Sleep HealthPub Date : 2025-01-08DOI: 10.1016/j.sleh.2024.11.003
Terrence D Hill, Qiliang He, Jennifer Zhang, Laura Upenieks, Christopher G Ellison
{"title":"A socioecological model of neighborhood disorder, religious attendance, and sleep efficiency.","authors":"Terrence D Hill, Qiliang He, Jennifer Zhang, Laura Upenieks, Christopher G Ellison","doi":"10.1016/j.sleh.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.11.003","url":null,"abstract":"<p><strong>Objectives: </strong>Drawing on the socioecological model of sleep health, we formally examine the association between neighborhood disorder and sleep efficiency. While most studies focus on direct associations with neighborhood context, we also consider whether the relationship between religious attendance and sleep efficiency varies as a function of neighborhood disorder.</p><p><strong>Design: </strong>We use ordinary least squares regression to model cross-sectional survey data.</p><p><strong>Setting: </strong>The United States.</p><p><strong>Participants: </strong>The All of Us Research Program is based on a nonprobability sample of 5168 adults aged 18 and over.</p><p><strong>Measurements: </strong>Our analyses include an index of perceived neighborhood disorder, a single-item measure of religious attendance, and an objective measure of sleep efficiency based on wrist actigraphy.</p><p><strong>Results: </strong>While perceptions of neighborhood disorder are inversely associated with sleep efficiency, religious attendance is positively associated with sleep efficiency. The association between religious attendance and sleep efficiency did not vary across levels of neighborhood disorder.</p><p><strong>Conclusion: </strong>Our analyses add to a growing literature on the association of neighborhood disorder with objective indicators of sleep health. To our knowledge, we are among the first to observe any association between religious attendance and sleep efficiency. We extended the socioecological model of sleep health by framing neighborhood disorder as a moderator.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956678","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}
Sleep HealthPub Date : 2025-01-04DOI: 10.1016/j.sleh.2024.11.002
Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
{"title":"Gender differences in the association between long work hours, weekend work, and insomnia symptoms in a nationally representative sample of workers in Korea.","authors":"Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon","doi":"10.1016/j.sleh.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.11.002","url":null,"abstract":"<p><strong>Objectives: </strong>Long work hours and weekend work can negatively impact worker sleep; however, gender differences in these relationships have not been sufficiently studied. We explored the association between long work hours, weekend work, and insomnia symptoms, as well as the moderating effect of gender on this association.</p><p><strong>Methods: </strong>A nationwide sample of 42,476 Korean workers (52.8% women) was analyzed. The main exposure variables were weekly work hours and monthly weekend days worked. Insomnia symptoms were measured using the Minimal Insomnia Symptom Scale. Logistic regression was used to estimate odds ratios (ORs) and confidence intervals (CIs).</p><p><strong>Results: </strong>Among the study sample, 10.5% worked ≥55hours weekly and 9.6% worked ≥5 weekend days monthly. The OR (95% CI) of an association between long work hours and insomnia symptoms was 1.72 (1.48-2.00) for 49-54hours, and 2.01 (1.71-2.37) for ≥55hours among men and 1.26 (1.03-1.55) for 49-54hours, and 1.03 (0.83-1.27) for ≥55hours among women. The OR (95% CI) of an association between monthly weekend days worked and insomnia symptoms was 1.68 (1.50-1.90) for 1-4days and 1.92 (1.62-2.29) for ≥5days among men and 1.20 (1.05-1.36) for 1-4days and 1.54 (1.28-1.86) for ≥5days among women.</p><p><strong>Conclusion: </strong>Long work hours and weekend work are associated with insomnia symptoms, and this association is more pronounced among men than women. Policy interventions are warranted to reduce the burden of long work hours and weekend work.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933050","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}
Sleep HealthPub Date : 2025-01-03DOI: 10.1016/j.sleh.2024.10.010
Mikaela L Carter, Sarah-Jane Paine, Bronwyn M Sweeney, Joanne E Taylor, T Leigh Signal
