Sleep Health最新文献

{"title":"Inequities in sleep duration among gender and sexual minority adolescents.","authors":"Noah T Kreski, Katherine M Keyes","doi":"10.1016/j.sleh.2025.09.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.09.005","url":null,"abstract":"<p><strong>Objectives: </strong>Gender and sexual minority adolescents face health inequities compared to cisgender, heterosexual peers, including lower sleep duration. Our ability to measure these inequities recently expanded, as the 2023 Youth Risk Behavior Survey's updated gender/sexuality items provide an opportunity to examine these inequities in a large, nationally-representative sample of adolescents.</p><p><strong>Methods: </strong>Analyses (n=20,103 students, 2023 national YRBS, grades: 9-12) estimated survey-weighted prevalence of 3 sleep duration outcomes across gender and sexuality groups: sufficient sleep (8+ hours/night), short sleep (≤6), and extremely limited sleep (≤4). Survey-weighted logistic regressions compared outcomes between gender/sexual minority groups and cisgender/heterosexual peers, adjusting for demographic confounding.</p><p><strong>Results: </strong>Sleep duration was consistently lower for gay/lesbian, bisexual, \"another unlisted sexual identity\" and transgender adolescents, plus those unsure of their gender or sexual identity (e.g., adjusted Odds Ratio for extremely limited sleep [\"another unlisted sexual identity\" vs. heterosexual]:3.14; 95% confidence interval: 2.00-4.92). For many gender and sexual minority groups, extremely limited sleep was more common than sufficient sleep.</p><p><strong>Conclusions: </strong>Sleep duration is limited among adolescents, and this, in conjunction with inequities on the basis of gender/sexuality, warrants intervention.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253392","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":"Updating sleep duration benchmarks in surveillance: implications of wearables and objective measures.","authors":"Jean-Philippe Chaput","doi":"10.1016/j.sleh.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.08.008","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245627","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":"Insights into the lives of families of children with neurodisabilities who have sleep problems.","authors":"Grace Langdon, Matilda O'Neil, Emma Cooke, Fiona Hudson, Laetitia Coles, Moya Vandeleur, Karen Waters, Jasneek Chawla","doi":"10.1016/j.sleh.2025.08.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.08.007","url":null,"abstract":"<p><strong>Objective: </strong>Sleep problems are prevalent in children with neurodisabilities and are associated with adverse health and behavioral outcomes. Published work in this area focuses on caregivers' experiences on implementing interventions for sleep and uses quantitative research methods. Qualitative accounts reporting the lived perspectives of how these problems impact the children's caregivers and families are at present limited.</p><p><strong>Design: </strong>A qualitative study designed to understand the experiences of families of children with neurodisabilities and sleep problems.</p><p><strong>Participants: </strong>In total, 300 caregivers of children with neurodisabilities and sleep problems were recruited from two subgroups: (i) participants whose child is attending one of three tertiary sleep clinics and (ii) participants, who responded to requests from collaborative community consumer organizations and social media promotion.</p><p><strong>Methods: </strong>Caregivers completed an online survey that included questions about how they and their family members are affected by the sleep problems of their child with neurodisabilities. We conducted a reflexive thematic analysis of caregivers' free-text survey responses.</p><p><strong>Results: </strong>Five themes emerged: (1) Children with neurodisabilities face complex sleep issues, often worsened by coexisting problems like pain or seizures; (2) Sleep disruption profoundly affects the whole household, including siblings; (3) Caregivers experience severe fatigue, impacting their health, cognitive function, and work; (4) Caregivers constantly try various treatments and strategies; (5) Caregivers seek tailored information, evidence-based support, and respite options.</p><p><strong>Conclusion: </strong>Overall, families struggle with debilitating fatigue, affecting all aspects of life. Caregivers urgently call for improved healthcare responses, prioritizing sleep problem identification and holistic, family-centered support.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233986","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-disordered breathing subtypes and future diet quality in the Multi-Ethnic Study of Atherosclerosis.","authors":"Kaitlin S Potts, Cecilia Castro-Diehl, Tianyi Huang, Alexis C Wood, Jerome I Rotter, Stephen S Rich, Tamar Sofer, Susan Redline, Heming Wang","doi":"10.1016/j.sleh.