweight/obesity. Dietary factors were variably associated with doctor-informed medical conditions and overweight/obesity.

Conclusions

This study observed pronounced associations between health behaviors—especially sleep—and medical conditions, thus adding to evidence that sleep is a critical, potentially modifiable behavior within this population. When possible, adequate sleep should continue to be promoted as an important part of overall health and wellness throughout the military community.

View Accepted Manuscript (DOE)

Research Organization:: Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)

Sponsoring Organization:: USDOE Office of Science (SC)

Grant/Contract Number:: SC0014664

OSTI ID:: 1626865

Journal Information:: BMC Public Health (Online), Journal Name: BMC Public Health (Online) Journal Issue: 1 Vol. 18; ISSN 1471-2458

Publisher:: BioMed CentralCopyright Statement

Country of Publication:: United States

Language:: English

References (48)

Sleep duration and body mass index and waist circumference among Us adults: Sleep Duration and Anthropometric Parameters Ford, Earl S.; Li, Chaoyang; Wheaton, Anne G. Obesity, Vol. 22, Issue 2 https://doi.org/10.1002/oby.20558	journal	October 2013
Trends in SSBs and snack consumption among children by age, body weight, and race/ethnicity: Snacking Among SSB and Non-SSB Drinkers Bleich, Sara N.; Wolfson, Julia A. Obesity, Vol. 23, Issue 5 https://doi.org/10.1002/oby.21050	journal	April 2015
Health behaviors of Australian colorectal cancer survivors, compared with noncancer population controls Hawkes, Anna L.; Lynch, Brigid M.; Youlden, Danny R. Supportive Care in Cancer, Vol. 16, Issue 10 https://doi.org/10.1007/s00520-008-0421-5	journal	March 2008
Exploring the Effects of Gender Differences and Widowhood Status on the Days Spent in Poor Health: A Secondary Data Analysis from India Hossain, Babul; Sk, Md Illias K. Journal of Cross-Cultural Gerontology, Vol. 37, Issue 2 https://doi.org/10.1007/s10823-022-09454-2	journal	May 2022
Prevalence and Perceived Health Associated with Insomnia Based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition Criteria: Results from the America Insomnia Survey Roth, Thomas; Coulouvrat, Catherine; Hajak, Goeran Biological Psychiatry, Vol. 69, Issue 6 https://doi.org/10.1016/j.biopsych.2010.10.023	journal	March 2011
The influence of marital status on the use of breast, cervical, and colorectal cancer screening Hanske, Julian; Meyer, Christian P.; Sammon, Jesse D. Preventive Medicine, Vol. 89 https://doi.org/10.1016/j.ypmed.2016.05.017	journal	August 2016
The relationship of sleep duration and insomnia to risk of hypertension incidence: a meta-analysis of prospective cohort studies Meng, Lin; Zheng, Yang; Hui, Rutai Hypertension Research, Vol. 36, Issue 11 https://doi.org/10.1038/hr.2013.70	journal	September 2013
Overweight and Obesity in Military Personnel: Sociodemographic Predictors Smith, Tracey J.; Marriott, Bernadette P.; Dotson, Laura Obesity, Vol. 20, Issue 7 https://doi.org/10.1038/oby.2012.25	journal	February 2012
Changes in diet, physical activity, and supplement use among adults diagnosed with cancer Patterson, Ruth E.; Neuhouser, Marian L.; Hedderson, Monique M. Journal of the American Dietetic Association, Vol. 103, Issue 3 https://doi.org/10.1053/jada.2003.50045	journal	March 2003
An Occupational Mental Health Model for the Military Adler, Amy B.; Castro, Carl Andrew Military Behavioral Health, Vol. 1, Issue 1 https://doi.org/10.1080/21635781.2012.721063	journal	January 2013
