163 Actigraphy-measured circadian factors and mortality in US adults: Results from the NHANES

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A66-A67
Author(s):  
Zhuozhi Lin ◽  
Darlynn Rojo-Wissar ◽  
Paul Nestadt ◽  
Jacek Urbanek ◽  
Junrui Di ◽  
...  
Keyword(s):  
Representative Sample ◽  
Well Being ◽  
Social Jetlag ◽  
Sleep Debt ◽  
All Cause Mortality ◽  
The Hours ◽  
Drinking Status ◽  
Nationally Representative ◽  
The Difference ◽  
The Relationship

Abstract Introduction Chronotype is a potentially modifiable contributor to human well-being and longevity, with eveningness commonly linked to poorer outcomes. We examined the relationship between actigraphy-measured chronotype and all-cause mortality in a nationally representative sample of US adults. We also examined the association between social jetlag, a measure of circadian misalignment, and all-cause mortality. Methods Data were from 2,256 participants ≥50 from the National Health and Nutrition Examination Survey 2003-2006 cohorts. Participants were asked to wear a hip-worn Actigraph 7164 uni-axial activity monitor for 7 days, and to remove the device for sleep. Objectively-measured bedtime (OBT) was computed as the start of the non-wear period with the longest duration within each 24h period. Duration of the in-bed period (OBT-D) was computed as the hours from OBT to the end of the in-bed period. Midpoint of OBT (OBT-M) was computed as the midpoint between OBT and the end of the in-bed period. Chronotype was estimated using the average OBT-M separately for weekdays, weekends (Friday and Saturday nights), and all days combined. A weekend OBT-M corrected for sleep debt for participants with weekend OBT-D>weekday OBT-D was also computed. The following formula was applied to correct for sleep debt: weekend OBT-M minus ((weekend OBT-D minus weekday OBT-D)/2). Consistent with previous research, OBT-Ms were categorized into intermediate (≥3:30am & ≤4:30am), morningness (<3:30am), and eveningness (>4:30am) chronotypes. Social jetlag was defined as the difference between weekend and weekday OBT-Ms and expressed in hours. Survey-weighted Cox proportional hazard models were used to examine the relationship between circadian factors and all-cause mortality. There were 642 deaths, excluding accidental deaths. Results Adjusted for age, sex, race, SES, BMI, smoking and drinking status, comorbidities, and average OBT-D, an eveningness chronotype (i.e., weekend OBT-M corrected for sleep debt) was associated with a greater hazard of death compared to an intermediate chronotype (HR=1.68, 95% CI=1.25, 2.26). There were no other significant associations. Conclusion Evening-oriented chronotype is associated with greater mortality risk in adults aged ≥50. To our knowledge, this is the first study to report the link between chronotype, estimated objectively via actigraphy, and all-cause mortality in a nationally representative sample. Support (if any) NIH grant 5T32MH014592-39.

Gender and Marital Satisfaction: Data from the National Survey of Families and Households

1998 ◽  
Vol 83 (1) ◽  
pp. 319-327 ◽  
Author(s):  
Walter R. Schumm ◽  
Farrell J. Webb ◽  
Stephan R. Bollman
Keyword(s):  
United States ◽  
Marital Satisfaction ◽  
Representative Sample ◽  
The United States ◽  
Nationally Representative ◽  
Relationship Of ◽  
The Relationship ◽  
Satisfaction Relationship ◽  
Representative Samples ◽  
Small Support

In 1972, Bernard argued that marriage was good for men and bad for women. Subsequent research noted that wives, on average, reported lower marital satisfaction than husbands. Furthermore, when differences within couples existed on marital satisfaction, the wife was usually the less satisfied spouse; however, most previous studies of the gender/marital satisfaction relationship had not been based on nationally representative samples. A nationally representative sample from the 1988 Survey of Families and Households was used to assess the relationship of gender with marital satisfaction. Within-couple analyses indicated that wives were less satisfied with their marriages than husbands and that, when substantial within-couple differences occurred with respect to marital satisfaction, the wife was usually the less satisfied spouse. Results provide at least small support for feminist assertions about the relatively adverse nature of marriage for women in the United States.