{"title":"Characterizing the sleep location, patterns, and maternally perceived sleep problems of the infants of Māori and non-Māori mothers in Aotearoa New Zealand.","authors":"Mikaela L Carter, Sarah-Jane Paine, Bronwyn M Sweeney, Joanne E Taylor, T Leigh Signal","doi":"10.1016/j.sleh.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.10.010","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate potential sleep inequities between the infants of Māori and non-Māori mothers in Aotearoa New Zealand, identify socio-ecological factors associated with infant sleep, and determine features of infant sleep that contribute to a mother-perceived infant sleep problem.</p><p><strong>Design: </strong>Secondary analysis of longitudinal data from the Moe Kura: Mother and Child, Sleep and Well-being in Aotearoa New Zealand study when infants were approximately 12 weeks old.</p><p><strong>Participants: </strong>383 Māori and 702 non-Māori mother-infant dyads.</p><p><strong>Methods: </strong>Chi-square and independent t-tests measured bivariate associations between maternal ethnicity and infant sleep characteristics. Multivariable and ordinal logistic regression models assessed the relative impact of different socio-ecological factors on infant sleep outcome variables.</p><p><strong>Results: </strong>Key developmental markers of infant sleep did not differ by maternal ethnicity. There were some ethnicity-based differences in sleep location. Maternal ethnicity, maternal age, parity, maternal depression, maternal relationship status, life stress, breastfeeding, work status, and bedsharing were related to different dimensions of infant sleep, and to maternal perceptions of a sleep problem.</p><p><strong>Conclusion: </strong>Sleep at 12weeks is highly variable between infants and is associated with numerous socio-ecological factors. Findings support a social determinants explanation for sleep health inequities seen later in childhood.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927619","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}
Sleep HealthPub Date : 2025-01-03DOI: 10.1016/j.sleh.2024.12.008
Hailey Talbert, Meir Kryger
{"title":"Narcolepsy in naturalism: Joan of Arc by Jules Bastien-Lepage.","authors":"Hailey Talbert, Meir Kryger","doi":"10.1016/j.sleh.2024.12.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.12.008","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927884","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}
Sleep HealthPub Date : 2025-01-01DOI: 10.1016/j.sleh.2024.10.009
Tayla von Ash, Courtney C Choy, Shira Dunsiger, Christina Soti-Ulberg, Dongqing Wang, Muagututia S Reupena, Rachel L Duckham, Take Naseri, Nicola L Hawley
{"title":"Behavioral and sociodemographic correlates of sleep duration among children in Samoa.","authors":"Tayla von Ash, Courtney C Choy, Shira Dunsiger, Christina Soti-Ulberg, Dongqing Wang, Muagututia S Reupena, Rachel L Duckham, Take Naseri, Nicola L Hawley","doi":"10.1016/j.sleh.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.10.009","url":null,"abstract":"<p><strong>Objectives: </strong>To describe sleep duration, adherence to sleep recommendations, and behavioral and sociodemographic correlates of sleep among Samoan children.</p><p><strong>Methods: </strong>In a longitudinal cohort study of Samoan children aged 2-9years (n = 481; 50% female), primary caregivers reported usual number of hours of nighttime sleep during 2015, 2017/2018, and 2019/2020 data collection waves. Associations between behavioral and sociodemographic characteristics and sleep duration were assessed using generalized linear and mixed effect regressions.</p><p><strong>Results: </strong>Average reported hours of nighttime sleep for toddlers (age 2) was 9.7 ± 1.1 (SD); for preschoolers (age 3-5) 9.5 ± 1.0, and for school-age children (age 6-9) 9.4 ± 1.3, with 58% of children meeting sleep recommendations. Living in a lower income household was associated with 30 more minutes of sleep for toddlers (adjusted β:0.56 [95% CI: 0.03, 1.09]) and preschoolers (adjusted β:0.51 [95% CI: 0.17, 0.85]), while higher reported physical activity was associated with longer sleep for school-age children (adjusted β:0.49 [95% CI: 0.08, 0.91]). Preschoolers with a primary caregiver who did not complete high school had shorter sleep (β: -0.80 [95% CI: -1.12, -0.48]). Among school-aged children, shorter sleep was associated with greater total carbohydrate intake (for every 100 g/day, β: -0.01 [95% CI: -0.02, 0.01]) and neotraditional dietary pattern adherence (β: -0.27 [95% CI: -0.53, -0.01]).</p><p><strong>Conclusions: </strong>Efforts should be made to encourage adequate sleep among Samoan children. Correlates of sleep were largely consistent with existing literature. Future research should examine additional culturally and contextually-specific risk factors for insufficient sleep in Samoa and consequences for child health.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927367","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}
Sleep HealthPub Date : 2024-12-31DOI: 10.1016/j.sleh.2024.10.006
Ryan D Davidson, Margaret Blattner, Thomas E Scammell, Eric S Zhou