Associations between markers of subclinical atherosclerosis and dietary patterns derived by principal components analysis and reduced rank regression in the Multi-Ethnic Study of Atherosclerosis (MESA) Nettleton, Jennifer A.; Steffen, Lyn M.; Schulze, Matthias B. The American Journal of Clinical Nutrition, Vol. 85, Issue 6 https://doi.org/10.1093/ajcn/85.6.1615	journal	June 2007
Metabolic effects of sleep disruption, links to obesity and diabetes Nedeltcheva, Arlet V.; Scheer, Frank A. J. L. Current Opinion in Endocrinology & Diabetes and Obesity, Vol. 21, Issue 4 https://doi.org/10.1097/med.0000000000000082	journal	January 2014
2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Eckel, Robert H.; Jakicic, John M.; Ard, Jamy D. Circulation, Vol. 129, Issue 25 suppl 2 https://doi.org/10.1161/01.cir.0000437740.48606.d1	journal	November 2013
Chronic Disease and Lifestyle Transitions: Results From the Longitudinal Aging Study Amsterdam van Gool, Coen H.; Kempen, Gertrudis I. J. M.; Penninx, Brenda W. J. H. Journal of Aging and Health, Vol. 19, Issue 3 https://doi.org/10.1177/0898264307300189	journal	June 2007
Associations between inadequate sleep and obesity in the US adult population: analysis of the national health interview survey (1977–2009) Jean-Louis, Girardin; Williams, Natasha J.; Sarpong, Daniel BMC Public Health, Vol. 14, Issue 1 https://doi.org/10.1186/1471-2458-14-290	journal	March 2014
Prevalence of Perceived Stress and Mental Health Indicators Among Reserve-Component and Active-Duty Military Personnel Lane, Marian E.; Hourani, Laurel L.; Bray, Robert M. American Journal of Public Health, Vol. 102, Issue 6 https://doi.org/10.2105/ajph.2011.300280	journal	June 2012
Sleep Duration and Risk of Type 2 Diabetes: A Meta-analysis of Prospective Studies Shan, Zhilei; Ma, Hongfei; Xie, Manling Diabetes Care, Vol. 38, Issue 3 https://doi.org/10.2337/dc14-2073	journal	February 2015
Changes in Overall Diet Quality and Subsequent Type 2 Diabetes Risk: Three U.S. Prospective Cohorts Ley, Sylvia H.; Pan, An; Li, Yanping Diabetes Care, Vol. 39, Issue 11 https://doi.org/10.2337/dc16-0574	journal	September 2016
Sugar-sweetened and artificially sweetened beverage consumption and risk of type 2 diabetes in men de Koning, Lawrence; Malik, Vasanti S.; Rimm, Eric B. The American Journal of Clinical Nutrition, Vol. 93, Issue 6 https://doi.org/10.3945/ajcn.110.007922	journal	March 2011
Sugar-Sweetened Beverage but Not Diet Soda Consumption Is Positively Associated with Progression of Insulin Resistance and Prediabetes Ma, Jiantao; Jacques, Paul F.; Meigs, James B. The Journal of Nutrition, Vol. 146, Issue 12 https://doi.org/10.3945/jn.116.234047	journal	November 2016
Associations between Mental Health Disorders and Body Mass Index among Military Personnel Smith, Tracey J.; White, Alan; Hadden, Louise American Journal of Health Behavior, Vol. 38, Issue 4 https://doi.org/10.5993/ajhb.38.4.6	journal	July 2014
Smoking and Weight Change After New Health Diagnoses in Older Adults Keenan, Patricia S. Archives of Internal Medicine, Vol. 169, Issue 3 https://doi.org/10.1001/archinternmed.2008.557	journal	February 2009
Overweight and Obesity Trends Among Active Duty Military Personnel Reyes-Guzman, Carolyn M.; Bray, Robert M.; Forman-Hoffman, Valerie L. American Journal of Preventive Medicine, Vol. 48, Issue 2 https://doi.org/10.1016/j.amepre.2014.08.033	journal	February 2015
2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk Eckel, Robert H.; Jakicic, John M.; Ard, Jamy D. Journal of the American College of Cardiology, Vol. 63, Issue 25 https://doi.org/10.1016/j.jacc.2013.11.003	journal	July 2014