The Problem with Square Pegs: Sexual Orientation Concordance as a Predictor of Depressive Symptoms

2017 ◽  
Vol 7 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Zoe Caplan
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Sexual Orientation ◽  
Representative Sample ◽  
Nationally Representative ◽  
The Relationship

The author uses a nationally representative sample of cisgender young adults to examine the relationship between sexual orientation concordance and the prevalence of depressive symptoms. In these analyses, the author differentiates between those with an exclusive identity (100 percent gay or 100 percent straight) and those with a nonexclusive identity (“mostly gay,” “mostly straight,” or bisexual). Among those with an exclusive identity, the author differentiates between those with behavior and attraction that is in line with (concordant) or goes against (discordant) a claimed gay or straight identity. Those with a concordant sexual orientation report significantly lower depressive symptoms scores than do those with either a discordant sexual orientation or a nonexclusive identity. When accounting for orientation, concordance is significantly associated with depressive symptoms for straight- but not gay-identified young adults. These findings generally hold for women, but not for men when change in identity is controlled for.

scholarly journals Midwifery matters: resilience and subjective wellbeing of midwives

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Caiazzo ◽  
L Kundisowa ◽  
G Bocci ◽  
N Vonci ◽  
L Alaimo ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Subjective Wellbeing ◽  
Well Being ◽  
The Other ◽  
Subjective Well Being ◽  
Italian Version ◽  
Resilience Scale ◽  
The Difference ◽  
Almost All ◽  
The Relationship

Abstract Introduction Resilience is the ability to resist, cope with life positively after suffering a negative event. Midwifery has been defined as ’emotionally demanding’; midwives with an higher levels of resilience experience higher levels of subjective well-being (SWB). The aim of this study was to evaluate the relationship between resilience and SWB amongst midwives. Materials and methods Data were collected using a questionnaire, distributed between September 2018-January 2019 in hospitals in the Tuscany region (Italy). For evaluation of SWB, we used OECD scale (2013) evaluating three items: actual happiness (AH); emotive wellbeing (BE) composed of positive (PA) and negative affect (NA) and life satisfaction (LS). Also, job satisfaction (JS) was evaluated. Resilience (RS) was evaluated using the Italian version of the Resilience Scale by Wagnild and Young. All items were expressed on the Likert scale, statistical analysis was performed with Minitab 18. Results In total 123 questionnaires were analyzed. The average scores were: AH: 6.9±1.8; BE: 5.9±1.6; PA: 6.0±1.8; NA: 4.2±2.1; LS: 7.1±1.6; JS: 6.5 ± 2.4. Average R was 130.3±18.1. RS was correlated (p < 0.001) to AH (Coef=0.4), PA (Coef=0.4), BE (Coef=0.3) e LS (Coef=0.4). The sample was divided into three groups according to RS: low (LR)<116, medium (MR):116-139 and high (HR) ≥140. MR represented 44%, followed by HR (35%). AH, PA, BE values were significantly higher in the HR group (ANOVA; Tukey; p < 0.001). For NA the highest values were observed in the LR group, but the difference was not significant. LS resulted significantly lower in LR group (ANOVA; Tukey; p < 0.001) and JS was significantly higher in medium resilience group in confrontation to other two groups (ANOVA; Tukey; p < 0.001). Conclusions Our results confirmed, that the higher levels of RS influenced positively almost all components of SWB (AH, PA, BE, LS). On the other hand to achieve a higher level of JS the level of RS should not be nor too high, nor too low. Key messages Midwifery has been defined as ’emotionally demanding’, higher levels of resilience influenced positively almost all components of subjective wellbeing. The medium resilience was correlated to higher level of job satisfaction.

Debunking the High Cost of Healthy Diets: Consumer Behavior Predicts Dietary Energy Density in a Nationally Representative Sample of US Adults

2020 ◽  
pp. 089011712097012
Author(s):  
Jacqueline A. Vernarelli ◽  
Rebecca DiSarro
Keyword(s):  
Consumer Behavior ◽  
Energy Density ◽  
Representative Sample ◽  
Grocery Stores ◽  
Dietary Habit ◽  
Dietary Energy ◽  
Cross Sectional ◽  
Nationally Representative ◽  
Dietary Energy Density ◽  
The Relationship

Purpose: Dietary energy density (ED; kcal/g) is an established marker for diet quality and a risk factor for obesity. Previous studies have suggested that low-ED diets cost more than high-ED diets, adding an economic contribution to the obesity epidemic. This study evaluated the relationship between consumer behavior (money spent on food) and dietary energy density in a nationally representative sample of US adults. Design, Setting and Subjects: Data from 10,622 adult participants in the 2013-2016 NHANES were used for this study. The NHANES is a large cross-sectional survey conducted by the CDC and NCHS. Measures: Consumer behavior was evaluated by examining total dollars spent on food, as well as dollars spent at various categories of food stores & restaurants. Dietary ED was calculated using multiple methods. Analysis: Multivariate regression models were then used to evaluate the relationship between consumer behavior, defined as money spent in four categories (groceries, take-out, dining out, other food purchases) and dietary energy density. Results: Low-ED diets did not cost more than high-ED diets overall, though low-ED diets contained more servings of fruits (1.6 vs 0.4), vegetables (2.2 vs 0.9) and fiber (21 vs 13g), and fewer added sugars (15 vs. 18 tsp), solid fats (28 vs 39g), all p’s < 0.01. Differences in spending patterns were identified. A positive linear trend between money spent on fast food/takeout and dietary energy density (p < 0.001) was observed. Additionally, individuals in the lowest quartile of ED spent more at grocery stores per person than individuals in the highest quartile of ED ($182 vs. $150 p = 0.04). Conclusion: Spending pattern and consumer choices are associated with dietary ED in this cross-sectional analysis of a nationally representative population sample. Identifying eating behaviors associated with diets high in energy density may inform future investigations that intervene on dietary habit for promotion of healthy eating and prevention of weight gain.

