Sleep Health最新文献

{"title":"An ecological analysis of sleep health across five African-origin populations spanning the epidemiologic transition.","authors":"Candice Choo-Kang, Stephanie J Crowley, Sirimon Reutrakul, Dale E Rae, Estelle V Lambert, Nandipha Sinyanya, Pascal Bovet, Bharathi Viswanathan, Kweku Bedu-Addo, Jacob Plange-Rhule, Prince Oti-Boateng, Oscar Akunor Dei, Kingsley Apusiga, Terrence E Forrester, Marie Williams, Michaela Deglon, Jack A Gilbert, Brian T Layden, Cara Joyce, Amy Luke, Lara R Dugas","doi":"10.1016/j.sleh.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.02.002","url":null,"abstract":"<p><strong>Background: </strong>Sleep health is emerging as a public health priority due to its strong associations with several key domains of health. However, most of the existing literature are from studies located in high income settings and may not be representative of low-middle income settings. Leveraging the Modeling the Epidemiologic Transition Study, a study of cardiometabolic disease risk in five diverse African-origin populations, we explored differences in objectively measured sleep behavior across cohorts from Ghana, South Africa, Jamaica, Seychelles, and the United States.</p><p><strong>Methods: </strong>Data from 809 participants (35-55 years old, 63% women) from the 5 Modeling the Epidemiologic Transition Study research sites were included. Objectively-measured sleep, using actigraphy, was scored according to the criteria of Patel and colleagues. For those with at least 5 nights of valid data, ecological mean sleep onset time, wake-up time, sleep duration, wake after sleep onset, and sleep efficiency were examined.</p><p><strong>Findings: </strong>Adjusted models indicate that sleep onset was earlier in all sites when compared to US (p<.005). Sleep efficiency varied by locations, being lower in participants from Ghana, South Africa, and Jamaica when compared to United States (Ghana β: -3.7, South Africa: -5.8, Jamaica: -1.3, p<.05 for all) and higher in Seychelles when compared to United States (Seychelles β: 1.6; p=.02). Women presented with shorter sleep duration but with higher sleep efficiency.</p><p><strong>Interpretation: </strong>Sleep duration, timing (wake time, midsleep time and sleep onset), and efficiency differ by country and sex, likely driven by socio-economic settings. Understanding sleep patterns in different contexts is needed to make informed and culturally appropriate health recommendations.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding sleep health in Black American adults: A qualitative analysis of barriers, facilitators, and perspectives on sleep interventions.","authors":"Lauren E Barber, Daekiara Smith-Ireland, Bassey Enun, Dayna A Johnson","doi":"10.1016/j.sleh.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.02.007","url":null,"abstract":"<p><strong>Objectives: </strong>Black Americans have a high prevalence of poor sleep health. Understanding their perceptions about sleep could identify determinants of poor sleep in this population and inform culturally tailored interventions. However, qualitative data are lacking. Using focus groups, we assessed Black American adults' sleep perceptions, facilitators/barriers to sleep, beliefs about sleep recommendations, and perspectives on sleep interventions.</p><p><strong>Methods: </strong>Participants (N=36) attended online focus groups to discuss their perceptions and knowledge about sleep. A semistructured discussion guide was used to direct the conversation. Focus group data were transcribed and analyzed using a rapid analytic approach to identify themes.</p><p><strong>Results: </strong>Mean age of participants was 34 (SD=13.1) years, and 64% identified as women. Women and men slept less than the recommended hours of sleep (average sleep duration of 6.4 and 6.9 hours, respectively). Most participants defined healthy sleep as quality over quantity and viewed sleep as an important contributor to health and well-being. Exercise, limiting screen time, and suitable sleep environments were common perceived healthy sleep facilitators. Some participants misperceived electronic use and cosleeping, maladaptive strategies to cope with stress, as facilitators. Stress, responsibilities, electronic use, and unsuitable sleep environments were barriers. Participants wished to obtain personalized, racially tailored healthy sleep recommendations through highly accessible modes of dissemination (e.g., social media, websites).