1055 Cardiometabolic Disease Risk And Sleep Difficulty: Associations With Diet, Physician Support, Proactive Health Behaviors, And Family Risk Knowledge

Abstract

Abstract Introduction Research relating sleep impairment and cardiometabolic disease supports exercise and diet in improving both conditions. The role of self- and other-informed knowledge on self-care behaviors is unknown. This study investigated how proactive health behaviors, physician support, and familial disease awareness are related in this comorbid population. Methods National Health and Nutrition Examination Survey (NHANES) data from 2015-2016 was used. For this study, U.S. adults (N=9,971;49.3% female) with dietary, sleep, cardiometabolic disease risk, proactive health behavior, physician-informed, and familial knowledge of cardiometabolic disease data were selected. Self-reported sleep difficulty was defined as ever telling a doctor/health professional of trouble sleeping. Kendall’s tau-b correlations and multinomial regression were performed. Covariates included race, gender, weight control, dietary efforts, and exercise. Results Statistically significant associations between comorbid cardiometabolic disease/sleep difficulty (CMD/SD) and efforts to control/lose weight(X2(6)=63.956,p>0.0001), reduce dietary salt(X2(6)=69.702,p>0.0001), and reduce dietary fat(X2(6)=70.666,p>0.0001) were found. Despite having comorbid CMD/SD, most participants (51%) reported no history of receiving physician-informed health improvement methods. However, statistically significant associations between comorbid CMD/SD and physician-informed methods and weight loss efforts(X2(4)=76.873,p>0.0001), increased exercise(X2(4)=72.713,p>0.0001), reduced dietary salt(X2(4)=96.892,p>0.0001), and reduced dietary fat(X2(4)=104.231,p>0.0001) were found. Statistically significant associations between comorbid CMD/SD and knowledge of close relative with heart attack(X2(9)=23.905,p=0.004) or diabetes(X2(9)=129.705,p>0.0001) were found. Participants with comorbid CMD/SD were more likely to reduce dietary fat(X2(1)=4.575,p< 0.032) than participants with comorbid sleep difficulty/cardiovascular disease or comorbid sleep difficulty/metabolic disease. Although no association between age of cardiometabolic diagnosis onset and proactive health behaviors was found, the regression model showed that male gender(p=0.008) and reducing dietary fat was predictive of comorbid CMD/SD(p=0.032). Conclusion Participants with comorbid CMD/SD directed proactive health efforts towards eating behavior (less food/decreasing salt and fat). With physician-informed support, participants additionally increased exercise level. Further exploring the role of familial disease knowledge, gender-specific support, and innovative efforts by health professionals in treating/preventing comorbid CMD/SD is warranted. Support None