Lee et al. (1) have found that providing high levels of care to
grandchildren may increase the risk of coronary heart disease (CHD) among
women. They suggest that grandmothers who provide such care have less
opportunity to engage in their own self-care and in preventive health
behaviors such as exercising, eating right and getting adequate sleep.
Lee's analysis was based on data collected as part of the Nurses' Health
Study.
Lack of adequate sleep can indeed increase the risk of CHD. Ayas et
al. (2) have found that compared to women reporting 8 hours of sleep,
women reporting 6 hours of sleep have a 1.30 relative risk of CHD.
Participants in the Nurses' Health Study were requested, on the 1986
questionnaire, to indicate the total hours of sleep in a 24-hour period.
Could Lee investigate whether there is a difference in hours of sleep
between grandmothers providing high levels of care to grandchildren,
compared to grandmothers not providing such care?
References:
1. Lee S, Colditz G, Berkman L, Kawachi I. Caregiving to children and
grandchildren and risk of coronary heart disease in women. Am J Public
Health.2003;93:1939-1944.
2. Ayas NT, White DP, Manson JE, et al. A prospective study of sleep
duration and coronary heart disease in women. Arch Intern Med.2003;163:205
-209.