Sleep epidemiologyPub Date : 2025-12-01Epub Date: 2025-07-20DOI: 10.1016/j.sleepe.2025.100110
Helen Strongman , Sofia H. Eriksson , Kwabena Asare , Michelle A. Miller , Martina Sýkorová , Hema Mistry , Kristin Veighey , Charlotte Warren-Gash , Krishnan Bhaskaran
{"title":"Validation of algorithms identifying diagnosed obstructive sleep apnoea and narcolepsy in coded primary care and linked hospital activity data in England","authors":"Helen Strongman , Sofia H. Eriksson , Kwabena Asare , Michelle A. Miller , Martina Sýkorová , Hema Mistry , Kristin Veighey , Charlotte Warren-Gash , Krishnan Bhaskaran","doi":"10.1016/j.sleepe.2025.100110","DOIUrl":"10.1016/j.sleepe.2025.100110","url":null,"abstract":"<div><h3>Purpose</h3><div>To assist sleep epidemiology research, we created and tested the accuracy of five algorithms identifying diagnosed Obstructive Sleep Apnoea (OSA) and narcolepsy in routinely collected data from England (01/01/1998–29/03/2021).</div></div><div><h3>Methods</h3><div>The primary algorithm identified the first coded record in Clinical Practice Research Datalink (CPRD) primary care or linked hospital admissions data as an incident diagnosis of OSA (<em>n</em> = 92,222) or narcolepsy (<em>n</em> = 1072). Alternative algorithms required codes in CPRD, both datasets, or an additional proximate possible-sleep-related outpatient visit or excessive daytime sleepiness drug prescription (narcolepsy only). Staff in 73/1574 CPRD practices completed online questionnaires for a convenience sample of 144 OSA and 101 narcolepsy cases. We estimated Positive Predictive Values (PPVs) describing the proportion of cases confirmed by a gold standard hospital specialist diagnosis, the percentage of gold standard cases from the primary algorithm retained with alternative algorithms, and time between specialist and recorded diagnosis dates.</div></div><div><h3>Results</h3><div>Using the primary algorithm, the PPV (95 % CI) was 75.3 % (69.2–81.3) and 65.2 % (57.0–73.4) for OSA and narcolepsy, respectively: 80.6 % and 62.7 % of confirmed cases were recorded within 6 months of the specialist diagnosis. The CPRD-only algorithm increased the PPV to 85.3 (77.3–91.4, OSA) and 71.0 (58.8–81.3, narcolepsy) and retained high proportions of gold standard cases. Requiring additional outpatient or prescribing data increased PPVs, and for OSA improved diagnostic date accuracy, but omitted a high proportion of gold standard cases.</div></div><div><h3>Conclusion</h3><div>Highly accurate OSA diagnoses can be identified in routinely collected data. Recorded cases of narcolepsy are moderately accurate, but diagnosis dates are not.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"5 ","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep epidemiologyPub Date : 2025-12-01Epub Date: 2025-01-10DOI: 10.1016/j.sleepe.2025.100106
Irene A Doherty , Mary Ellen Wells
{"title":"Sleep disparities in the United States: Comparison of logistic and linear regression with stratification by race","authors":"Irene A Doherty , Mary Ellen Wells","doi":"10.1016/j.sleepe.2025.100106","DOIUrl":"10.1016/j.sleepe.2025.100106","url":null,"abstract":"<div><h3>Background</h3><div>Analyses of risk factors associated with poor sleep/deprivation often use nationally representative surveys of the United States such as the National Household and Nutrition Examination Survey (NHANES). Outcomes are dichotomized as <6, <7, or <8 h of sleep and modeled with logistic regression where race or ethnicity is treated as an independent variable. Converting a continuous variable (sleep hours) to a categorical compromises statistical power. Treating race as a confounder fails to uncover how sleep disparities affect minorities.</div></div><div><h3>Methods</h3><div>This analysis of NHANES from 2005 to 2008 of White and Black participants compares interpretations from logistic regression models using ≤6 h of self-reported sleep to linear regression models using number of sleep minutes as the outcome. The analysis includes bivariate and multivariable models of risk factors associated with poor sleep including race, markers of low socioeconomic status (SES), sleep difficulty measures, self-reported health, and clinical comorbidities (obesity, hypertension, diabetes). All models were generated for the complete sample and stratified by race.