Risk for suicidal behaviors associated with PTSD, depression, and their comorbidity in the U.S. Army Ramsawh, Holly J.; Fullerton, Carol S.; Mash, Holly B. Herberman Journal of Affective Disorders, Vol. 161 https://doi.org/10.1016/j.jad.2014.03.016	journal	June 2014
Eating Patterns and Leisure-Time Exercise among Active Duty Military Personnel: Comparison to the Healthy People Objectives Smith, Tracey J.; Dotson, Laura E.; Young, Andrew J. Journal of the Academy of Nutrition and Dietetics, Vol. 113, Issue 7 https://doi.org/10.1016/j.jand.2013.03.002	journal	July 2013
A Posteriori Dietary Patterns Are Related to Risk of Type 2 Diabetes: Findings from a Systematic Review and Meta-Analysis McEvoy, Claire T.; Cardwell, Christopher R.; Woodside, Jayne V. Journal of the Academy of Nutrition and Dietetics, Vol. 114, Issue 11 https://doi.org/10.1016/j.jand.2014.05.001	journal	November 2014
The diagnosis of a smoking-related disease is a prominent trigger for smoking cessation in a retrospective cohort study Twardella, Dorothee; Loew, Michael; Rothenbacher, Dietrich Journal of Clinical Epidemiology, Vol. 59, Issue 1 https://doi.org/10.1016/j.jclinepi.2005.05.003	journal	January 2006
Residual sleep disturbances following PTSD treatment in active duty military personnel. Pruiksma, Kristi E.; Taylor, Daniel J.; Wachen, Jennifer Schuster Psychological Trauma: Theory, Research, Practice, and Policy, Vol. 8, Issue 6 https://doi.org/10.1037/tra0000150	journal	November 2016
Mild Traumatic Brain Injury in U.S. Soldiers Returning from Iraq Hoge, Charles W.; McGurk, Dennis; Thomas, Jeffrey L. New England Journal of Medicine, Vol. 358, Issue 5 https://doi.org/10.1056/NEJMoa072972	journal	January 2008
Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men Mozaffarian, Dariush; Hao, Tao; Rimm, Eric B. New England Journal of Medicine, Vol. 364, Issue 25 https://doi.org/10.1056/NEJMoa1014296	journal	June 2011
Marital Trajectories and Mortality Among US Adults Dupre, M. E.; Beck, A. N.; Meadows, S. O. American Journal of Epidemiology, Vol. 170, Issue 5 https://doi.org/10.1093/aje/kwp194	journal	July 2009
Poor sleep after military deployment: associations with mental health difficulties Hunt, E. J. F.; Greenberg, N.; Jones, N. Occupational Medicine, Vol. 66, Issue 8 https://doi.org/10.1093/occmed/kqw116	journal	August 2016
Metabolic effects of sleep disruption, links to obesity and diabetes Nedeltcheva, Arlet V.; Scheer, Frank A. J. L. Current Opinion in Endocrinology & Diabetes and Obesity, Vol. 21, Issue 4 https://doi.org/10.1097/MED.0000000000000082	journal	January 2014
Association of sleep duration with weight and weight gain: a prospective follow-up study: Sleep duration and weight gain LyytikÄInen, Peppi; Rahkonen, Ossi; Lahelma, Eero Journal of Sleep Research, Vol. 20, Issue 2 https://doi.org/10.1111/j.1365-2869.2010.00903.x	journal	December 2010
Role of sleep and circadian disruption on energy expenditure and in metabolic predisposition to human obesity and metabolic disease: Sleep disruption and circadian misalignment McHill, A. W.; Wright, K. P. Obesity Reviews, Vol. 18 https://doi.org/10.1111/obr.12503	journal	February 2017
Does Marriage Protect Health? A Birth Cohort Comparison*: Does Marriage Protect Health? Tumin, Dmitry Social Science Quarterly, Vol. 99, Issue 2 https://doi.org/10.1111/ssqu.12425	journal	July 2017
Marital Status, Self-Rated Health, and Mortality: Overestimation of Health or Diminishing Protection of Marriage? Zheng, Hui; Thomas, Patricia A. Journal of Health and Social Behavior, Vol. 54, Issue 1 https://doi.org/10.1177/0022146512470564	journal	January 2013
