Sleep Science最新文献

{"title":"Sleep, Musculoskeletal Injuries, and Hormonal Status in Different Training Stages in Adolescent Athletes.","authors":"Luísa de Sousa Nogueira Freitas, Samuel Penna Wanner, Samuel Silva, Eduardo Stieler, Fernanda Viegas Paulo, Marina Costa Pinto, Lucas Alves Facundo, Marco Tulio de Mello, Andressa Silva","doi":"10.1055/s-0045-1802646","DOIUrl":"https://doi.org/10.1055/s-0045-1802646","url":null,"abstract":"<p><p><b>Objective</b>  This study aimed to compare sleep, musculoskeletal injuries, and testosterone and cortisol levels in different training stages in adolescent athletes, and to investigate the association between these variables. <b>Materials and Methods</b>  The study has a prospective cohort design, and the sample consisted of 19 adolescent track and field athletes. They were followed for six months, with evaluations done at three different training phases: preparatory, competitive, and post-competitive. In each phase, we evaluated their sleep through actigraphy for 10 days and testosterone and cortisol levels through saliva samples. The incidence of injuries was obtained through the physical therapy department. <b>Results</b>  In the post-competitive phase, the athletes presented a longer total sleep time (TST) than the competitive phase. Moreover, a shorter wakefulness after sleep onset was observed in the post-competitive and competitive phases compared with the preparatory phase. Furthermore, cortisol levels were higher in the preparatory phase than in the post-competition phase. On the other hand, no differences were observed in the incidence of injuries and testosterone, nor was there a correlation between the variables. <b>Discussion</b>  Adolescent track and field athletes had a higher TST in the post-competitive phase and more fragmented sleep in the pre-competitive and competitive phases. On the other hand, higher cortisol was observed in the preparatory phase, however, there were no correlations between sleep, hormones, and the incidence of injuries.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"18 1","pages":"e37-e43"},"PeriodicalIF":1.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2024 Standardization of Polysomnography Reports - A Consensus of the Brazilian Sleep Association.","authors":"Luciana de Oliveira Palombini, Luciane Impellizieri Luna de Mello, Rogério Santos-Silva, Márcia Assis, Thays Crosara Abrahão Cunha, Luciano Ferreira Drager, Edilson Zancanella, Rosana Cardoso Alves, Andrea Bacelar, Mauricio da Cunha Bagnato, Rafael de Andrade Balsalobre, Esther Mandelbaum Gonçalves Bianchini, Evelyn Lucien Brasil, Fernando Morgadinho Santos Coelho, Bruno Bernardo Duarte, Alan Luiz Eckeli, Cibele Dal Fabbro, Aline Marques Franco, Pedro Rodrigues Genta, Lilian Chrystiane Giannasi, Mário André Leocadio Miguel, Gustavo Antonio Moreira, Maria Fernanda Naufel, Luciana Moraes Studart Pereira, Dalva Poyares, Marcia Pradella-Hallinan, Carolina Ferraz de Paula Soares, Leticia Azevedo Soster, Marcio Andrei Zanini, Gabriel Natan Pires","doi":"10.1055/s-0044-1800886","DOIUrl":"10.1055/s-0044-1800886","url":null,"abstract":"<p><p><b>Introduction</b>  The absence of standardized reporting for sleep medicine exams across different laboratories can lead to misinterpretation, diagnostic inconsistencies, and suboptimal treatment strategies. This document seeks to establish guidelines for the development of sleep study reports, covering recordings from studies of types 1 to 4, and represents the official position of Associação Brasileira do Sono (ABS; Brazilian Sleep Association) on the standardization of polysomnography (PSG) and cardiorespiratory polygraphies. <b>Materials and Methods</b>  The recommendations for the items to be reported in PSG records were developed by means of a Delphi study, comprised of two voting rounds. In each round, participants had to vote regarding the appropriateness of items to be reported in type-1 to -4 sleep studies, rating them as <i>recommended</i> , <i>optional</i> , or <i>not recommended</i> . The consensus threshold was set at 66% in each voting round, or 75% for the combined responses of <i>recommended</i> and <i>optional</i> . <b>Results</b>  The panel was comprised of 29 experts. After 2 voting rounds and subsequent deliberations by the steering committee, 352 items were included in the final set of recommendations. Consensus was achieved for 339 items (96.3%), of which 145 (41.2%) were classified as <i>recommended</i> , 154 as <i>optional</i> (43.8%), 35 as <i>not recommended</i> (9.9%), and 5 as <i>not allowed</i> (1.4%). No consensus was reached for 13 items (3.7%). The items recommended in this consensus are detailed in the main text. <b>Conclusion</b>  These guidelines provide comprehensive recommendations for reporting diagnostic tests in sleep medicine.