</div></div><div><h3>Results</h3><div>Linear regression models produced quantifiable, clinically meaningful results such as women slept ∼20 additional minutes than men for both Black and White strata or were OR=0.63 times as likely to sleep ≤6 h. Markers of low SES (education, poverty) and self-reported health were associated with sleep deprivation for Whites, but not for Blacks in both linear and logistic regression.</div></div><div><h3>Conclusions</h3><div>Stratified analyses by race using the amount of sleep as a continuous outcome in linear regression is more rigorous and informative than logistic regression for sleep research using US representative surveys.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"5 ","pages":"Article 100106"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157181","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}
Sleep epidemiologyPub Date : 2025-12-01Epub Date: 2025-04-23DOI: 10.1016/j.sleepe.2025.100108
Sebastian Heidenreich , Melissa Ross , Bruno Flamion , Andrea Phillips-Beyer
{"title":"A patient-centric benefit-risk assessment of daridorexant for the treatment of insomnia disorder using patient preference data collected in two phase 3 clinical trials","authors":"Sebastian Heidenreich , Melissa Ross , Bruno Flamion , Andrea Phillips-Beyer","doi":"10.1016/j.sleepe.2025.100108","DOIUrl":"10.1016/j.sleepe.2025.100108","url":null,"abstract":"<div><h3>Study objectives</h3><div>To conduct a patient-centric benefit-risk assessment of daridorexant vs. placebo for insomnia disorder treatment.</div></div><div><h3>Methods</h3><div>A quantitative benefit-risk assessment (qBRA) combined patient preference information and clinical data collected in two multicenter placebo-controlled phase 3 trials. The qBRA weighted efficacy and adverse event data collected in the daridorexant and placebo trial arms based on the acceptable benefit-risk trade-offs patients would be willing to make in a discrete choice experiment. The preference-weighted trial arms were used to test the total net benefits of daridorexant 50 mg and daridorexant 25 mg vs. placebo. Sensitivity analyses accounted for uncertainty in both clinical trial and patient preference data.</div></div><div><h3>Results</h3><div>Preferences of 602 trial participants (68.1 % female, mean age 58.6 years) were used in the qBRA analysis. Both daridorexant 25 mg (net benefit [standard error {SE}] = 0.097 [0.022]) and daridorexant 50 mg (net benefit [SE] = 0.197 [0.025]) had a significantly higher net benefit than placebo (both p < 0.001). Time to fall asleep, daytime functioning, and total time asleep provided added value for daridorexant over placebo and outweighed potential side effects. The sensitivity analyses accounting for differences in both clinical trial and patient preference data indicated that both doses of daridorexant would still be preferred over placebo.</div></div><div><h3>Conclusion</h3><div>Even when accounting for uncertainty in clinical data and patients’ preferences, both daridorexant 25 mg and 50 mg were likely to have a positive benefit-risk balance from the patient’s perspective.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"5 ","pages":"Article 100108"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep epidemiologyPub Date : 2025-12-01Epub Date: 2025-11-04DOI: 10.1016/j.sleepe.2025.100121
Juuli Heikkinen , Taru Lappalainen , Juha Auvinen , Markku Timonen
{"title":"Association between chronotype, glucose metabolism and type 2 diabetes at population level - A systematic review","authors":"Juuli Heikkinen , Taru Lappalainen , Juha Auvinen , Markku Timonen","doi":"10.1016/j.sleepe.2025.100121","DOIUrl":"10.1016/j.sleepe.2025.100121","url":null,"abstract":"<div><h3>Background/Objectives</h3><div>A chronotype is an expression of an individual circadian rhythm associated with sleep and physical activity. It categorizes people as morning, intermediate and evening chronotype. The aim of this systematic review was to evaluate the association of chronotype with glucose metabolism at population level..</div></div><div><h3>Methods</h3><div>The study was conducted in accordance with the international PRISMA Code of Systematic Reviews. Covidence was used for data selection. We included articles that utilized data from unselected populations. Articles were excluded primarily based on the characteristics of the study population, including shift workers, patients with specific disease and children.