</p><p><strong>Conclusions: </strong>The findings suggest study participants valued quality sleep. However, stress, responsibilities, and sleep-hindering behaviors may contribute to poor sleep health. Targeting stress reduction, healthy sleep behaviors, and disseminating racially tailored information through accessible modes may be useful sleep intervention strategies in this community.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation of racial and socioeconomic factors related to sleep in a Brazilian population sample.","authors":"Guilherme Luiz Fernandes, Vinícius Dokkedal-Silva, Sergio Tufik, Monica L Andersen","doi":"10.1016/j.sleh.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.01.008","url":null,"abstract":"<p><strong>Objectives: </strong>The relationship of sleep, race, and socioeconomic status has become the focus of discussion in several studies. Investigation of these connections in sleep studies has identified substantial associations between these factors. However, most research output on this subject comes from higher-income countries with specific social issues, which warrants evaluations in countries with other socioeconomic backgrounds. This study aimed at performing an assessment of sleep, race, and socioeconomic status in the Brazilian population.</p><p><strong>Methods: </strong>This manuscript examined data from a large-scale Brazilian epidemiological study, comprising 1042 participants. Self-declared race/skin color could be reported from five options (Black, White, Indigenous, Asian, Pardo) or as an open-ended question. Socioeconomic status was assessed using the Brazil Economic Classification Criteria, a questionnaire that evaluates possession of domestic appliances, educational level, and house structure.</p><p><strong>Results: </strong>Self-declared Black Brazilians with lower socioeconomic status presented significantly lower objective total sleep time; conversely, they also presented lower wake after sleep onset time and higher sleep efficiency. Mid-to-high socioeconomic status Pardo Brazilians had less total sleep time and higher sleep latency.</p><p><strong>Conclusions: </strong>The sleep disparities in our findings, compared with those from studies from other countries, suggest that sociodemographic and racial/ethnic factors may vary in nature from one population to another. Therefore, the social and racial construction of each specific nation or culture must be considered in epidemiological sleep assessments and comparisons with other studies.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Self-reported neighborhood stressors and sleep quality among Puerto Rican young adults\".","authors":"Ryan Saelee, Ayana K April-Sanders, Hector R Bird, Glorisa J Canino, Cristiane S Duarte, Claudia Lugo-Candelas, Shakira F Suglia","doi":"10.1016/j.sleh.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.02.005","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal association between social jetlag, adiposity, and body composition: Sex differences from adolescence to young adulthood.","authors":"Sussanne Reyes, Cecilia Algarín, Estela Blanco, Patricio Peirano","doi":"10.1016/j.sleh.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.02.003","url":null,"abstract":"<p><strong>Objective: </strong>Social jetlag (SJL) refers to the misalignment between the internal biological and social timing and has been associated with obesity and metabolic disorders. The primary aim of this study was to assess the relationship of SJL, adiposity, and body composition from adolescence to young adulthood. We propose that this association differs according to sex.</p><p><strong>Methods: </strong>A total of 525 adolescents who completed all the procedures in adolescence and adulthood (SJL, anthropometric, and body composition measures) were included in this longitudinal study. Changes in adiposity and body composition (BMI, waist and hip circumferences, waist:hip ratio, waist:height ratio, and fat mass and lean mass percentages) from adolescence to young adulthood were examined according to SJL in adolescence.</p><p><strong>Results: </strong>In females, SJL was associated with BMI z-score (β=0.13, p<.01), hip circumference (β=0.97, p<.05), and fat mass (β=0.38, p<.05) and lean mass (β=-0.36, p<.05) percentages in adolescence. Longitudinal analysis revealed that SJL in adolescence was related to fat mass (β=0.59, p<.05) and lean mass percentage (β=-0.57, p<.05), waist:height ratio (β=0.59, p<.05), and waist (β=0.98, p<.01) and hip (β=0.76, p<.05) circumferences in adult women. No significant results were found for males in the cross-sectional and longitudinal analyses.