Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018

Choi, Sung Yong; Han, Ji-Eun; Choi, Jiae; Park, Minjung; Sung, Soo-Hyun; Sung, Angela Dongmin

doi:10.3390/healthcare10112324

Cited by 8 publications

(4 citation statements)

References 37 publications

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“…Furthermore, it is posited by scholars that sleep restriction activates the hypothalamic-pituitary-adrenal axis, thereby exacerbating depressive symptoms ( 45 ). Additionally, inadequate sleep reduces productivity, which in turn increases the likelihood of aggressive behavior and may ultimately contribute to depression and suicidal issues ( 46 ). Alternatively, it has been hypothesized that individuals with shorter sleep durations may have more time for reflective thoughts, leading to adverse outcomes associated with depression ( 47 ).…”

Section: Discussionmentioning

confidence: 99%

Association between sleep duration and depression in menopausal women: a population-based study

Zhang,

Cheng

2024

Front. Endocrinol.

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AimsThis research investigated menopausal women older than 50 years to find whether there were any independent relationships between the duration of sleep they got and their prevalence of depression.MethodsNational Health and Nutrition Examination Survey (NHANES) datasets from 2011-2020 were utilized in a cross-sectional study. Using multivariate linear regression models, the linear relationship between sleep duration and depression in menopausal women was investigated. Fitted smoothing curves and thresholds impact evaluation were used to investigate the nonlinear relationship. Then, subgroup analyses were performed according to smoking, drinking alcohol, diabetes, hypertension, heart disease, and moderate activities.ResultsThis population-based study included a total of 3,897 menopausal women (mean age 65.47 ± 9.06 years) aged≥50 years; 3,159 had a depression score <10, and 738 had a depression score≥10. After controlling for all covariates, the prevalence of depression was 17% higher among participants with short sleep duration [OR=1.17, 95%CI=(0.65, 1.70), P<0.0001] and 86% [OR=1.86, 95%CI=(1.05, 2.66), P<0.0001] compared to participants with normal sleep duration. In subgroup analyses stratified by smoking and diabetes, the sleep duration and depression scores of non-smokers [β=-0.18, 95%CI= (-0.33, -0.02), P=0.0241] and diabetics were independently negatively correlated [β=-0.32, 95%CI= (-0.63, -0.01), P=0.0416]. Using a two-segment linear regression model, we discovered a U-shaped relationship between sleep duration and depression scores with an inflection point of 7.5 hours. Less than 7.5 hours of sleep was associated with an increased risk of developing depression [β=-0.81, 95%CI= (-1.05, -0.57), P<0.001]. However, sleeping more than 7.5 hours per night increased the risk of depression considerably [β=0.80, 95%CI= (0.51, 1.08), P<0.001].ConclusionsDepression is associated with sleep duration in menopausal women. Insufficient or excessive sleep may increase the risk of depression in menopausal women.

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Section: Discussionmentioning

confidence: 99%

Association between sleep duration and depression in menopausal women: a population-based study

Zhang,

Cheng

2024

Front. Endocrinol.

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“…Numerous research findings using these data have been published, and research on depression is currently being undertaken. Using the KNHANES V-VII (2010-2018) data, it has been reported that depression is associated with low intake of fruits and vegetables [82], low consumption of curry rice [83], seaweed and mushroom [84], sugar-sweetened beverages consumption (≥ 1/day) [85], short sleep (≤ 6 h) [86], increased work-related physical activity, decreased recreational physical activity [84,87], poor dietary habits [88,89], gender difference, night eating, and nutritional adequacy [90] in the general population.…”

Section: Discussionmentioning

confidence: 99%

Nutrient Inadequacy in Korean Young Adults with Depression: A Case Control Study

et al. 2023

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The role of diet is gaining attention among the modifiable factors associated with depression; thus, this case–control study examined the association between nutrition and depression in young Korean adults. Dietary surveys in individuals with depression (n = 39) and age- and gender-matched controls (n = 76) were conducted using food records and food frequency questionnaires. Men with depression consumed less mushrooms and meat, while women consumed significantly less grains (p < 0.05). Overall, the depression group consumed less energy and nutrients, and the difference was more pronounced in men. The male depression group had lower nutrient adequacy ratio (NAR) for energy, protein, vitamin A, thiamine, niacin, folate, and phosphorus, whereas the female depression group had lower NARs for energy, protein, niacin, and vitamin B12. The depression group had a significantly lower mean adequacy ratio in both genders. Furthermore, the proportion of inappropriate nutrient intake was higher in both genders of the depression group, exhibiting significant differences in energy, protein, niacin, folate, and zinc in men and energy, riboflavin, folate, and vitamin C in women. Hence, both men and women in the depression group had poor nutrient intake and high rates of nutrient inadequacy and improper consumption. This suggests that the quantity and quality of meals should be improved for individuals with depressive symptoms.

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“…In this study, depression was defined as present or not present based on prior physician diagnosis from participant survey responses. 32,33 Finally, age and sex 34 were included in the analyses as covariates due to their ability to possibly confound the relationship between HL, voice disorder, and depression. Age is particularly important to control for as age is a frequently reported risk factor for both HL 35 and voice disorders.…”

Section: Variablesmentioning

confidence: 99%

Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort

Rameau,

Tucker,

Denham

et al. 2024

The Laryngoscope

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ObjectivesHearing loss (HL) (receptive communication impairment) is a known risk factor for depression. However, dysphonia (expressive communication impairment), has received little study. We study HL, self‐reported voice disorder, and combined impairment as risk factors for depression in a large national cohort.MethodsThis was a cross‐sectional epidemiologic study. Data were analyzed from the Korean National Health and Nutrition Examination Survey (KNHANES) cycles 2008–2012 and 2019–2020. KNHANES uniquely contains both audiometry and voice disorder data. HL (yes/no) was defined as ≥25 dB pure tone average. Voice disorder (yes/no) was defined by self‐report. Depression (yes/no) was defined by physician diagnosis. Odds ratios for depression were calculated using multivariable logistic regressions with HL and voice disorder.Results8,524 individuals aged 19 to 80 years old had complete data. The mean age was 57.3 years (SD = 13.4) and 64% were women. All regressions were controlled for age and sex. Those with HL, versus those without, had 1.27 times the odds (95% CI = 1.07–1.52, p = 0.007) of depression. Those with self‐reported voice disorder, versus those without, had 1.48 times the odds (1.22–1.78, p < 0.001) of depression. Those with HL and self‐reported voice disorder, versus those with neither, had 1.79 times the odds (1.27–2.48, p < 0.001) of depression.ConclusionsThis study demonstrates independent relationships between HL and depression and self‐reported voice disorder and depression. Combined HL and self‐reported voice disorder had nearly 1.8 times the odds of depression. This is likely due to the grossly additive effect of difficulty with incoming and outgoing communication streams.Level of EvidenceII Laryngoscope, 2024

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Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018

Cited by 8 publications

References 37 publications

Association between sleep duration and depression in menopausal women: a population-based study

Association between sleep duration and depression in menopausal women: a population-based study

Nutrient Inadequacy in Korean Young Adults with Depression: A Case Control Study

Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort

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