Sleep epidemiology最新文献_第5页

Neighborhood and Household Environment as Contributors to Racial Disparities in Sleep Duration among U.S. Adolescents 邻里和家庭环境对美国青少年睡眠时间种族差异的影响

Sleep epidemiology Pub Date : 2023-09-01 DOI: 10.1016/j.sleepe.2023.100065

Ryan Saelee , Regine Haardörfer , Dayna A. Johnson , Julie A. Gazmararian , Shakira F. Suglia

{"title":"Neighborhood and Household Environment as Contributors to Racial Disparities in Sleep Duration among U.S. Adolescents","authors":"Ryan Saelee , Regine Haardörfer , Dayna A. Johnson , Julie A. Gazmararian , Shakira F. Suglia","doi":"10.1016/j.sleepe.2023.100065","DOIUrl":"10.1016/j.sleepe.2023.100065","url":null,"abstract":"<div><h3>Objective</h3><p>Racial disparities in adolescent sleep duration have been documented, but pathways driving these disparities are not well understood. This study examined whether neighborhood and household environments explained racial disparities in adolescent sleep duration.</p></div><div><h3>Methods</h3><p>Participants came from Waves I and II of Add Health (n=13,019). Self-reported short sleep duration was defined as less than the recommended amount for age (<9 hours for 6-12 years, <8 hours for 13-18 years, and <7 hours for 18-64 years). Neighborhood factors included neighborhood socioeconomic disadvantage, perceived safety and social cohesion. Household factors included living in a single parent household and household socioeconomic status (HSES). Structural equation modeling was used to assess mediation of the neighborhood and household environment in the association between race/ethnicity and short sleep duration.</p></div><div><h3>Results</h3><p>Only HSES mediated racial disparities, explaining non-Hispanic (NH) African American-NH White (11.6%), NH American Indian-NH White (9.9%), and Latinx-NH White (42.4%) differences. Unexpectedly, higher HSES was positively associated with short sleep duration.</p></div><div><h3>Conclusion</h3><p>Household SES may be an important pathway explaining racial disparities in adolescent sleep duration. Future studies should examine mechanisms linking household SES to sleep and identify buffers for racial/ethnic minority adolescents against the detrimental impacts that living in a higher household SES may have on sleep.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41342258","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}

引用次数: 0

Study of the sleep in Egyptian children with Juvenile SLE and it's effect on their scholastic achievement 埃及青少年SLE患儿睡眠状况及其对学习成绩影响的研究

Sleep epidemiology Pub Date : 2023-08-27 DOI: 10.1016/j.sleepe.2023.100064

JF Mekky , MA Thabet , SA Elnwam , Hayam M Abdelghany , HM Fathy

{"title":"Study of the sleep in Egyptian children with Juvenile SLE and it's effect on their scholastic achievement","authors":"JF Mekky , MA Thabet , SA Elnwam , Hayam M Abdelghany , HM Fathy","doi":"10.1016/j.sleepe.2023.100064","DOIUrl":"10.1016/j.sleepe.2023.100064","url":null,"abstract":"<div><p>The clinical spectrum of neuropsychiatric manifestations of juvenile systemic lupus erythematosus (JSLE) can be quite variable and sleep problems have been reported as being one of the under-recognized needs of SLE patients.</p><p><strong>Aim</strong> Determination of sleep abnormalities among lupus children and their effects on children's scholastic achievements.</p><p><strong>Subjects</strong> This study was carried out on 38 children with systemic lupus erythematosus and thirty healthy children, whom their guardians agreed to volunteer in the study .</p><p><strong>Methods</strong> In the current cross sectional study all children were subjected to full clinical examination, MRI brain of the patients, sleep history, Epworth sleepiness scale and the Sleep disturbances scale for children</p><p><strong>Results</strong> 52.6% of the studied children had different sleep patterns, as follows:13.2% disorders of initiating and maintaining sleep (DIMS), 2.6% with Sleep breathing disorders (SBD), 10.5% with disorders of arousal (DA), 5.3% with sleep-wake transition disorders (SWTD), 2.6% with disorders of excessive somnolence (DOES), 7.9% with Sleep Hyperhidrosis (SHY), 7.9% with pathological total sleep disturbances score.</p><p>5.3% of children had excessive daytime sleepiness and 21% had moderate daytime sleepiness and 73.7% had normal daytime sleepiness.</p><p>Children with positive findings in brain MRI had different sleep disorders demonstrated as follows, 33.3% had disorders of initiating and maintaining sleep (DIMS). 16.7% had Sleep Hyperhidrosis (SHY).16.7% had pathological total sleep disturbances score.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100064"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46586379","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}