</div></div><div><h3>Results</h3><div>Finally, there were a total of ten articles that met the eligibility criteria. Eight studies had a cross-sectional setting, and three had prospective study design. Seven out of ten articles reported a statistically significant association between evening chronotype and glucose metabolism disorders. The number of participants in the studies varied (N = 447 to 360,403). Parameters used to examine glucose metabolism were diabetes, prediabetes, fasting glucose, fasting insulin, Hemoglobin A1c (HbA1<sub>c),</sub> Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), and two hours oral glucose tolerance test.</div></div><div><h3>Conclusions</h3><div>Based on the current literature, the evening chronotype appears to be positively associated with adverse changes in glucose metabolism, such as increased fasting glucose and insulin resistance, as well as type 2 diabetes. In the future, it might be necessary to further study the association between chronotype and glucose metabolism. Longitudinal analyses are needed in large research populations in order to verify the existence of the association.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"5 ","pages":"Article 100121"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep epidemiologyPub Date : 2025-12-01Epub Date: 2025-11-30DOI: 10.1016/j.sleepe.2025.100124
Kyle T. Ganson , Alexander Testa , Jason M. Nagata
{"title":"Use of pre-workout dietary supplements is associated with lower sleep duration among adolescents and young adults","authors":"Kyle T. Ganson , Alexander Testa , Jason M. Nagata","doi":"10.1016/j.sleepe.2025.100124","DOIUrl":"10.1016/j.sleepe.2025.100124","url":null,"abstract":"<div><div>This study aimed to investigate the association between the use of pre-workout dietary supplements and average sleep duration among adolescents and young adults. Data from Wave 2 of the Canadian Study of Adolescent Behaviors (<em>N</em> = 912) were analyzed. Multinomial logistic regression analyses were conducted to investigate the cross-sectional association between the use of pre-workout dietary supplements in the past 12 months and average sleep duration in the past 2 weeks. Adolescents and young adults who reported pre-workout dietary supplement use were at greater risk (RRR 2.53, 95% CI 1.27–5.05, <em>p</em> = 0.09) of reporting ≤5 h of average sleep per night relative to 8 h of sleep. Findings underscore that the high caffeine content of pre-workout dietary supplements is associated with shorter sleep durations, which are well below the recommended guidelines for adolescents and young adults. Health and mental health care professionals should educate pre-workout users on the association between use and sleep.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"5 ","pages":"Article 100124"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145692988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep epidemiologyPub Date : 2024-12-01Epub Date: 2024-02-18DOI: 10.1016/j.sleepe.2024.100077
Pasquale Tondo , Giulia Scioscia , Terence Campanino , Roberto Sabato , Anela Hoxhallari , Simone Sorangelo , Rosa Leccisotti , Giuseppe Mansueto , Maria Pia Foschino Barbaro , Donato Lacedonia
{"title":"A preliminary report of gender differences in residual sleepiness of CPAP-treated obstructive sleep apnea","authors":"Pasquale Tondo , Giulia Scioscia , Terence Campanino , Roberto Sabato , Anela Hoxhallari , Simone Sorangelo , Rosa Leccisotti , Giuseppe Mansueto , Maria Pia Foschino Barbaro , Donato Lacedonia","doi":"10.1016/j.sleepe.2024.100077","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100077","url":null,"abstract":"<div><h3>Background</h3><p>Males and females present different sleep alterations, so the aim of the study was to investigate gender differences in residual excessive sleepiness (RES) post continuous positive airway pressure (CPAP) treatment in a population with obstructive sleep apnea (OSA).</p></div><div><h3>Methods</h3><p>The study was conducted on consecutive subjects with moderate-severe OSA treated by CPAP for one year. Clinical and sleep data were collected from the sample, including RES calculated according to an Epworth sleepiness scale (ESS) threshold score >10 points at yearly follow-up. Of this sample, gender differences were investigated.</p></div><div><h3>Results</h3><p>157 patients (125 males and 32 females) with a mean age of 62,84±11,81 years were included in the study. Overall, females were more obese (<em>p</em> = 0,001) with no differences in OSA severity compared to males.</p><p>At yearly follow-up, sleepiness was significantly reduced in both sexes but 25 % of males reported RES compared to 13 % of females (<em>p</em> = 0,03). In addition, females were more adherent to CPAP (<em>p</em> = 0,008) than males.