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.08.003","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep-disordered breathing (SDB) and diet quality impact cardiometabolic disease, but few studies have examined if SDB influences diet quality. This study estimated the association between SDB subtypes (with and without sleepiness) and future diet quality in the Multi-Ethnic Study of Atherosclerosis.</p><p><strong>Methods: </strong>Probable SDB was characterized by self-reported physician-diagnosed sleep apnea (PDSA) or habitual snoring and subtyped by presence or absence of sleepiness. A food frequency questionnaire measured diet 1.6 years before, and 7.8 years after SDB assessment. Diet quality was measured with the Alternate Healthy Eating Index-2010 (AHEI). Mean differences in AHEI at follow-up by SDB subtypes were estimated with multivariable linear regression adjusting for baseline AHEI, demographic, and lifestyle factors.</p><p><strong>Results: </strong>Among 3294 participants (mean age 62 years, 51% women), 29.5% had SDB. When grouped by sleepiness, 20.6% had SDB without, and 8.9% had SDB with, sleepiness. Adjusting for baseline diet and potential confounders, those with SDB had lower follow-up AHEI scores compared with unaffected individuals (mean AHEI difference [95% CI]: -1.02 [-1.69, -0.35]). Upon stratifying by sleepiness, both groups had lower AHEI scores at follow-up compared with unaffected individuals, and the difference was greater for those with sleepiness (mean score difference [95% CI]: -0.8 [-1.56, -0.04], without sleepiness; -1.52 [-2.59, -0.45], with sleepiness). The difference between those with and without sleepiness was not statistically significant.</p><p><strong>Conclusions: </strong>In a multi-ethnic cohort, SDB was associated with lower diet quality after 7.8 years and this association was larger among participants with SDB with sleepiness.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214330","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":"Napping in adolescents: A solution or a setback for sleep health?","authors":"Donal, Erfan Ramadhani, Ramtia Darma Putri","doi":"10.1016/j.sleh.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.08.005","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207969","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":"Ethnic and racial discrimination and sleep health among Asian American college students.","authors":"Jinjin Yan, Natasha C Johnson, Zhenqiang Zhao, Kyle Lorenzo, Heining Cham, Nidia Ruedas-Gracia, Mona El Sheikh, David H Chae, Tiffany Yip","doi":"10.1016/j.sleh.2025.07.011","DOIUrl":"10.1016/j.sleh.2025.07.011","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep health is increasingly recognized as a key factor influencing college students' well-being. However, research remains limited on the ethnic and racial discrimination experiences (both indirect and direct discrimination) that shape sleep health in Asian American college students. This study investigated daily associations between discrimination and sleep among Asian American students.</p><p><strong>Methods: </strong>Participants were 168 Asian American first-year college students (Mage = 18.38 years, SD = 0.41; 65.5% female) in the northeastern United States. Over a 14-day period, self-reported direct ethnic and racial discrimination, indirect discrimination (i.e., vicarious racism), and actigraphy-measured sleep outcomes were assessed.</p><p><strong>Results: </strong>At the within-person level, on days when Asian American students reported higher-than-usual levels of ethnic and racial discrimination, they woke up earlier (b = -0.487, p = .050) and got out of bed earlier (b = -0.543, p = .006). However, at the between-person level, students with higher levels of direct discrimination woke up later (b = 1.571, p = .045) and got out of bed later (b = 1.769, p = .024). Students with higher levels of indirect discrimination had lower sleep efficiency (b = -16.809, p = .031), more WASO (b = 39.011, p = .021) and shorter sleep duration (b = -157.211, p = .024).</p><p><strong>Conclusions: </strong>Both direct and indirect discrimination are critical social determinants of sleep health among Asian American college students. This study offers insights to guide culturally tailored institution-level policies that promote sleep health among Asian American college students during this crucial transicition.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NSF Sleep Health Times","authors":"","doi":"10.1016/S2352-7218(25)00194-9","DOIUrl":"10.1016/S2352-7218(25)00194-9","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Page 761"},"PeriodicalIF":3.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098495","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":"Harsh parenting in adolescence and symptoms of depression in emerging adulthood: The moderating role of sleep.","authors":"Ryan J Kelly, Morgan J Thompson, Mona El-Sheikh","doi":"10.1016/j.sleh.