引用次数: 0

The relation of insomnia and obstructive sleep apnea on sexual function and climacteric symptoms in postmenopausal women 失眠和阻塞性睡眠呼吸暂停对绝经后妇女性功能和更年期症状的影响

Sleep epidemiology Pub Date : 2023-08-13 DOI: 10.1016/j.sleepe.2023.100063

Isabela A. Ishikura , Leandro Lucena , Monica L. Andersen , Sergio Tufik , Helena Hachul

{"title":"The relation of insomnia and obstructive sleep apnea on sexual function and climacteric symptoms in postmenopausal women","authors":"Isabela A. Ishikura , Leandro Lucena , Monica L. Andersen , Sergio Tufik , Helena Hachul","doi":"10.1016/j.sleepe.2023.100063","DOIUrl":"10.1016/j.sleepe.2023.100063","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to investigate the effects of insomnia combined with obstructive sleep apnea (OSA) on sexual function and climacteric symptoms in postmenopausal women.</p></div><div><h3>Methods</h3><p>Our sample comprised 47 postmenopausal women distributed into 3 groups: 1) insomnia group, 2) OSA group, and 3) OSA + insomnia group. All participants completed the following questionnaires: the Insomnia Severity Index, the Female Sexual Function Index, and the Blatt-Kupperman menopausal index. Of the 47 participants, 34 women undergone polysomnography. The 3 groups were compared in respect of climacteric symptoms, sexual function score, and sleep.</p></div><div><h3>Results</h3><p>Our results showed that 85.1% of the postmenopausal women were classified with insomnia, 46.8% were diagnosed with OSA, and 82.9% had low sexual function. All groups had sleep efficiency of < 80%, wake after sleep onset of > 65 min, and a total sleep time of < 6 h, indicating poor sleep quality. There were no statistically significant differences among the groups in all sexual domains (desire, arousal, lubrication, orgasm, satisfaction, and pain). According to climacteric symptoms, the group of OSA + insomnia reported more climacteric symptoms when compared to OSA group.</p></div><div><h3>Conclusions</h3><p>In our sample, the presence of insomnia and OSA associated with postmenopause revealed a low score for sexual function. Climacteric symptoms were higher in the groups with insomnia, and the association with low sexual function can lead to worsening of clinical condition. This study emphasizes the importance to identify the sleep disorders that postmenopausal women may present and to consider the possible effects they may have in sexual dysfunction.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44166429","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}

引用次数: 0

A cross-sectional study of the association between sleep quality and anxiety in postsecondary students in Ontario 安大略省中学生睡眠质量与焦虑关系的横断面研究

Sleep epidemiology Pub Date : 2023-07-20 DOI: 10.1016/j.sleepe.2023.100062

Magdalena Albrecht-Bisset , Dan Wang , Krystle Martin , Pierre Côté , Efrosini A. Papaconstantinou

{"title":"A cross-sectional study of the association between sleep quality and anxiety in postsecondary students in Ontario","authors":"Magdalena Albrecht-Bisset , Dan Wang , Krystle Martin , Pierre Côté , Efrosini A. Papaconstantinou","doi":"10.1016/j.sleepe.2023.100062","DOIUrl":"https://doi.org/10.1016/j.sleepe.2023.100062","url":null,"abstract":"<div><p>Postsecondary students frequently report high rates of anxiety and poor sleep quality. The association between poor sleep quality and anxiety is poorly understood in this population. We conducted a cross-sectional study of students enrolled in two faculties at Ontario Tech University (OTU) - Faculty of Health Sciences (FHS) and Faculty of Education (FEd), and students attending the Canadian Memorial Chiropractic College (CMCC) during the fall of 2017 to determine the prevalence of poor sleep quality and moderate to extremely severe anxiety, as well as the association between them. Participants completed self-report questionnaires to measure sleep quality (Pittsburgh Sleep Quality Index [PSQI]), anxiety (Depression, Anxiety, and Stress Scale – 21 Items [DASS-21]), socio-demographic, lifestyle and health-related variables. Multivariable logistic regression was used to measure the association between poor sleep quality and moderate to extremely severe anxiety, as well as to control for covariates. A significant correlation between PSQI scores and DASS-21 anxiety scores was found in both populations: students who reported poor sleep quality were more likely to report moderate to extremely severe anxiety. This association decreased but still remained high even after controlling for important covariates (i.e., biological sex, stress, and depression).</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190025","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}

引用次数: 0

Effectiveness of digital cognitive-behavioral therapy for insomnia alone or combined with sleep medication: A real-world evidence study 数字认知行为疗法单独或与睡眠药物联合治疗失眠的有效性：一项真实世界的证据研究