</p><p>However, by observing the residual sleepiness data, it was noticed that sleepy females were more elderly and obese than sleepy males. Females also presented a higher nocturnal time with oxygen saturation <90 % (T90) with more cognitive symptoms. Conversely, sleepy males reported higher number of OSA-related symptoms and more history of comorbidities.</p></div><div><h3>Conclusion</h3><p>The report suggests that sleepy males have many symptoms with history of multimorbidity, while sleepy females are elderly, obese and have more cognitive symptoms maybe due to worse hypoxia during sleep. Nonetheless, larger sample studies are needed to confirm our findings.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000064/pdfft?md5=1ff7b1a2d3327bce921205ede2646aba&pid=1-s2.0-S2667343624000064-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914903","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}
Sleep epidemiologyPub Date : 2024-12-01Epub Date: 2024-11-15DOI: 10.1016/j.sleepe.2024.100102
Ahmad Neyazi , Bilal Ahmad Rahimi , Abdul Qadim Mohammadi , Nosaibah Razaqi , Laila Qanawezi , Shaharah Sarem , Saida Said , Raz Mohammad Tabib , Habibah Afzali , Mehrab Neyazi , Mark D. Griffiths
{"title":"Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study","authors":"Ahmad Neyazi , Bilal Ahmad Rahimi , Abdul Qadim Mohammadi , Nosaibah Razaqi , Laila Qanawezi , Shaharah Sarem , Saida Said , Raz Mohammad Tabib , Habibah Afzali , Mehrab Neyazi , Mark D. Griffiths","doi":"10.1016/j.sleepe.2024.100102","DOIUrl":"10.1016/j.sleepe.2024.100102","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers.</div></div><div><h3>Results</h3><div>Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (<em>r</em> = 0.228) and sleep issues (<em>r</em> = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents.</div></div><div><h3>Conclusion</h3><div>There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657539","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":"Unraveling the link between chronic pain and sleep quality: Insights from a national study","authors":"Angelica Lopez , Dylan Simburger , Anna Zajacova , Connor Sheehan","doi":"10.1016/j.sleepe.2024.100079","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100079","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the relationship between chronic pain and sleep quality in U.S. men and women.</p></div><div><h3>Methods</h3><p>Data included adults aged 25-84 from the 2013-2018 nationally representative National Health Interview Surveys (n=161,282). We examined three measures of sleep quality –self-reported days with difficulty falling asleep, difficulty staying asleep, and days not feeling rested. We analyzed multiple measures of chronic pain – any chronic pain, the location of chronic pain, and the count of chronic pain locations. Linear regression models of each sleep outcomes were estimated on the pooled sample, then by sex and age.</p></div><div><h3>Results</h3><p>The presence of any chronic pain, migraines/headaches, and the number of chronic pain sites were all associated with worse sleep quality across all three measures. Having migraines tended to be most strongly associated with sleep quality. Our findings also indicate sex differences in how chronic pain affects sleep, with women's sleep issues being associated with minor chronic pain while men's sleep problems are associated more with major chronic pain.</p></div><div><h3>Conclusions</h3><p>Chronic pain influences the sleep of the American population, with migraines in particular having a strong relationship. Future research should consider the bi-directionality in the relationship.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000088/pdfft?md5=b95d0c3c284194efad805782004838c2&pid=1-s2.0-S2667343624000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140015320","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":"Characterizing sleep in adults with Type 1 and Type 2 diabetes","authors":"Lydi-Anne Vézina-Im , Stéphane Turcotte , Anne-Frédérique Turcotte , Dominique Beaulieu , François Boudreau , Christine Morin","doi":"10.1016/j.sleepe.2024.100078","DOIUrl":"https://doi.org/10.1016/j.sleepe.2024.100078","url":null,"abstract":"<div><h3>Objective</h3><p>To characterize sleep/insomnia and sleep habits among adults with type 1 (T1D) and type 2 (T2D) diabetes.