{"title":"The impact of idiopathic hypersomnia on the social lives of young adults.","authors":"Ryan D Davidson, Margaret Blattner, Thomas E Scammell, Eric S Zhou","doi":"10.1016/j.sleh.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.10.006","url":null,"abstract":"<p><strong>Objectives: </strong>People with idiopathic hypersomnia report significant impairment in their lives due to idiopathic hypersomnia symptoms, and this likely includes an impact on social relationship health. This study investigated the effects of idiopathic hypersomnia on social relationships (friends, romantic, and sexual) during the key developmental period of young adulthood.</p><p><strong>Methods: </strong>Young adults (N = 106; 18-39years) with idiopathic hypersomnia were recruited through national hypersomnia patient organizations. Participants completed an online survey assessing the impact of symptoms on overall social functioning, as well as assessing friendships, romantic relationships, and sexual relationships.</p><p><strong>Results: </strong>Nearly all participants (98%) reported that idiopathic hypersomnia made their social life more challenging. Over half (56%) felt they had too few close friends. While 69% were currently in a romantic relationship, the majority (92%) reported that idiopathic hypersomnia made it more challenging to enter a romantic relationship, with 89% stating that it impacted their sex life. Symptoms with the greatest perceived impact on social relationships were excessive sleepiness, brain fog, and long sleep. Most participants expressed that they would like their clinicians to ask about their social lives.</p><p><strong>Conclusions: </strong>Idiopathic hypersomnia substantially impacts the social lives of young adults, including friendships, romantic partnerships, and sex lives. Despite the importance of social relationships, clinicians seldom address this topic during clinic visits. When considering whole person health for people with idiopathic hypersomnia, clinical care would benefit from more attention to social health.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916028","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}
Sleep HealthPub Date : 2024-12-21DOI: 10.1016/j.sleh.2024.10.011
Sidney M Donzella, Trang VoPham, Alpa V Patel, Marjorie L McCullough, Amanda I Phipps, Charlie Zhong
{"title":"Associations of sleep duration and weekend catch up sleep with cancer risk among US adults in the Cancer Prevention Study-3 cohort.","authors":"Sidney M Donzella, Trang VoPham, Alpa V Patel, Marjorie L McCullough, Amanda I Phipps, Charlie Zhong","doi":"10.1016/j.sleh.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.10.011","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to investigate the associations of sleep duration and weekend catch-up sleep with cancer risk among US adults in the Cancer Prevention Study-3.</p><p><strong>Methods: </strong>Cancer Prevention Study-3 is a prospective cohort of approximately 250,000 US adults aged 30-65years. At baseline (2006-2013), participants were asked to report their average daily sleep duration over the past year for weekdays and weekends separately. Using the midpoint of each sleep duration category, a 5:2 weekday:weekend weighted average was created. Weekend catch-up sleep was calculated using the difference of weekend and weekday sleep duration category midpoints and categorized as -4 or -2, 0, 2, and 4 hours. Cancer incidence (overall and female breast) was determined via linkage to state registries; follow-up time ended at the time of cancer diagnosis, time of death, or end of follow-up (12/31/2018). We used multivariable Cox proportional hazards models to estimate adjusted hazard ratios and 95% confidence intervals for the associations of sleep duration and weekend catch-up sleep with cancer risk adjusted for sociodemographics, socioeconomic status, comorbidities, and lifestyle behaviors.</p><p><strong>Results: </strong>A total of 10,256 incident cancer cases were reported among the 248,086 participants included in the study. We found no statistically significant associations between the examined sleep characteristics with overall or breast cancer-specific risk.</p><p><strong>Conclusion: </strong>Our research strengthens the existing null findings of the association between sleep duration and cancer risk. This was the first study to investigate the relationship of weekend catch-up sleep with cancer risk and more research is necessary to further elucidate this relationship.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878267","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}
Sleep HealthPub Date : 2024-12-01Epub Date: 2024-09-26DOI: 10.1016/j.sleh.2024.08.001
Emily L Feldman, Danica C Slavish
