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The Link Between Social Determinants of Health, Sleep, and Cardiovascular Disease

C. Siengsukon

Published 2020 in Cardiopulmonary Physical Therapy Journal

ABSTRACT

Chronic sleep insufficiency or long-sleep duration appears to contribute to the development of cardiovascular disease (CVD) and other relatedmetabolic conditions, including obesity and type 2 diabetesmellitus. Emerging evidence suggests that effective treatment of a sleep disorder may prevent subsequent cardiovascular events. Therefore, promotion of optimal sleep and the identification and adequate treatment of sleep disorders earlier in life may prevent or reduce the risk of CVD and the subsequent consequences of CVD. Promotion of optimal health behaviors, including sleep health, need to consider how social determinants of health (SDOH) influence and affect the ability of individuals to adequately and effectively incorporate health behavior recommendations into their daily lives. Therefore, the purpose of this perspective article is to (1) discuss how persistent deviation from the recommended amount and quality of sleep contributes to the development of CVD; and (2) discuss how SDOH across the levels of the Social–Ecological Model influence sleep health and potentially CVD. (Cardiopulm Phys Ther J. 2020;31:5–10)

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