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"17 4","pages":"e429-e450"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2024 Position Statement on the Use of Different Diagnostic Methods for Sleep Disorders in Adults - Brazilian Sleep Association.","authors":"Luciana de Oliveira Palombini, Márcia Assis, Luciano Ferreira Drager, Luciane Impelliziere Luna de Mello, Gabriel Natan Pires, Edilson Zancanella, Rogério Santos-Silva","doi":"10.1055/s-0044-1800887","DOIUrl":"10.1055/s-0044-1800887","url":null,"abstract":"<p><p><b>Introduction</b>  The current document represents the official position of Associação Brasileira do Sono (ABS; Brazilian Sleep Association) on the application of different sleep studies and provides specific recommendations for the use of different types of polysomnography (PSG) and respiratory polygraphy. <b>Materials and Methods</b>  The present document was based on existing guidelines. The steering committee discussed its findings and developed recommendations and contraindications, which were refined in discussions with the advisory committee. Adaptations were made based on professional experience, pathophysiological knowledge, and theoretical reasoning, especially to cover topics not discussed in previous guidelines or to adapt recommendations to the context and current practices in Brazil. <b>Results</b>  A total of 55 recommendations were made, covering the following domains: professional requirements for the requisition and interpretation of sleep studies ( <i>n</i>  = 7); eligibility for different sleep studies ( <i>n</i>  = 9); diagnosis of sleep-disordered breathing (SDB; <i>n</i>  = 5); diagnosis of SDB in special conditions ( <i>n</i>  = 3); diagnosis of SDB in association with other sleep disorders and comorbidities ( <i>n</i>  = 3); sleep studies on the follow-up of patients with SDB ( <i>n</i>  = 9); sleep studies for positive air pressure titration ( <i>n</i>  = 3); diagnosis of other sleep disorders ( <i>n</i>  = 10); and sleep studies on other conditions ( <i>n</i>  = 6). <b>Conclusion</b>  The selection of the type of sleep study should be made carefully, considering resource constraints, clinical suspicion of moderate or severe obstructive sleep apnea (OSA), and individual patient needs, among other factors. It is crucial that health professionals receive appropriate training and board certification in sleep science, thus being able to determine the most suitable diagnostic method, understand their indications and limitations, and assure an accurate diagnosis for each patient.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"17 4","pages":"e476-e492"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Evening Eating with Sleep Quality and Insomnia among Adults in a Brazilian National Survey.","authors":"Maria Eduarda Bezerra Nunes, Caio Henrique Barros Dos Santos, Márcia de Oliveira Lima, Anny Kariny Pereira Pedrosa, Risia Cristina Egito de Menezes, Giovana Longo-Silva","doi":"10.1055/s-0044-1800807","DOIUrl":"10.1055/s-0044-1800807","url":null,"abstract":"<p><p><b>Objective</b>  To examine the association of evening eating clock time, its elapsed time to the midpoint of sleep (TEM), consumption of caffeine and sugary foods, and reporting dinner as the largest meal with sleep quality indicators and insomnia. <b>Methods</b>  Participants ( <i>n</i>  = 2,050;18-65y) were part of population-based research, with virtual data collection. Logistic regression models were fitted to assess differences in the ORs(95%CI) of sleep duration < 7 hours, sleep latency > 30 minutes, poor sleep quality, and insomnia (outcomes) with the evening diet-related variables. Linear regression analyses evaluated differences in sleep duration and latency associated with the same