Association Between Employment Status and Short Sleep Duration Among Middle-Aged Japanese: the Survey on Time Use and Leisure Activities

Insufficient sleep, defined as chronic short sleep duration (<7 h/night), is an independent risk factor for cardiovascular disease (CVD). We have previously demonstrated that insufficient sleep is associated with reduced endothelium-dependent vasodilation and enhanced endothelin (ET)-1-mediated vasoconstrictor tone. Impaired endothelial vasomotor regulation is thought to contribute mechanistically to the increased risk of atherosclerotic vascular disease incurred with chronic insufficient sleep. Regular aerobic exercise is an effective lifestyle strategy for improving endothelial function and, in turn reducing cardiovascular risk. It is currently unknown if regular aerobic exercise can counteract the negative impact of insufficient sleep on endothelial vasomotor regulation. We tested the hypotheses that regular aerobic exercise would: 1) improve endothelial vasodilation; and 2) decrease ET-1-mediated vasoconstrictor tone in middle-aged adults who chronically sleep less than 7 h/night. We studied 36 healthy, middle-aged adults: 16 with normal sleep duration (10M/6F; age: 57±2 yr; sleep duration: 7.4±0.1 h/night) and 20 with short sleep duration (11M/9F; 56±1 yr; sleep duration: 6.2±0.1 h/night). The 20 short sleepers completed a 3-month aerobic exercise training intervention. Forearm blood flow (FBF; plethysmography) was determined in response to intra-arterial doses of acetylcholine (ACh), sodium nitroprusside (SNP), BQ-123 (ET A receptor antagonist) and ACh + BQ-123 in both groups and after the exercise intervention in the short sleepers. As expected, forearm vasodilator responses to ACh were lower (20%; P<0.05) in the short (from 4.2±0.2 to 10.5±0.6 mL/100 mL tissue/min) vs normal (4.2±0.2 to 12.7±0.6 mL/100 mL tissue/min) sleepers. FBF responses to SNP were comparable between the groups. In response to BQ-123, short sleep group had a greater increase in resting FBF than normal sleep group (~25% vs ~8%; P< 0.05). ACh+BQ-123 resulted in an ~25% increase in the ACh-vasodilation in the short sleep group only. After exercise training, although nightly sleep duration was not affected (6.4±0.1 h/night), ACh-mediated vasodilation was ~20% higher (P<0.05), ET-1-mediated vasoconstriction was ~90% lower (P<0.05) and vasodilator response to ACh was not significantly increased with ET A receptor blockade. These results indicate that regular aerobic exercise can reverse the negative influence of insufficient sleep on endothelial vasomotor function, independent of changes in nightly sleep duration.

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Short sleep duration is associated with increased risk of pre-hypertension and hypertension in Chinese early middle-aged females

Sleep And Breathing ◽

10.1007/s11325-016-1392-2 ◽

2016 ◽

Vol 20 (4) ◽

pp. 1355-1362 ◽

Cited By ~ 3

Author(s):

Xun-ming Sun ◽

Shun Yao ◽

Shu-juan Hu ◽

Zu-yun Liu ◽

Ya-jun Yang ◽

...

Keyword(s):

Sleep Duration ◽

Middle Aged ◽

Short Sleep Duration ◽

Short Sleep ◽

Increased Risk

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Availability and night-time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children

Pediatric Obesity ◽

10.1111/j.2047-6310.2012.00085.x ◽

2012 ◽

Vol 8 (1) ◽

pp. 42-51 ◽

Cited By ~ 109

Author(s):

H. Chahal ◽

C. Fung ◽

S. Kuhle ◽

P. J. Veugelers

Keyword(s):

Sleep Duration ◽

Time Use ◽

Short Sleep Duration ◽

Night Time ◽

Short Sleep ◽

Communication Devices

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Sleep and Self-Rated Health in an Aging Workforce

Workplace Health & Safety ◽

10.1177/2165079919828748 ◽

2019 ◽

Vol 67 (6) ◽

pp. 302-310

Author(s):

Ashley Helvig Coombe ◽

Fayron Epps ◽

Jiwon Lee ◽

Mei-Lan Chen ◽

Christopher C. Imes ◽

...

