The impact of sleep duration on self-rated health

Frange, Cristina; Queiroz, Sandra Souza de; Prado, Juliana Martuscelli da Silva; Tufik, Sérgio; Mello, Marco Túlio de

doi:10.1016/j.slsci.2014.09.006

Cited by 45 publications

(30 citation statements)

References 45 publications

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“…21 Second, health problems in HRQOL dimensions such as physical functioning, 16,18,19 mental health, 14,17 and pain 18,20 are correlated with extreme sleep duration and poor sleep quality, which may also have negative effect on selfrated health. 36 Third, sleep problems (eg, insomnia) 10,37 or sleep complaints 38 that normally accompany sleep disturbances are reported to have a negative relationship with HRQOL. Our findings that sleep quality has stronger association with HRQOL than sleep duration also align with the existing evidence.…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Pan

Cong

Zhou³

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: To determine the associations of self-reported sleep quality and duration with health-related quality of life (HRQOL) in older Chinese. Methods: We analyzed community-based cross-sectional data of 5,539 individuals aged 60 years and older in the Weitang Geriatric Disease Study. Information of sleep quality and duration were self-reported through participants' responses to predefined questions; HRQOL data were collected by using the European Quality of Life-5 Dimensions (EQ-5D). We estimated the associations of sleep quality and duration with the EQ-5D index and visual analog scale (VAS) scores using linear regression models. The associations between sleep quality and duration and EQ-5D-detected health problems were modeled using logistic regression. Results: In multiple linear models adjusting sociodemographic factors, health conditions, and lifestyle habits, both EQ-5D index and VAS scores declined with deterioration of sleep quality. The coefficients for poor and intermediate sleep quality were −0.053 (95% confidence interval [CI]:−0.065, −0.042) and −0.022 (95% CI: −0.030, −0.013), respectively, in relation to EQ-5D index score. They were −5.2 (95% CI: −6.7, −2.4) and − 3.8 (95% CI: −4.9, −2.7) in modeling the EQ-5D VAS score. HRQOL declined as sleep duration decreased below 7.01 hours or exceeded 8.01 hours, though most of the associations did not reach statistical significance. In multiple logistic models, poor sleep quality was associated with problems of mobility, pain/discomfort, and anxiety/ depression; short sleep duration was associated with mobility problems. Conclusions: Poor sleep quality and extreme sleep durations appeared to be negatively associated with HRQOL in older Chinese adults. Keywords: China, EQ-5D, health-related quality of life, older adults, sleep duration, sleep quality Citation: Pan CW, Cong X, Zhou HJ, Li J, Sun HP, Xu Y, Wang P. Self-reported sleep quality, duration, and health-related quality of life in older Chinese: evidence from a rural town in Suzhou, China.

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Section: Discussionmentioning

confidence: 99%

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Pan

Cong

Zhou³

et al. 2017

Journal of Clinical Sleep Medicine

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“…From this 24-h recall period, the sleep duration was recorded as continuous variable in minutes and converted into hours with one decimal place, then they were categorized into ≤ 6 h, 7 h, 8 h, 9 h, 10 h, and ≥ 11 h. These categories were consistent with previous studies on sleep and self-reported health status. 1 Seven hours is used as a reference category because the majority of the studies have used 7 h as the reference category 14,29,31,38 and 7 to 8 h sleep is also reportedly associated with the lowest risk of morbidity and mortality. 4,14,39 Other Main Covariates Sociodemographic factors like age, gender, household income and household size were included in the analysis.…”

Section: Sleep Durationmentioning

confidence: 99%

“…[1][2][3] There is increasing evidence that too little or too much sleep is associated with adverse health outcomes including mortality and morbidity. [4][5][6][7][8][9][10] Many studies report a U-shaped association between sleep duration and increased health risks.…”

Section: Introductionmentioning

confidence: 99%

Association between Sleep Duration and Self-Reported Health Status: Findings from the Bhutan's Gross National Happiness Study

Sithey

Wen

Kelly

2017

Journal of Clinical Sleep Medicine

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Study Objectives: Short and long sleep durations have been found to be associated with chronic conditions like diabetes mellitus, hypertension and cardiovascular disease. However, most studies were conducted in developed countries and the results were inconsistent. The aim of this study is to investigate the association between sleep duration and self-reported health status in a developing country setting. Methods: We conducted secondary data analysis of the 2010 Gross National Happiness study of Bhutan, which was a nationwide cross sectional study with representative samples from rural and urban areas. The study included 6476 participants aged 15-98 y. The main outcome variable of interest was selfreported health status. Sleep duration was categorized as ≤ 6 h, 7 h, 8 h, 9 h, 10 h, and ≥ 11 h. Multiple logistic regressions were conducted to investigate the association between sleep duration and self-reported health status. Results: The mean sleep duration was 8.5 (± 1.65) h. Only 9% of the respondents slept for 7 h; 6% were short sleepers (≤ 6 h) and 84% were long sleepers (21%, 8 h; 28%, 9 h; 22%, 10 h; 13%, ≥ 11 h). We found that both short (≤ 6 h) and long sleep duration (≥ 11 h) were independently associated with poor selfreported health status. Conclusions: This study found that people with shorter and longer sleep durations were more likely to report poorer health status.

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“…Sleep duration is an important factor that contributes to overall health status [1]. It has been reported that extreme values of sleep duration (both short and long sleep) are associated with higher levels of mortality rates [2,3] and increased incidence of cardiovascular [4] and metabolic [5] diseases.…”

Section: Introductionmentioning

confidence: 99%

Sleep Duration and Sleep Quality as Predictors of Health in Elderly Individuals

Štefan

Vučetić

Vrgoč³

et al. 2018

Sustainability

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The main purpose of the present study was to explore the associations of sleep duration and sleep quality with self-rated health. In this cross-sectional study, participants were 894 elderly individuals. Self-rated health, sleep duration, and sleep quality were self-reported. The associations were examined using multiple logistic regression analyses.After adjusting for sex, physical activity, smoking consumption, alcohol consumption, psychological distress, socioeconomic status, and chronic disease/s, sleeping <6 h (OR (Odds ratio) = 3.21; 95% CI (95 percent confident interval) 1.61 to 6.39), 6–7 h (OR = 2.47; 95% CI 1.40 to 4.36), 8–9 h (OR = 3.26; 95% CI 1.82 to 5.83), and >9 h (OR = 3.62; 95% CI 1.57 to 8.34) and having ‘poor’ sleep quality (≥5 points; OR = 2.33; 95% CI 1.46 to 3.73) were associated with ‘poor’ self-rated health. When sleep duration and sleep quality were entered simultaneously into the model, the same associations remained. Our findings provide evidence that both ‘short’ and ‘long’ sleep and ‘poor’ sleep quality are associated with ‘poor’ self-rated health. Thus, interventions that promote healthy sleep hygiene in the elderly are warranted.

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The impact of sleep duration on self-rated health

Cited by 45 publications

References 45 publications

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Association between Sleep Duration and Self-Reported Health Status: Findings from the Bhutan's Gross National Happiness Study

Sleep Duration and Sleep Quality as Predictors of Health in Elderly Individuals

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