variables. Restricted cubic splines were used to study the shape of the association of eating event clock time and TEM with sleep duration and latency. <b>Results</b>  Each additional hour of evening eating clock time and of the TEM, respectively increased and decreased, the odds of sleep duration < 7/h [OR(95%CI):1.30(1.20,1.40); OR(95%CI):0.51(0.47,0.56)], sleep latency > 30min [OR(95%CI):1.14(1.07,1.22); 0.88(0.83,0.94)], poor sleep quality [OR(95%CI):1.21(1.13,1.30); 0.80(0.76,0.85)] and insomnia [OR(95%CI):1.12(1.04,1.20); 0.89(0.84,0.95)]. We found a dose-response association between evening eating (clock time and TEM) and sleep duration. The shortest latency was seen when evening eating was ∼20:00 and ∼7-8 hours before the midpoint of sleep. Participants who reported dinner as the largest meal and consumed caffeine and sugary foods/beverages after 18:00 presented higher odds of sleep duration < 7 hours, poor quality, and insomnia. <b>Conclusions</b>  Our findings indicate that an early-eating schedule has beneficial sleep effects and that it will be necessary to consider evening eating patterns and timing, along with the existing sleep and circadian hygiene, to improve sleep quality and circadian health.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"17 4","pages":"e381-e391"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Can Improving Postoperative Sleep Speed Up Surgical Recovery?: Sleep Sci 2024; 17:3:335-338: São Paulo, September 20, 2024.","authors":"","doi":"10.1055/s-0044-1791698","DOIUrl":"https://doi.org/10.1055/s-0044-1791698","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0044-1785522.].</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"17 3","pages":"e1-e2"},"PeriodicalIF":1.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Related to the Sleep Duration of 3-Month-Old Infants.","authors":"Paula Louro Silva, Tamiris Ramos, Natalia Pinheiro Castro, Nicole Richetto, Rossana Verônica López, Liania Alves Luzia, Patricia Helen Rondó","doi":"10.1055/s-0044-1782168","DOIUrl":"https://doi.org/10.1055/s-0044-1782168","url":null,"abstract":"<p><p><b>Objective</b>  To identify the factors related to sleep duration in 3-month-old infants. <b>Materials and Methods</b>  From 2021 to 2023, we conducted a cross-sectional study in the city of Araraquara, Brazil, involving 140 mothers and their respective 3-month-old infants. Maternal socioeconomic, demographic, obstetric, and nutritional characteristics, as well as nutritional and morbidity characteristics of the respective infants, were evaluated. Sleep duration was determined by the Brief Infant Sleep Questionnaire (BISQ). Multivariate linear regression analysis was used to assess the associations of maternal, newborn, and infant factors with sleep duration at three months. <b>Results</b>  The nighttime sleep duration of the infants was of 9 hours. There were negative associations between nighttime sleep duration and prone sleep position ( <i>p</i>  = 0.011), falling asleep between 8:30 pm and 11:00 pm ( <i>p</i>  = 0.032), falling asleep after 11:00 pm ( <i>p</i>  < 0.001), respiratory infection ( <i>p</i>  = 0.011), dermatitis ( <i>p</i>  = 0.002), and the presence of children under 9 years of age in the household ( <i>p</i>  = 0.013). <b>Discussion</b>  In the present study, factors such as infant morbidity, the presence of other children in the household, and sleeping habits were associated with a decrease in sleep duration in 3-month-old infants. Therefore, we emphasize the importance of early diagnosis of morbidity in the first months of life and of promoting healthy habits such as regulating the time to go to sleep, providing an adequate sleep environment, and other practices that help improve the quality and duration of sleep.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"17 3","pages":"e281-e288"},"PeriodicalIF":1.