Keyword(s):

Sleep Duration ◽

Work Performance ◽

Middle Aged ◽

Short Sleep Duration ◽

Short Sleep ◽

Self Rated Health ◽

Nonrestorative Sleep ◽

Lower Productivity ◽

Impaired Sleep ◽

Middle Aged Adults

The labor force participation rate for adults aged 55 years and older has increased nearly 10% over the past two and a half decades. As workers age, they frequently experience increased chronic health conditions and impaired sleep, which may negatively influence their self-rated health (SRH) and work performance. This study aimed to examine the associations between nonrestorative sleep (NRS) and work performance (i.e., difficulty concentrating or having lower productivity at work) and associations between demographic and sleep characteristics with SRH in middle-aged workers. We conducted a secondary data analysis among working middle-aged adults 50 to 65 years of age ( N = 392) from the 2008 Sleep in America Poll. Respondents frequently reported impaired sleep such as frequent insomnia symptoms, NRS, and short sleep duration. Nonrestorative sleep was associated with decreased work performance such as trouble organizing work, doing work over due to mistakes, and lower productivity. Nonrestorative sleep and short sleep duration were significantly associated with lower SRH. Strategies for the early detection of impaired sleep and implementation of interventions to improve sleep may improve SRH and work performance in working middle-aged adults.

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High Incidence of Diabetes in Men With Sleep Complaints or Short Sleep Duration: A 12-year follow-up study of a middle-aged population

Diabetes Care ◽

10.2337/diacare.28.11.2762 ◽

2005 ◽

Vol 28 (11) ◽

pp. 2762-2767 ◽

Cited By ~ 250

Author(s):

L. Mallon ◽

J.-E. Broman ◽

J. Hetta

Keyword(s):

Sleep Duration ◽

Middle Aged ◽

Short Sleep Duration ◽

Sleep Complaints ◽

Aged Population ◽

Short Sleep ◽

Follow Up Study ◽

High Incidence

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Relationship between Sleep Duration and Osteoarthritis in Middle-Aged and Older Women: A Nationwide Population-Based Study

Journal of Clinical Medicine ◽

10.3390/jcm8030356 ◽

2019 ◽

Vol 8 (3) ◽

pp. 356 ◽

Cited By ~ 5

Author(s):

Hye-Min Park ◽

Yu-Jin Kwon ◽

Hyoung-Sik Kim ◽

Yong-Jae Lee

Keyword(s):

Older Women ◽

Sleep Duration ◽

Population Based ◽

Middle Aged ◽

Short Sleep Duration ◽

Radiographic Images ◽

Short Sleep ◽

Health And Nutrition ◽

Long Sleep

(1) Background: Both long and short sleep durations have been associated with negative health outcomes, particularly in middle-aged and older adults. To date, there has been little research on the association between sleep and osteoarthritis. This study aimed to evaluate the relationship between sleep duration and radiographically confirmed osteoarthritis in middle-aged and older women. (2) Methods: This study included 5268 women aged ≥50 years from the Korea National Health and Nutrition Examination Survey. Sleep duration was categorized into four groups (≤5 h, 6 h, 7–8 h, and ≥9 h) using responses from a self-reported questionnaire, and 7–8 h was set as an appropriate sleep duration. Osteoarthritis was defined as Kellgren–Lawrence grade ≥2 in the knee or hip area in radiographic images with knee or hip joint pain. The odds ratios (ORs) and 95% confidence intervals (CIs) of osteoarthritis according to sleep duration were calculated using multiple logistic regression analyses. (3) Results: The prevalence of osteoarthritis according to sleep duration showed a U-shaped curve, with the nadir in the appropriate sleep category (7–8 h). Compared with the 7–8 h sleep duration, the ORs (95% CIs) of osteoarthritis in the short sleep duration (≤5 h/day) and long sleep duration (≥9 h/day) were 1.343 (1.072–1.682) and 1.388 (1.020–1.889), respectively, after adjusting for age, body mass index, current smoking, alcohol consumption, regular exercise, occupation, residential area, hypertension, type 2 diabetes, cardiovascular disease, and stroke. (4) Conclusions: Short and long sleep duration were positively associated with osteoarthritis in middle-aged and older women.

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Impaired Performance in Commercial Drivers: Role of Sleep Apnea and Short Sleep Duration

Yearbook of Pulmonary Disease ◽

10.1016/s8756-3452(08)70701-1 ◽

2008 ◽

Vol 2008 ◽

pp. 270-272

Author(s):

B.A. Phillips

Keyword(s):

Sleep Apnea ◽

Sleep Duration ◽

Short Sleep Duration ◽

Impaired Performance ◽

Short Sleep ◽

Commercial Drivers

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Effect of short sleep duration on daily activities--United States, 2005-2008

PsycEXTRA Dataset ◽

10.1037/e595142011-003 ◽

2011 ◽

Cited By ~ 1

Keyword(s):

United States ◽

Sleep Duration ◽

Daily Activities ◽

Short Sleep Duration ◽

Short Sleep

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Relaksasi Benson Untuk Durasi Tidur Pasien Penyakit Jantung Koroner

Jurnal Endurance ◽

10.22216/jen.v3i3.2788 ◽

2018 ◽

Vol 3 (3) ◽

pp. 556

Author(s):