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.07.010","url":null,"abstract":"<p><strong>Objectives: </strong>Harsh parenting occurs often in adolescence and confers risk for depression symptoms. However, individual differences exist and explication of variables that exacerbate or attenuate risk is needed. Sleep problems impair coping abilities and may magnify the effects of harsh parenting. Using a 5-wave design spanning 9 years, we investigated adolescents' sleep as a moderator of relations between harsh parenting in adolescence and depression symptoms in emerging adulthood.</p><p><strong>Methods: </strong>Families participated over 5 waves (child's M age at each wave was 16, 17, 18, 23, and 25 years; 245 families participated at age 16 [52% female; 67% White/European American, 33% Black/African American]; 132 families participated at all 5 waves). Mothers and fathers reported on the frequency of their own harsh parenting (verbal and physical) at ages 16-18. Actigraphy measured adolescents' sleep duration (minutes) and quality (sleep maintenance efficiency, long wake episodes) at ages 16-18. Depression symptoms were assessed with self-reports at all waves.</p><p><strong>Results: </strong>After controlling for autoregressive effects, structural equation models revealed that shorter sleep duration (β = -0.16, p = <.03), reduced sleep maintenance efficiency (β = -0.30, p = <.001), and more long wake episodes (β = 0.24, p = .004) in adolescence exacerbated relations between harsh fathering in adolescence and depression symptoms in emerging adulthood. Harsh mothering did not confer risk, regardless of adolescents' sleep.</p><p><strong>Conclusions: </strong>Interactions between harsh parenting and sleep problems in adolescence may predict depression symptoms in emerging adulthood. The results highlight the importance of considering sleep in attempts to improve mental health in those exposed to harsh parenting.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087761","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":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(25)00180-9","DOIUrl":"10.1016/S2352-7218(25)00180-9","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Page A4"},"PeriodicalIF":3.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098477","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 traits and the longitudinal progression of cardio-renal-metabolic multimorbidity: A prospective study from UK-Biobank.","authors":"Yali Niu, Tianrun Wang, Xiaocan Jia, Chaojun Yang, Jingwen Fan, Chenyu Zhao, Nana Wang, Zhixing Fan, Xuezhong Shi","doi":"10.1016/j.sleh.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.08.001","url":null,"abstract":"<p><strong>Background: </strong>Cardio-renal-metabolic multimorbidity is defined as the coexistence of two or three cardio-renal-metabolic diseases, namely cardiovascular disease, type 2 diabetes mellitus, and chronic kidney disease. The association between sleep traits and cardio-renal-metabolic disease progression is often overlooked. Anxiety and depression may affect both sleep and cardio-renal-metabolic diseases, while their mediating role is unclear.</p><p><strong>Methods: </strong>We conducted a multistate analysis using data from 375,837 UK Biobank participants (42.16% men, mean age 55.77 years, 95.37% White) to investigate the associations between sleep traits and the longitudinal progression from healthy to first cardio-renal-metabolic disease, cardio-renal-metabolic multimorbidity, and death. Sleep traits, including sleep duration, ease of getting up in the morning, chronotype, napping during day, insomnia, and snoring, were self-reported at baseline, and an integrated sleep score was calculated, with higher scores indicating healthier sleep. Counterfactual mediation analysis assessed the role of anxiety and depression.</p><p><strong>Results: </strong>During a median follow-up of 13.68 years, 110,287 participants developed first cardio-renal-metabolic disease, 14,562 experienced cardio-renal-metabolic multimorbidity, and 2709 died. Healthy sleep traits were associated with a decreased risk of progressing from healthy to first cardio-renal-metabolic disease (HR=0.70, 95% CI: 0.67-0.72), healthy to death (HR=0.79, 95% CI: 0.70-0.88), and first cardio-renal-metabolic disease to cardio-renal-metabolic multimorbidity (HR=0.70, 95% CI: 0.64-0.76). Anxiety or depression mediated 16.48% of the first cardio-renal-metabolic disease risk, 14.48% of cardio-renal-metabolic multimorbidity risk, and 25.17% of mortality risk.</p><p><strong>Conclusions: </strong>Healthy sleep traits were associated with a protective effect in early- to mid-stage cardio-renal-metabolic disease development, with anxiety and depression acting as mediators. Adhering to healthy sleep traits and addressing anxiety and depression may help prevent cardio-renal-metabolic diseases and their progression.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056015","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}