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Sleep Time and Duration Affect the Development of Prehypertension in Undergraduate Medical Students? An Experience from a Tertiary Care Hospital in Kolkata.","authors":"Sayan Ali, Samit Karmakar, Arup Chakraborty, Saptarshi Ghosh","doi":"10.1055/s-0044-1787838","DOIUrl":"https://doi.org/10.1055/s-0044-1787838","url":null,"abstract":"<p><p><b>Introduction and Objective</b>  Hypertension is an evolving public health challenge at present, and it is preceded by a prehypertensive stage. Irregular sleep duration and pattern have been found to be linked with cardiovascular diseases. Medical students are highly vulnerable to low quality sleep due to pressure regarding the academic curriculum and poor lifestyle. The present study aimed to estimate the prevalence of prehypertension, describe the risk factors and sleep patterns of undergraduate medical students, and determine the association, if any, involving sleep time and duration and prehypertension. <b>Materials and Methods</b>  Data was collected from 254 undergraduate medical students via the Pittsburgh Sleep Quality Index (PSQI) questionnaire and a self-structured questionnaire. The frequency of events was established and the Chi-squared and <i>t</i> -tests were applied to determine the association. Finally, regression analysis was performed to determine the correlation. <b>Results</b>  Male sex, high body mass index (BMI), poor sleep quality, and night sleep duration shorter than 5 hours were found to be significant risk factors for the development of prehypertensive condition (prevalence of 42.5%). However, there were no statistically significant associations regarding prehypertension and family history, junk food and salt intake, physical activity and daytime napping, bedtime, and wake-up time. Night sleep duration shorter than 5 hours presented an odds ratio of 4.713 ( <i>p</i>  = 0.010) for the development of prehypertension after adjusting for other risk factors, such as male sex, sleep quality, and high BMI. <b>Discussion and Conclusion</b>  A high prevalence of prehypertension (42.5%) was noted among undergraduate medical students. Night sleep duration shorter than 5 hours was a significant risk factor for the development of prehypertension, whereas sleep time was not significantly associated with prehypertension.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"18 1","pages":"e56-e63"},"PeriodicalIF":1.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Eating-Fasting and Sleep-Wake Cycles with Eating Times and Food Consumption throughout the Day: Longitudinal Study with Pregnant Women.","authors":"Cecília Silva Pereira, Laura Cristina Tibiletti Balieiro, Gabriela Pereira Teixeira, Cristiana Araújo Gontijo, Luisa Pereira Marot, Walid Makin Fahmy, Cibele Aparecida Crispim, Yara Cristina de Paiva Maia","doi":"10.1055/s-0044-1787276","DOIUrl":"https://doi.org/10.1055/s-0044-1787276","url":null,"abstract":"<p><p><b>Objective</b>  To investigate the associations of the sleep-eating interval with eating times and food consumption throughout the day in pregnant women. <b>Materials and Methods</b>  A longitudinal study with 100 pregnant women treated at the public health network in the city of Uberlândia, state of Minas Gerais (MG), Brazil, during the entire gestational period. The time intervals between waking up and the first eating episode and between the last eating episode and going to sleep (independent variables) were investigated. Outcome measures were meal and sleep times, as well as food consumption throughout the day. <b>Results</b>  Food consumption closer to sleep at night is associated with higher total daily caloric intake in the first (β = -0.337, <i>p</i>  = 0.016) and second trimesters (Ts) of pregnancy (β = -0.240, <i>p</i>  = 0.023), and with longer sleep duration on weekdays ( <i>p</i>  < 0.05 for all three trimesters). We did not find associations between the wake-up to first eating episode interval and total calories ( <i>p</i>  > 0.05 for all three trimesters), but the longer this interval, the greater the percentage of calories at dinner (1T: β = 0.266, <i>p</i>  = 0.003; 2T: β = 0.269, <i>p</i>  = 0.045) and at the last meal (1T: β = 0.324, <i>p</i>  = 0.001; 2T: β = 0.231, <i>p</i>  = 0.033). <b>Discussion</b>  Taking longer to eat the first meal after waking up is associated with higher caloric intake later in the day, while taking longer to sleep after eating the last meal is associated with higher total daily caloric intake and shorter sleep duration, especially in the beginning and middle of pregnancy.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"18 1","pages":"e44-e55"},"PeriodicalIF":1.