Sleep epidemiology Pub Date : 2023-07-19 DOI: 10.1016/j.sleepe.2023.100061

Julia Ribeiro da Silva Vallim , Gabriel Natan Pires , Renata Redondo Bonaldi , Marcio Andrei Zanini , Leticia Santoro Azevedo Soster , Silvério Garbuio , Ksdy Maiara Moura Sousa

{"title":"Effectiveness of digital cognitive-behavioral therapy for insomnia alone or combined with sleep medication: A real-world evidence study","authors":"Julia Ribeiro da Silva Vallim , Gabriel Natan Pires , Renata Redondo Bonaldi , Marcio Andrei Zanini , Leticia Santoro Azevedo Soster , Silvério Garbuio , Ksdy Maiara Moura Sousa","doi":"10.1016/j.sleepe.2023.100061","DOIUrl":"10.1016/j.sleepe.2023.100061","url":null,"abstract":"<div><p>Insomnia is a highly prevalent sleep disorder, but its first line of treatment (Cognitive Behavioral Therapy for Insomnia - CBTi) is not widely available and affordable. Digital therapy has been an alternative to these limitations and its combination with pharmacological treatment may improve patients' clinical outcomes and therapy adherence. This was a real-world evidence study aimed to evaluate the efficacy of a CBTi smartphone app combined or not with sleep medication, based on a sample of users of a CBTi smartphone app (<em>SleepUp®</em>) registered between June 2020 and June 2022. Individuals were categorized into two groups (“dCBTi alone” and “dCBTi combined”) according to their self-reported use of sleep medication on the first day of treatment. Assessments were made based on the self-report of sleep logs (sleep quality and efficiency) and on insomnia severity (Insomnia Severity Index). Comparisons were made considering the first entry (baseline) and the mean of the last three days in which sleep logs were filled out (final). The final samples comprised 143 individuals: 73 (51%) reported using sleep medication at baseline, while 70 (49%) did not. In both groups, there was an improvement in sleep quality, (<em>p</em><0.001), sleep efficiency (<em>p</em><0.001), and insomnia severity (<em>p</em><0.001). The magnitude of effects on sleep efficiency and insomnia severity was greater in the dCTBi combined group. This result indicates that dCBTi can be useful as an adjuvant treatment for insomnia.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47259687","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}

引用次数: 0

Characteristics of adults newly diagnosed with idiopathic hypersomnia in the United States 美国新诊断为特发性嗜睡的成年人的特征

Sleep epidemiology Pub Date : 2023-07-18 DOI: 10.1016/j.sleepe.2023.100059

Ragy Saad , Patricia Prince , Benjamin Taylor , Rami H. Ben-Joseph

{"title":"Characteristics of adults newly diagnosed with idiopathic hypersomnia in the United States","authors":"Ragy Saad , Patricia Prince , Benjamin Taylor , Rami H. Ben-Joseph","doi":"10.1016/j.sleepe.2023.100059","DOIUrl":"10.1016/j.sleepe.2023.100059","url":null,"abstract":"<div><h3>Background</h3><p>Idiopathic hypersomnia is a debilitating sleep disorder; however, little is known about the clinical presentation of patients receiving this diagnosis.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of IBM® MarketScan® claims (January 2014 to September 2019) was conducted. Analysis cohorts included adults ≥18 years of age from the MarketScan population and a subset newly diagnosed with idiopathic hypersomnia. Diagnosis required ≥2 idiopathic hypersomnia claims separated by ≥1 and ≤180 days, and continuous enrollment ≥12 months before the diagnosis date. Descriptive statistics were reported for diagnosing medical specialties, objective sleep laboratory testing utilization, and comorbidities in the 12 months prior to diagnosis.</p></div><div><h3>Results</h3><p>From the general MarketScan cohort (<em>N</em> = 32,948,986), 4980 patients (0.015%) were newly diagnosed with idiopathic hypersomnia (mean age, 42.7 years; 66.9% female). The most common diagnosing medical specialties were pulmonary medicine (23.3%), neurology (14.4%), and internal medicine (11.4%). Only 44.4% of patients received objective sleep laboratory testing during the 12 months prior to diagnosis. The most common comorbidities were sleep apnea (49.5%), mood disorders (32.1%), depressive and anxiety disorders (31.0%, 30.7%, respectively), hyperlipidemia (30.1%), headache/migraine (23.9%), diabetes or use of diabetes/obesity medication (19.8%), hypertension (15.0%), and history of cardiovascular disease (14.3%).</p></div><div><h3>Conclusions</h3><p>These results suggest that idiopathic hypersomnia is diagnosed by multiple medical specialists, and less than half of clinicians utilize proximate sleep laboratory testing prior to patient diagnosis in real-world settings. Furthermore, patients commonly have cardiovascular, metabolic, and psychiatric comorbidities. Healthcare providers should consider these comorbidities and cardiometabolic risks when evaluating treatment options for idiopathic hypersomnia.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100059"},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42343275","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}