scholarly journals Personality Factors and Sick Leave Days. Evidence from a Nationally Representative Longitudinal Study in Germany.

2020 ◽  
Vol 17 (3) ◽  
pp. 1089
Author(s):  
Yulia I. Raynik ◽  
Hans-Helmut König ◽  
André Hajek
Keyword(s):  
Sick Leave ◽  
Representative Sample ◽  
Fixed Effects ◽  
Personality Factors ◽  
Cross Sectional ◽  
Private Households ◽  
Longitudinal Association ◽  
Nationally Representative ◽  
Underlying Mechanisms ◽  
The Relationship

Background: The question of whether employees’ sickness absence from the workplace depends on personality has been researched. Existing evidence mostly stems from cross-sectional studies, mainly showing that personality factors were not associated with the number of sick leave days, except for neuroticism, which was positively associated with sick leave days. Based on the above, it remains an under researched question whether intraindividual changes in personality factors are associated with changes in sick leave days. Thus, based on a nationally representative sample, the current study aimed to investigate the relationship between personality factors and sick leave days longitudinally based on a nationally representative sample of individuals in Germany. Methods: The present study used data from the German Socio-Economic Panel (GSOEP), a longitudinal survey of private households in Germany. Information from the years 2005, 2009, 2013 were used. The Big Five Inventory-GSOEP (BFI-S) was used to measure personality. Sick leave days in the preceding year were recorded. Poisson fixed effects regressions were used. Results: Adjusting for potential confounders, regressions showed that increases in neuroticism were associated with increased sick leave days. The longitudinal association between extraversion and sick leave days was marginally significant (p < 0.10). Other personality factors were not significantly associated with sick leave days. In addition, sick leave days increased with worsening self-rated health, presence of severe disability and increasing age. Conclusions: The findings of the current study highlight the association between neuroticism and sick leave days longitudinally. Further research is required to elucidate the underlying mechanisms.

scholarly journals Socioeconomic inequality in recent adverse all-cause mortality trends in Scotland

2019 ◽  
Vol 73 (10) ◽  
pp. 971-974 ◽  
Author(s):  
Lynda Fenton ◽  
Grant MA Wyper ◽  
Gerry McCartney ◽  
Jon Minton
Keyword(s):  
Socioeconomic Inequality ◽  
Mortality Trends ◽  
Socioeconomic Gradient ◽  
Period 2 ◽  
All Cause Mortality ◽  
The Difference ◽  
Mortality Improvement ◽  
The Relationship ◽  
Mortality Improvements ◽  
Index Of Multiple Deprivation

BackgroundGains in life expectancies have stalled in Scotland, as in several other countries, since around 2012. The relationship between stalling mortality improvements and socioeconomic inequalities in health is unclear.MethodsWe calculate the difference, as percentage change, in all-cause, all-age, age-standardised mortality rates (ASMR) between 2006 and 2011 (period 1) and between 2012 and 2017 (period 2), for Scotland overall, by sex, and by Scottish Index of Multiple Deprivation (SIMD) quintile. Linear regression is used to summarise the relationship between SIMD quintile and mortality rate change in each period.ResultsBetween 2006 and 2011, the overall ASMR fell by 10.6% (138/100 000), by 10.1% in women, and 11.8% in men, but between 2012 and 2017 the overall ASMR fell by only 2.6% (30/100 000), by 3.5% in women, and by 2.0% in men. Within the most deprived quintile, the overall ASMR fell by 8.6% (143/100 000) from 2006 to 2011 (7.2% in women; 9.8% in men), but rose by 1.5% (21/100 000) from 2012 to 2017 (0.7% in women; 2.1% in men).The socioeconomic gradient in ASMR improvement more than quadrupled, from 0.4% per quintile in period 1, to 1.7% per quintile in period 2.ConclusionFrom 2012 to 2017, socioeconomic gradients in mortality improvement in Scotland were markedly steeper than over the preceding 6 years. As a result, there has not only been a slowdown in overall reductions in mortality, but a widening of socioeconomic mortality inequalities.

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