Impact of the COVID-19 pandemic on change in sleep patterns in an exploratory, cross-sectional online sample of 79 countries

Petrov, Megan E.; Pituch, Keenan A.; Kasraeian, Kimiya; Jiao, Nana; Mattingly, Jennifer L; Hasanaj, Kristina; Youngstedt, Shawn D.; Buman, Matthew P.; Epstein, Dana R.

doi:10.1016/j.sleh.2021.05.007

Cited by 28 publications

(27 citation statements)

References 31 publications

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“…Among nearly 5000 active users of an objective sleep wearable with data preceding the COVID-19 pandemic, we found acutely increased sleep duration and delayed sleep timing in the first month during which stringent mitigation policies were implemented widely across the U.S., consistent with national and global literature. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Using a novel metric to quantify the consistency of sleep timing adapted from the SRI, 31 , 33 we also found abrupt and sustained increases in sleep consistency during the pandemic. Across the sample, the magnitude of the increase in mean sleep duration decreased gradually in the subsequent 2 months, as mean sleep offset returned to near prepandemic times, while delayed sleep onset persisted.…”

Section: Discussionmentioning

confidence: 84%

“… 50 Alongside many undesirable changes during the COVID-19 pandemic has been a unique opportunity for some to improve sleep behaviors. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Our unique dataset linking mental health and objective, high-resolution prepandemic sleep-wake data enhances our understanding of relationships between sleep and mental health. 43 , 51 Importantly, there is evidence supporting the efficacy of cognitive and behavioral interventions to improve sleep in adults without sleep disorders, 52 providing a precedent for effective measures, including for improvement of sleep to enhance mental health.…”

Section: Discussionmentioning

confidence: 99%

“…Naps were included within 24 h sleep measures to avoid erroneously categorizing individuals with comparatively more nap sleep duration during versus before the pandemic as having slept less on the basis of relatively decreased nocturnal sleep duration, especially given evidence of increased frequency of napping during the pandemic. 6 …”

Section: Participants and Methodsmentioning

confidence: 99%

“…Survey data 2 , 3 , 4 , 5 , 6 and longitudinal wearable or mobile application data 7 , 8 , 9 , 10 , 11 , 12 have been used to report increased sleep duration and delayed sleep timing during the pandemic in the U.S. and other countries. More than half of 6882 participants from 59 countries who completed online surveys conducted during mid-April to early May 2020 reported that they had delayed their sleep timing, according to a study published by Yuksel et al.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States

Czeisler

Capodilupo²,

Weaver

et al. 2022

Sleep Health

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Participants and Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States

Czeisler

Capodilupo²,

Weaver

et al. 2022

Sleep Health

View full text Add to dashboard Cite

“…Regarding sleep efficiency, the most common trend in the population was a decrease in sleep quality due to the COVID-19 pandemic. The negative mood of lockdown has been associated with a decrease in sleep patterns, a delayed bedtime, presence of nightmares and insomnia [37,38]. Findings from this trial showed a decrease in sleep efficiency in the high and medium PA groups.…”

Section: Discussionmentioning

confidence: 71%

Impact of Physical Activity Differences Due to COVID-19 Pandemic Lockdown on Non-Alcoholic Fatty Liver Parameters in Adults with Metabolic Syndrome

et al. 2022

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Background: A Mediterranean lifestyle with a Mediterranean diet and regular physical activity (PA) improves metabolic syndrome (MetS) characteristics and non-alcoholic fatty liver disease (NAFLD). The COVID-19 pandemic stopped healthy habits and increased NAFLD progression. Objectives: To assess how PA differences due to COVID-19 lockdown affected NAFLD parameters in adults with MetS. Design: Longitudinal 2-year analysis of data obtained between COVID-19 pre- and post-lockdown in a parallel-group randomized trial (n = 57, aged 40–60 years old, with MetS and NAFLD). Methods: NAFLD status and related parameters were assessed by magnetic resonance imaging (MRI), blood collection analysis and related indexes. PA and fitness status were assessed by an Alpha-Fit test battery, accelerometers, validated Minnesota questionnaire and functional fitness score. During lockdown, study personnel telephoned patients to motivate them. Participants were grouped according to PA levels. Results: The low PA group improved its fitness score tests (0.2) after lockdown more than the medium PA group, and it decreased its sedentary activity (−48.7 min/day), increased light (20.9 min/day) and moderate (32.3 min/day) PA intensities and improved sleep efficiency (0.6%) in comparison with the medium and high PA groups. The high PA group increased its steps per day more than the other groups. The low PA group was the only group that decreased its gamma glutamyl transferase (GGT) levels (−17.0 U/L). All groups increased their fatty liver index (FLI) after lockdown, but the medium PA group increased its FLI more than the low PA group. Participants in the high PA group decreased their HDL-cholesterol levels more than participants in the medium PA group (−0.4 mg/dL). Conclusions: Stopping regular PA together with an unhealthy lifestyle leads to a worsening of MetS and NAFLD. COVID-19 lockdown induced a decrease in PA in more active people, but inactive people increased their PA levels. Motivation seemed to be very important during lockdown.

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Psychosocial impacts of the COVID‐19 pandemic on women with trauma histories: Study of Women's Health Across the Nation (SWAN)

Jakubowski

Koffer

Matthews

et al. 2022

Journal of Traumatic Stress

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Older adults, particularly those with trauma histories, may be vulnerable to adverse psychosocial outcomes during the COVID‐19 pandemic. We tested associations between prepandemic childhood abuse or intimate partner violence (IPV) and elevated depressive, anxiety, conflict, and sleep symptoms during the pandemic among aging women. Women ( N = 582, age: 65–77 years) from three U.S. sites (Pittsburgh, Boston, Newark) of the longitudinal Study of Women's Health Across the Nation (SWAN) reported pandemic‐related psychosocial impacts from June 2020–March 2021. Prepandemic childhood abuse; physical/emotional IPV; social functioning; physical comorbidities; and depressive, anxiety, and sleep symptoms were drawn from SWAN assessments between 2009 and 2017. There were no measures of prepandemic conflict. In total, 47.7% and 35.3% of women, respectively, reported childhood abuse or IPV. Using logistic regression models adjusted for age; race/ethnicity; education; site; prepandemic social functioning and physical comorbidities; and, in respective models, prepandemic depressive, anxiety, or sleep symptoms, childhood abuse predicted elevated anxiety symptoms, OR = 1.67, 95% CI [1.10, 2.54]; household conflict, OR = 2.19, 95% CI [1.32, 3.61]; and nonhousehold family conflict, OR = 2.14, 95% CI [1.29, 3.55]. IPV predicted elevated sleep problems, OR = 1.63, 95% CI [1.07, 2.46], and household conflict, OR = 1.96, 95% CI [1.20, 3.21]. No associations emerged for depressive symptoms after adjusting for prepandemic depression. Aging women with interpersonal trauma histories reported worse anxiety, sleep, and conflict during the COVID‐19 pandemic than those without. Women's trauma histories and prepandemic symptoms are critical to understanding the psychosocial impacts of the pandemic.

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Impact of the COVID-19 pandemic on change in sleep patterns in an exploratory, cross-sectional online sample of 79 countries

Cited by 28 publications

References 31 publications

Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States

Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States

Impact of Physical Activity Differences Due to COVID-19 Pandemic Lockdown on Non-Alcoholic Fatty Liver Parameters in Adults with Metabolic Syndrome

Psychosocial impacts of the COVID‐19 pandemic on women with trauma histories: Study of Women's Health Across the Nation (SWAN)

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