引用次数: 2

Association of working hours with accelerometer-based sleep duration and sleep quality on the following night among older employees 高龄员工的工作时间与基于加速计的睡眠时间和睡眠质量之间的关系

Sleep epidemiology Pub Date : 2023-07-18 DOI: 10.1016/j.sleepe.2023.100060

Saana Myllyntausta , Anna Pulakka , Jaana Pentti , Jussi Vahtera , Marianna Virtanen , Sari Stenholm

{"title":"Association of working hours with accelerometer-based sleep duration and sleep quality on the following night among older employees","authors":"Saana Myllyntausta , Anna Pulakka , Jaana Pentti , Jussi Vahtera , Marianna Virtanen , Sari Stenholm","doi":"10.1016/j.sleepe.2023.100060","DOIUrl":"10.1016/j.sleepe.2023.100060","url":null,"abstract":"<div><p>This study examined the association between daily working hours and accelerometer-based sleep duration, sleep efficiency, and number of awakenings per hour of sleep on the following night among 800 older public sector employees in Finland (mean age 63 years in the first measurement they participated in, 87% women) with 4,818 measurement nights in total. Information on working hours was derived from daily logs and categorized into: 1) 6 h, 2) 7, hours 3) 8 h, 4) 9 h, and 5) 10 or more hours of work. The most common category (i.e. workdays with 8 h of work) was used as the reference category in the analyses. Nights followed by a workday and a free day were analyzed separately. No differences were observed in sleep duration between the reference group and the other working hour categories when the next day was a workday nor when the next day was a free day. After a 6-hour workday, sleep efficiency was on average 1.0 percentage points higher and there were on average 0.13 less awakenings per hour of sleep when compared with the reference category. When the next day was a free day, no differences in sleep quality were observed. Thus, no clear indication of a dose-response relationship between working hours and either duration or quality of sleep was found. Furthermore, future research should further examine the possibility that the association between working hours and sleep is somewhat different depending on whether the workday is followed by another workday or a free day.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100060"},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48524609","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}

引用次数: 0

Predictors of sleep quality in the Swiss alpine rescue service 瑞士高山救援服务的睡眠质量预测指标

Sleep epidemiology Pub Date : 2023-05-27 DOI: 10.1016/j.sleepe.2023.100058

Christian A Mikutta , Julia J Schmid , Prof. Ulrike Ehlert

引用次数: 0

Parasomnia patients and risk of injury, a 16-years clinical study 寄生虫病患者与损伤风险的16年临床研究

Sleep epidemiology Pub Date : 2023-05-26 DOI: 10.1016/j.sleepe.2023.100057

Vivian M. Correa , Giseli C. Arruda , Anna Szűcs

{"title":"Parasomnia patients and risk of injury, a 16-years clinical study","authors":"Vivian M. Correa , Giseli C. Arruda , Anna Szűcs","doi":"10.1016/j.sleepe.2023.100057","DOIUrl":"https://doi.org/10.1016/j.sleepe.2023.100057","url":null,"abstract":"<div><h3>Purpose</h3><p>We aimed to analyze the risk of injury in different age and gender groups experiencing parasomnias.</p></div><div><h3>Methods</h3><p>We collected clinical data of adult parasomnia patients seen between 2007 and 2023, from the database of the Institute of Behavioral Sciences Semmelweis University in Budapest. We classified them by age (19–39 and ≥40 years) and biological sex groups. Binary logistic regression was calculated to find the association between alcohol and tobacco use and dangerous activities, using odds ratios (ORs) at 95% CIs.</p></div><div><h3>Results</h3><p>Out of 45 parasomnia patients (64.5% female, and 73.4% in the 19–39 years age group), 69% experienced somnambulism and 20% had nightmare disorder. Dangerous behaviors and injuries related to sleepwalking included shoulder dislocation (6.3%), injury from breaking objects (25%), and sex without consent (12.5%). In our results, alcohol use was associated with parasomnia events 21-fold in males compared to females (<em>p</em><0.05). Dangerous behavior was significantly higher in males and younger, than in older adults (OR: 4.91 and 4.61, <em>p</em><0.05).</p></div><div><h3>Conclusion</h3><p>Parasomnias require particular care due to the risk of injury. The remarkably high odds of dangerous sleepwalking activities in males and young adults require further attention and explanation.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190024","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}

引用次数: 0

Parasomnias patients and risk of injury, a 16-years clinical data study 寄生虫病患者与损伤风险的16年临床数据研究

Sleep epidemiology Pub Date : 2023-05-01 DOI: 10.1016/j.sleepe.2023.100057

Vivian M. Correa, A. Szűcs, Giseli C. Arruda

引用次数: 0