Snacking patterns, diet quality, and cardiovascular risk factors in adults Nicklas, Theresa A.; O’Neil, Carol E.; Fulgoni III, Victor L. BMC Public Health, Vol. 14, Issue 1 https://doi.org/10.1186/1471-2458-14-388	journal	April 2014
Economic Conditions of Military Families Hosek, James; MacDermid Wadsworth, Shelley The Future of Children, Vol. 23, Issue 2 https://doi.org/10.1353/foc.2013.0009	journal	January 2013
Bachelors, Divorcees, and Widowers: Does Marriage Protect Men from Type 2 Diabetes? Cornelis, Marilyn C.; Chiuve, Stephanie E.; Glymour, M. Maria PLoS ONE, Vol. 9, Issue 9 https://doi.org/10.1371/journal.pone.0106720	journal	September 2014
Sleep Disorders in US Military Personnel Mysliwiec, Vincent; Gill, Jessica; Lee, Hyunhwa Chest, Vol. 144, Issue 2 https://doi.org/10.1378/chest.13-0088	journal	August 2013
Prevalence of Sugar-Sweetened Beverage Intake Among Adults — 23 States and the District of Columbia, 2013 Park, Sohyun; Xu, Fang; Town, Machell MMWR. Morbidity and Mortality Weekly Report, Vol. 65, Issue 7 https://doi.org/10.15585/mmwr.mm6507a1	journal	February 2016
Prevalence of Perceived Stress and Mental Health Indicators Among Reserve-Component and Active-Duty Military Personnel Lane, Marian E.; Hourani, Laurel L.; Bray, Robert M. American Journal of Public Health, Vol. 102, Issue 6 https://doi.org/10.2105/AJPH.2011.300280	journal	June 2012
A brief introduction to the military workplace culture Redmond, S. A.; Wilcox, S. L.; Campbell, S. Work, Vol. 50, Issue 1 https://doi.org/10.3233/WOR-141987	journal	January 2015
Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis Malik, Vasanti S.; Pan, An; Willett, Walter C. The American Journal of Clinical Nutrition, Vol. 98, Issue 4 https://doi.org/10.3945/ajcn.113.058362	journal	August 2013
Associations between Mental Health Disorders and Body Mass Index among Military Personnel Smith, Tracey J.; White, Alan; Hadden, Louise American Journal of Health Behavior, Vol. 38, Issue 4 https://doi.org/10.5993/AJHB.38.4.6	journal	July 2014
Bachelors, Divorcees, and Widowers: Does Marriage Protect Men from Type 2 Diabetes? Cornelis, Marilyn C.; Chiuve, Stephanie E.; Glymour, M. Maria Columbia University https://doi.org/10.7916/d80r9pnt	text	January 2014

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Sleep Duration and Blood Pressure: Recent Advances and Future Directions Makarem, Nour; Shechter, Ari; Carnethon, Mercedes R. Current Hypertension Reports, Vol. 21, Issue 5 https://doi.org/10.1007/s11906-019-0938-7	journal	April 2019

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Additional file 1: of Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel Hruby, Adela; Lieberman, Harris; Smith, Tracey https://doi.org/10.6084/m9.figshare.6808448 The current record is supplemented by this text	text	January 2018
Additional file 1: of Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel Hruby, Adela; Lieberman, Harris; Smith, Tracey https://doi.org/10.6084/m9.figshare.6808448.v1 The current record is supplemented by this text	text	January 2018
Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel Hruby, Adela; Lieberman, Harris; Smith, Tracey https://doi.org/10.6084/m9.figshare.c.4162511 The current record is supplemented by this collection	collection	January 2018
Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel Hruby, Adela; Lieberman, Harris; Smith, Tracey https://doi.org/10.6084/m9.figshare.c.4162511.v1 The current record is supplemented by this collection	collection	January 2018

Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel

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