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Sleep-Disordered Breathing on Daytime Brain Activity in Community-Dwelling Older Adults.","authors":"Hiroki Shibata, Akiko Noda, Yuanjie Mao, Kunihiro Iwamoto, Masato Okuda, Ippei Okada, Seiko Miyata, Toshiaki Taoka, Fumihiko Yasuma","doi":"10.1055/s-0044-1782627","DOIUrl":"https://doi.org/10.1055/s-0044-1782627","url":null,"abstract":"<p><p><b>Introduction</b>  Sleep-disordered breathing (SDB) is associated with an increased risk of cardiovascular diseases. The present study aimed to examine the influence of SDB on daytime brain activity in the community-dwelling older adults. <b>Material and Methods</b>  Eighty one consecutive volunteers aged 60 years or older (mean age 70.5 ± 4.8 years) participated in the present study. Daytime brain activity was assessed by measuring the peak cortical oxygenated hemoglobin (OxyHb) levels and area under the near-infrared spectroscopy (NIRS) curve. The respiratory event index (REI) and 3% oxygen desaturation index (3%ODI) were evaluated using a home sleep-apnea test. <b>Results</b>  The peak OxyHb and area under the NIRS curve were significantly lower in the participants with REI ≥ 15/h than those with REI < 15/h. The body mass index (BMI), REI, 3%ODI, and Epworth sleepiness scale (ESS) scores were significantly correlated with peak OxyHb levels (BMI: <i>r</i>  = -0.202, <i>p</i>  = 0.035; REI: <i>r</i>  = -0.307, <i>p</i>  = 0.003; 3%ODI: <i>r</i>  = -0.321, <i>p</i>  = 0.002; and ESS score: <i>r</i>  = -0.287, <i>p</i>  = 0.005). Also, the BMI, REI, and 3%ODI were significantly correlated with the area under the NIRS curve (BMI: <i>r</i>  = -0.306, <i>p</i>  = 0.002; REI: <i>r</i>  = -0.326, <i>p</i>  = 0.002; and 3%ODI: <i>r</i> =-0.322, <i>p</i>  = 0.002), and BMI was a significant factor associated with the area under the NIRS curve. <b>Conclusions</b>  Brain activity during wakefulness was associated with severities of SDB and obesity. A simple NIRS may yield unique information for characterizing the decline in daytime brain activity of the community-dwelling older adults.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"18 1","pages":"e10-e16"},"PeriodicalIF":1.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Sleep Quality, Daytime Sleepiness, and Depression Associated with Knee Pain? A Cross-Sectional Study in Older Adults.","authors":"Viviane Akemi Kakazu, Rafael Z Pinto, Vinicius Dokkedal-Silva, Guilherme Luiz Fernandes, Cynthia Gobbi Alves Araujo, Gabriel Natan Pires, Tayná A Dias, Sergio Tufik, Monica L Andersen, Priscila K Morelhão","doi":"10.1055/s-0044-1787528","DOIUrl":"https://doi.org/10.1055/s-0044-1787528","url":null,"abstract":"<p><p><b>Introduction</b>  Osteoarthritis (OA) is common among older adults, and studies have suggested that it is commonly associated with sleep problems and depression. However, the results are inconsistent concerning overall sleep quality, daytime sleepiness, and depression in studies that consider OA knee pain specifically. <b>Objectives</b>  To examine the relationship between sleep quality, daytime sleepiness and depression, and OA knee pain in older adults. <b>Methods</b>  This was a cross-sectional study. Adults aged 60 and above with OA knee pain according to the National Institute for Health and Care Excellence (NICE) guidelines, and who had preserved cognitive function were recruited. Sleep quality, daytime sleepiness, and depression symptoms were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Center for Epidemiologic Studies Depression Scale (CESD), respectively. The generalized linear model (GzLM) approach was used in the statistical analysis. A logistic regression model was performed to evaluate whether ESS, PSQI, and CESD symptoms were associated with knee pain. <b>Results</b>  The sample comprised 451 older adults. Sleep quality (OR = 1.22, 95% confidence interval [CI]: 1.07 to 1.40) and depressive symptoms (OR = 1.09, 95%CI: 1.01 to 1.17) were associated with knee pain, but there was no association with excessive daytime sleepiness (OR= 1.09, 95%CI: 0.90 to 1.20). <b>Conclusions</b>  Sleep quality and depression symptoms are associated with knee pain.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"18 1","pages":"e91-e96"},"PeriodicalIF":1.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}