Mulyanti Roberto Muliantino ◽

Tuti Herawati ◽

Masfuri Masfuri

Keyword(s):

Cardiac Rehabilitation ◽

Sleep Duration ◽

Intervention Group ◽

Self Report ◽

Pharmacological Intervention ◽

Control Group ◽

P Value ◽

Short Sleep Duration ◽

Short Sleep ◽

Coronary Arterial Disease

Coronary Arterial Disease (CAD) is one of cardiovaskular disease that remain leading cause death and disability. Short sleep duration is the major symptoms in patients with CAD, during recovery period after cardiac events and during cardiac rehabilitation. Benson’s relaxation is one of relaxation as modalities therapy to increase sleep duration, however few studies related to this technique in planned intervention. This study was to measured the effectiveness of Benson’s relaxation in short sleep duration of CAD patients during cardiac rehabilitation. It was a quasi experimental pretest posttest control group design. This study included 29 respondens in Dr.M.Djamil Hospital were assigned to intervention group which receiving Benson’s relaxation technique (n=15) and control group with routine care (n=14). Benson’s relaxation technique was administered for 5 days 2 times a day, each 20 minutes to intervention group. Short sleep duration was measured using sleep diary (self report). The result indicated significant increasing in mean of sleep duration before and after Benson’s relaxation in intervention group (p value < 0,001). The study concluded that Benson’s relaxation technique is an effective non-pharmacological intervention to increase sleep duration in CAD patients. Penyakit jantung koroner menjadi masalah kardiovaskular yang mengakibatkan angka mortalitas yang tinggi. Durasi tidur pendek termasuk salah satu keluhan utama pasien penyakit jantung koroner pada masa recovery setelah serangan dan menjalani rehabilitasi fase 2. Relaksasi Benson merupakan teknik relaksasi sebagai terapi modalitas untuk mengurangi keluhan durasi tidur pendek, namum belum banyak penelitian terkait intervensi ini. Penelitian ini bertujuan untuk mengidentifikasi pengaruh relaksasi Benson terhadap durasi tidur pasien penyakit jantung koroner yang menjalani rehabilitasi fase 2. Penelitian ini menggunakan desain Quasi Eksperimen dengan pendekatan control group pretest posttest design pada 29 responden di RSUP. Dr.M.Djamil Padang yang dibagi dalam dua kelompok (kelompok intervensi dan kelompok kontrol). Hasil penelitian menunjukan ada perbedaan rerata durasi tidur yang signifikan antara sebelum dan setelah dilakukan intervensi relaksasi Benson pada kelompok intervensi (p value < 0,001). Simpulan hasil penelitian ini dapat menjadi salah satu terapi modalitas bagi perawat untuk mengatasi masalah durasi tidur pendek pada pasien penyakit jantung koroner.

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Sleep Duration and Waking Activities in Relation to the National Sleep Foundation’s Recommendations: An Analysis of US Population Sleep Patterns from 2015 to 2017

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18116154 ◽

2021 ◽

Vol 18 (11) ◽

pp. 6154

Author(s):

Michael Osei Mireku ◽

Alina Rodriguez

Keyword(s):

Sleep Duration ◽

Time Use ◽

Variance Estimation ◽

Estimation Method ◽

Short Sleep Duration ◽

Weighted Estimates ◽

American Time Use Survey ◽

Increased Risk ◽

The Us ◽

Time Use Survey

The objective was to investigate the association between time spent on waking activities and nonaligned sleep duration in a representative sample of the US population. We analysed time use data from the American Time Use Survey (ATUS), 2015–2017 (N = 31,621). National Sleep Foundation (NSF) age-specific sleep recommendations were used to define recommended (aligned) sleep duration. The balanced, repeated, replicate variance estimation method was applied to the ATUS data to calculate weighted estimates. Less than half of the US population had a sleep duration that mapped onto the NSF recommendations, and alignment was higher on weekdays (45%) than at weekends (33%). The proportion sleeping longer than the recommended duration was higher than those sleeping shorter on both weekdays and weekends (p < 0.001). Time spent on work, personal care, socialising, travel, TV watching, education, and total screen time was associated with nonalignment to the sleep recommendations. In comparison to the appropriate recommended sleep group, those with a too-short sleep duration spent more time on work, travel, socialising, relaxing, and leisure. By contrast, those who slept too long spent relatively less time on each of these activities. The findings indicate that sleep duration among the US population does not map onto the NSF sleep recommendations, mostly because of a higher proportion of long sleepers compared to short sleepers. More time spent on work, travel, and socialising and relaxing activities is strongly associated with an increased risk of nonalignment to NSF sleep duration recommendations.

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