{"title":"Initial development of a sleep health literacy scale.","authors":"Emily L Feldman, Danica C Slavish","doi":"10.1016/j.sleh.2024.08.001","DOIUrl":"10.1016/j.sleh.2024.08.001","url":null,"abstract":"<p><strong>Objectives: </strong>Health literacy includes the skills necessary for effective communication with health professionals, understanding health instructions, and recognizing health needs. Our study aimed to create a novel measure of sleep health literacy-an individual's capacity to comprehend sleep-related information and navigate sleep-related healthcare services.</p><p><strong>Methods: </strong>The Sleep Health Literacy scale consists of two subscales: \"Sleep Health Communication\" (11 Likert-scale items assessing access to resources and communication with healthcare providers) and \"Sleep Health Knowledge\" (46 true/false items assessing specific knowledge of sleep health). The Sleep Health Literacy scale was completed by 154 undergraduate students (mean age=20.96years; 79.87% female) in study 1. In study 2, an additional sample of 251 participants (mean age=20.23years; 79.87% female) completed the Sleep Health Literacy scale, along with measures of convergent and discriminant validity.</p><p><strong>Results: </strong>Exploratory factor analysis results in study 1 revealed a two-factor structure for the \"Sleep Health Communication\" subscale (\"comprehension\" and \"critical application\"). The subscale demonstrated good internal consistency (α = 0.81) and inter-item and item-total correlations. On the \"Sleep Health Knowledge\" subscale, participants answered 76.36% of items correctly. In study 2, the Sleep Health Literacy had good convergent validity with Sleep Beliefs Scale and the All Aspect of Health Literacy Scale.</p><p><strong>Conclusions: </strong>The Sleep Health Literacy scale offers a standardized measure to assess sleep health literacy, an understudied domain that has important links to health. This measure may allow researchers and clinicians to better understand how to improve sleep health. Further validation of the Sleep Health Literacy scale is warranted in more diverse samples.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"683-690"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356172","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}
Sleep HealthPub Date : 2024-12-01Epub Date: 2024-09-10DOI: 10.1016/j.sleh.2024.07.010
Alexa Martin-Storey, Kyla Mayne, Will Beischel, Wendy Craig
{"title":"Sleep health among youth outside of the gender binary: Findings from a national Canadian sample.","authors":"Alexa Martin-Storey, Kyla Mayne, Will Beischel, Wendy Craig","doi":"10.1016/j.sleh.2024.07.010","DOIUrl":"10.1016/j.sleh.2024.07.010","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep is important for adolescent health. The unique needs of suprabinary youth (youth with gender identities outside of the gender binary), along with the growing number of youth with these identities, underscores the need to better understand sleep health within this population. The current study's objectives were to (1) examine differences in sleep health between suprabinary and binary youth and (2) explore how social support, peer victimization, and technology use accounted for these differences.</p><p><strong>Methods: </strong>Data were drawn from the 2017/2018 Health Behavior in School Aged Children Survey. Adolescents (individuals ages 14 to 17, n = 10,186), indicated whether they were suprabinary (n = 182) or binary (n = 10,004), and completed measures of sleep health (difficulty falling asleep, difficulty staying awake, weekday and weekend sleep length), covariates (age, family affluence, race/ethnicity, depressive symptoms), as well as variables that may account for differences between suprabinary and binary youth (family, friend, and teacher support, as well as peer victimization, and technology use before bed).</p><p><strong>Results: </strong>Suprabinary youth reported worse sleep health on all outcomes, and differences persisted for both difficulty falling asleep and weekday sleep hours accounting for covariates. Significant indirect effects between suprabinary status were observed across all sleep outcomes for family support and school climate. Indirect effects for sleep quality were also observed via peer victimization.</p><p><strong>Conclusions: </strong>Findings support the relevance of looking at basic health processes like sleep to better understand how the stressors associated with suprabinary status impact health outcomes among this vulnerable population.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"621-627"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298947","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}
Sleep HealthPub Date : 2024-12-01Epub Date: 2024-09-28DOI: 10.1016/j.sleh.2024.08.003
Simone Bruno, Francesco Daddoveri, Marco Di Galante, Andrea Bazzani, Francy Cruz-Sanabria, Alessandro Colitta, Paola d'Ascanio, Paolo Frumento, Ugo Faraguna
{"title":"Chronotype and lifestyle in the transition to adulthood: Exploring the role of sleep health and circadian misalignment.","authors":"Simone Bruno, Francesco Daddoveri, Marco Di Galante, Andrea Bazzani, Francy Cruz-Sanabria, Alessandro Colitta, Paola d'Ascanio, Paolo Frumento, Ugo Faraguna","doi":"10.1016/j.sleh.2024.08.003","DOIUrl":"10.1016/j.sleh.2024.08.003","url":null,"abstract":"<p><strong>Objectives: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"697-704"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356157","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}