</p><p><strong>Conclusion: </strong>Our findings suggest that SJL is associated with adverse changes in adiposity and body composition from adolescence to young adulthood in females.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep health profiles across six population-based cohorts and recommendations for validating clustering models.","authors":"Sanne J W Hoepel, Nina Oryshkewych, Lisa L Barnes, Meryl A Butters, Daniel J Buysse, Kristine E Ensrud, Andrew Lim, Susan Redline, Katie L Stone, Kristine Yaffe, Lan Yu, Annemarie I Luik, Meredith L Wallace","doi":"10.1016/j.sleh.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.01.012","url":null,"abstract":"<p><strong>Objectives: </strong>Model-based clustering is increasingly used to identify multidimensional sleep health profiles. However, generalizability is rarely assessed because of complexities of data sharing and harmonization. Our goal was to evaluate the generalizability of multidimensional sleep health profiles across older adult populations in Western countries and assess whether they predict depressive symptoms over time.</p><p><strong>Methods: </strong>We harmonized five self-reported sleep health indicators (satisfaction, alertness, timing, efficiency, and duration) across six population-based cohorts from the United States and Netherlands (N=614 - 3209 each) and performed identical latent class analysis in each cohort. Novel multivariable similarity metrics, patterns of sleep health and cluster sizes were used to match clusters and assess generalizability across cohorts. We compared cluster characteristics cross-sectionally and used linear mixed-effects modeling to relate sleep health clusters to depressive symptoms over time.</p><p><strong>Results: </strong>\"Average sleep health\" (moderate duration; high quality/efficiency; 42.7%-76.7% of sample) and \"poor sleep health\" (short duration; low quality/efficiency; high daytime sleepiness; 9.4%-20.4% of sample) clusters were generalizable across cohorts. In four cohorts \"inefficient sleep\" clusters were identified and in two cohorts \"long, efficient sleep\" clusters were identified. At 3years, those in the poor sleep cluster had depression symptoms that were 1.40-2.79 times greater than in the average sleep cluster, across all cohorts.</p><p><strong>Conclusions: </strong>We identified two profiles - average sleep health and poor sleep health - that were generalizable across six samples of older adults and predicted depressive symptoms, underscoring the importance of the sleep health paradigm.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental knowledge and beliefs about sleep health for children with overweight and obesity.","authors":"Hsiu-Jung Cheng, Yi-Ching Tung, Chuen-Min Huang, Chien-Chang Lee, Shu-Yu Kuo, Teresa M Ward, Shao-Yu Tsai","doi":"10.1016/j.sleh.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.01.011","url":null,"abstract":"<p><strong>Objective: </strong>To examine parental knowledge and beliefs about sleep health and their relation to sleep practices in a community sample of school-age children with overweight and obesity.</p><p><strong>Methods: </strong>Sleep in 246 overweight or obese children was assessed objectively using actigraphy. Parents completed a questionnaire about their knowledge and beliefs about sleep health and the Children's Sleep Habits Questionnaire (CSHQ). Multivariate linear regression models were performed to predict CSHQ sleep disturbance scores and actigraphy-derived sleep characteristics in children.</p><p><strong>Results: </strong>On average, parents answered 6.19 of the 10 sleep health questions correctly. Questions concerning child sleep needs and bedtime routines had the most incorrect responses ranging from 45.9% to 84.5%. Although up to 244 (99.2%) children obtained less than the recommended 9 hours of daily sleep and 208 (84.6%) children had clinically significant CSHQ sleep disturbance scores, only 12.6% of parents believed that their child slept too little and only 9.3% of parents believed that their child had inadequate sleep habits. Increased levels of parental sleep knowledge were associated with earlier sleep onset, and stronger parental beliefs about children's sleep health predicted earlier sleep onset and offset, longer sleep duration, and lower CSHQ sleep disturbance scores in children (all p<.05).</p><p><strong>Conclusions: </strong>Parents' knowledge gaps and misconceptions about sleep health are associated with poorer and shorter sleep duration in children with overweight and obesity. Healthcare professionals should provide parents with sleep-related education and address parents' inaccurate beliefs about sleep health, particularly regarding consistent bedtime routine and recommended sleep duration for children.