Chronotype and lifestyle in the transition to adulthood: Exploring the role of sleep health and circadian misalignment.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY
Simone Bruno, Francesco Daddoveri, Marco Di Galante, Andrea Bazzani, Francy Cruz-Sanabria, Alessandro Colitta, Paola d'Ascanio, Paolo Frumento, Ugo Faraguna
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Abstract

Objectives: The present study aimed at exploring the association between eveningness and lifestyle-related variables, that is, body mass index, alcohol, and cigarette consumption, in adults (18-40years), focusing on the possible moderator effect of age and the role of sleep disturbances and circadian misalignment (social jetlag).

Methods: A web-based survey was administered to 437 participants, covering demographics, lifestyle-related variables, chronotype, sleep quality, and daytime sleepiness. A subset of 206 participants wore a wrist actigraph for a week, allowing the creation of a sleep health index within the RU-SATED framework. Regression analysis was used to investigate the associations between chronotype and lifestyle-related outcomes, accounting for social jetlag and sleep health; and to explore the lifestyle trajectories over time.

Results: Evening chronotypes showed higher body mass index levels, consumed more alcohol, and smoked more cigarettes than other circadian typologies, in particular after 25 years of age. Poor sleep health and social jetlag significantly contribute to explaining evening types smoking behavior, while not affecting body mass index levels. Social jetlag plays a more important role compared to sleep disturbances and eveningness in predicting more detrimental drinking and smoking behavior.

Conclusions: Participants who maintain the evening trait past the age of 25years are more prone to adopt an unhealthy lifestyle, especially if experiencing poor sleep health and circadian misalignment. Circadian preferences and sleep health should be considered when planning interventions aimed at promoting healthy lifestyles in adults aged 18-40years. Further investigations should explore the effect of modifications in lifestyle in the prevention of noncommunicable diseases.

向成年过渡过程中的时序和生活方式:探索睡眠健康和昼夜节律失调的作用。
研究目的本研究旨在探讨成年人(18-40 岁)晚睡与生活方式相关变量(即体重指数、饮酒量和吸烟量)之间的关联,重点关注年龄可能产生的调节作用以及睡眠障碍和昼夜节律失调(社会时差)的作用:方法:对 437 名参与者进行了网络调查,内容包括人口统计学、生活方式相关变量、慢性型、睡眠质量和白天嗜睡。206名参与者中的一个子集佩戴了一周的腕式行动计,从而在RU-SATED框架内建立了睡眠健康指数。研究人员采用回归分析法研究了时序型与生活方式相关结果之间的联系,同时考虑了社会时差和睡眠健康因素,并探索了生活方式随时间变化的轨迹:结果:与其他昼夜节律类型相比,晚间昼夜节律类型的人体重指数更高,饮酒量更大,吸烟量更多,尤其是在 25 岁以后。睡眠质量差和社会时差对解释晚间吸烟行为有重要作用,但不影响体重指数水平。在预测更有害的饮酒和吸烟行为方面,社交时差比睡眠障碍和 "傍晚型 "更重要:结论:超过 25 岁仍保持晚睡特征的参与者更容易采取不健康的生活方式,尤其是在睡眠健康状况不佳和昼夜节律失调的情况下。在规划旨在促进 18-40 岁成年人健康生活方式的干预措施时,应考虑昼夜节律偏好和睡眠健康。进一步的调查应探讨改变生活方式对预防非传染性疾病的影响。
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来源期刊
Sleep Health
Sleep Health CLINICAL NEUROLOGY-
CiteScore
6.30
自引率
9.80%
发文量
114
审稿时长
54 days
期刊介绍: Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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