BackgroundAdequate sleep is essential for health. Both, short and long sleep durations are associated to worse quality of life and poor health outcomes. Portugal represents a specific population model, since according to European statistics it has high rates of chronic diseases like depression, hypertension, diabetes and stroke; and low quality of life as well as low index of physical activity, while in parallel it has some other good health indicators such as: low age-standardized mortality for both genders, nutrition in terms of energy and fruit consumption, smoking and alcohol, obesity and overweight prevalence. The aim of this study was to characterize health and chronic diseases, lifestyles and quality of life in subjects with short and long sleep duration.MethodsA population-based cross-sectional evaluation of the third wave of follow-up of the EpiDoC Cohort was carried between 2015-2016. A sample of 5,436 adults ≥18 years, representative of the national population, self-reported their daily total sleep time. Associations between short sleep duration (SSD ≤5h), long sleep duration (LSD≥9h) and independent variables were determined.ResultsThe prevalence for SSD was high (20.7%) and the LSD (5.9%) was low. Being older, with lower education, retired and unemployed were associated to SSD and LSD (p<0.01). Being obese was associated to SSD as well as hypertension, gastrointestinal disease and hypercholesterolemia (p<0.01). SSD and LSD, were associated with diabetes (p<0.01 and p=0.03) and depression (p<0.01 and p=0.02) respectively. Cardiovascular disease (p<0.01) was associated to LSD. Multimorbidity (p<0.01) was associated to SSD. Worse quality of life and bad physical function were associated to SSD and LSD, as well as being hospitalized in the previous 12 months (p<0.01).ConclusionsSocio-demographic, physical activity and chronic diseases were associated to reduction and extension of sleep duration. There was no association between rheumatic diseases and cancer with sleep duration, as found in other studies. This study emphasizes the burden of self-reported SSD for Portugal, its consequences to health and the need to increase sleep awareness campaigns enhancing the importance of sleep in health. Furthermore, it emphasizes that chronic diseases risks are dependent on multiple parameters which varying in different countries or regions, imply the need of regional studies and interventions.

Headaches occurring during the night or early morning are often related to a sleep disturbance.

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Purpose The purpose of this paper is to characterize the senior entrepreneurship context, as a solution for an unemployed qualified segment between 45 and 60 years of age, in the Northern region of Portugal, from a national and European perspective, associated to the growth trend of qualified senior unemployment in the region, based on a statistical angle and from the point of view of the motivations to become self-employed with a business creation project. Design/methodology/approach This empirical study is a cross-sectional study of mixed nature, that reconciles qualitative and quantitative analysis. A questionnaire was made and applied to a sample of 1,000 individuals and seven semi-structured interviews which four focus groups were carried out. Findings Findings allow us to conclude that the studied segment, skilled unemployed individuals between the ages of 45 and 60, is a growing segment that tends to evolve into long-term unemployment and underlines a potential reluctant entrepreneurship by necessity, i.e. a reduced motivational content of these unemployed people for the creation of their own job. The authors can conclude, in the Portuguese case, that government policies relating to taxes and bureaucracy are considered as unfavorable conditions or potentially inhibitors of senior entrepreneurship. Lastly, the authors underline the clear absence of specific support programs and measures for the promotion of entrepreneurship among the qualified senior unemployed and the authors propose an ecosystem creation regarding the specifics of the target group of the study. Practical implications The study identifies a set of actions and/or orientations that could be relevant and taken into account by the decision makers. Originality/value The main contribution of this paper is the better knowledge of the context and motivations for qualified senior entrepreneurship, as well as the associated personal, economic and social barriers; and the specific suggestions provided to policy makers in order to improve the context of the senior entrepreneurship.