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and ethnic disparities in the perceived neighborhood walking environment and self-reported sleep health: A nationally representative sample of the United States.","authors":"Dzifa Adjaye-Gbewonyo, Amanda E Ng, Dayna A Johnson, Chandra L Jackson","doi":"10.1016/j.sleh.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.01.010","url":null,"abstract":"<p><strong>Objectives: </strong>To identify associations between perceived neighborhood walkability and sleep across racial and ethnic groups of US adults.</p><p><strong>Methods: </strong>Data from the 2020 National Health Interview Survey (N=27,521) were used to assess self-reported measures of walkability (pedestrian access, accessible amenities, unsafe walking conditions) and sleep (short and long duration; frequency of waking up unrested, trouble falling and staying asleep, sleep medication use). Stratified by racial and ethnic group, we calculated the age-adjusted prevalence of neighborhood walkability features and sleep measures and estimated prevalence ratios assessing associations between neighborhood walkability and sleep while adjusting for sociodemographic and health covariates.</p><p><strong>Results: </strong>The prevalence of unsafe walking conditions due to crime was lowest among non-Hispanic White adults (6.9%), and access to places to relax was lowest among non-Hispanic Black adults (72.5%). The prevalence of short sleep duration was highest among non-Hispanic Black adults (37.9%). Neighborhood environment features had differential associations with sleep when stratified by race and ethnicity. For example, walking path access was related to lower sleep medication use among non-Hispanic Asian adults (adjusted prevalence ratio (aPR): 0.42, 95% CI: 0.19-0.91) but greater use among non-Hispanic White adults (aPR: 1.24, 95% CI: 1.05-1.46). More associations were observed among non-Hispanic White adults than other groups; and the strongest magnitude of association was observed among non-Hispanic Asian adults (traffic and sleep medication aPR: 0.31, 95% CI: 0.12-0.84).</p><p><strong>Conclusions: </strong>Associations between the neighborhood environment and sleep vary and may be inconsistent by race and ethnicity. Future research may help identify determinants.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Celebrating 10 years of Sleep Health helping to advance National Sleep Foundation's mission.","authors":"Joseph M Dzierzewski, John G Lopos","doi":"10.1016/j.sleh.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.02.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep homeostasis occurs in a naturalistic setting.","authors":"Péter P Ujma, Róbert Bódizs","doi":"10.1016/j.sleh.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.01.007","url":null,"abstract":"<p><strong>Background: </strong>Sleep, especially non-rapid eye movement sleep depth is homeostatically regulated, as sleep pressure builds up during wakefulness and diminishes during deep sleep. Previous evidence from this phenomenon, however, mainly stems from experimental studies which may not generalize to an ecologically valid setting.</p><p><strong>Methods: </strong>In the current study, we used a dataset of 246 individuals sleeping for at least seven nights each with a mobile electroencephalography headband according to their ordinary daily schedule to investigate the effect of time spent in wakefulness on sleep characteristics.</p><p><strong>Results: </strong>Increased time in wakefulness prior to sleep was associated with decreased sleep onset latency, increased sleep efficiency, a larger percentage of N3 sleep, and higher delta activity. Moreover, increased sleep pressure resulted in an increase in both the slope and the intercept of the sleep electroencephalography spectrum. As predicted, power spectral density effects were most prominent in the earliest hours of sleep.</p><p><strong>Conclusion: </strong>Our results demonstrate that experimental findings showing increased sleep depth after extended wakefulness generalize to ecologically valid settings, and that time spent awake is an important determinant of sleep characteristics on the subsequent night. Our findings are evidence for the efficacy of sleep restriction, a behavioral technique already widely used in clinical settings, as a simple but powerful method to improve the objective quality of sleep in those with sleep problems.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}