</p></div><div><h3>Methods</h3><p>Adults with T1D or T2D were invited to complete an anonymous cross-sectional online survey containing validated self-reported measures on sleep quality, sleep health, insomnia severity, and questions on sleep habits. Multivariate linear and logistic regression analyses were performed.</p></div><div><h3>Results</h3><p>A total of 303 adults (20–86 years; 75.3 % female) with T1D (<em>n</em> = 121) and T2D (<em>n</em> = 182) completed the whole survey. Sleep quality was associated with type of diabetes (β=1.27; 95 % CI: 0.28, 2.27) and income (β=-1.18; 95 % CI: -2.11, -0.26) when adjusted for sex and age. Adults with T2D and with a lower income reported poorer sleep quality. Sleep timing variability (r<sub>s</sub>=0.25–0.33; <em>p</em> < 0.05) and caffeine consumption before bedtime (r<sub>s</sub>=0.14–0.17; <em>p</em> < 0.05) were the sleep habits that were correlated with sleep quality, sleep health, and insomnia severity when adjusted for sex, age, and income. Sleep timing variability ≥3 times/week was associated with age (OR=0.97; 95 % CI: 0.94, 0.99). Caffeine consumption before bedtime ≥3 times/week was associated with sex × age (<em>p</em> = 0.0165). Younger males were the most likely to indicate adopting this sleep habit.</p></div><div><h3>Conclusions</h3><p>Adults with T2D and those reporting a lower income seem at high risk for poor sleep quality. Adults with diabetes mentioning sleep issues, especially those with T2D and with a lower income, should have access to inexpensive behavioral sleep interventions. Younger adults with diabetes should receive counseling promoting healthy sleep habits, especially males in the case of caffeine consumption before bedtime.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000076/pdfft?md5=945b7646c8c3aa5b0c379e023131dda5&pid=1-s2.0-S2667343624000076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140015344","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}
Sleep epidemiologyPub Date : 2024-12-01Epub Date: 2024-09-06DOI: 10.1016/j.sleepe.2024.100097
Gabriela Avila Marques , Valentina Quintero Santofimio , Andre F.S. Amaral , Bryndis Benediktsdóttir , Thorarinn Gislason , Priscila Weber , Paula Duarte de Oliveira , Fernando Wehrmeister
{"title":"Sleep health association with asthma, allergic rhinitis, and atopic dermatitis: Systematic review of population-based studies","authors":"Gabriela Avila Marques , Valentina Quintero Santofimio , Andre F.S. Amaral , Bryndis Benediktsdóttir , Thorarinn Gislason , Priscila Weber , Paula Duarte de Oliveira , Fernando Wehrmeister","doi":"10.1016/j.sleepe.2024.100097","DOIUrl":"10.1016/j.sleepe.2024.100097","url":null,"abstract":"<div><h3>Introduction</h3><p>Poor sleep health is frequent among people with three common diseases that may co-occur: asthma, allergic rhinitis (AR), and atopic dermatitis (AD). However, few studies have assessed sleep health in people with coexisting diseases. The aims of this review were to systematically summarise: the proportion of people with asthma, or AR or AD, who have sleep disorders; and the evidence on the association of sleep health with these diseases in general populations.</p></div><div><h3>Methods</h3><p>We searched three databases (Medline, Web of Science and Google Scholar) for population-based studies regarding the association between sleep health, asthma, AR, or AD published by May 2023. After a systematic review of the studies, we summarised the evidence including the most prevalent sleep outcomes according to four groups of exposure: 1) asthma; 2) AR; 3) AD and 4) coexisting diseases.</p></div><div><h3>Results</h3><p>A total of 20 studies were identified of which one used coexisting diseases as main exposure. The majority of the selected studies were of fair quality. The most frequently assessed outcomes were nocturnal sleep-related dysfunctions (e.g. insomnia) and daytime sleep-related dysfunctions (e.g. daytime sleepiness). High proportions of sleep disorders were found among people with asthma, AR or AD. We found significant evidence that people with asthma, allergic rhinitis, or atopic dermatitis had impaired sleep health.</p></div><div><h3>Conclusion</h3><p>This systematic review highlights the need for methodologically robust population-based studies focused on the assessment of sleep outcomes among people with three diseases that may co-occur.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667343624000234/pdfft?md5=29e13b19ff8b100052bce12b21dacb96&pid=1-s2.0-S2667343624000234-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229799","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}