Abstract
Introduction
Cannabis use is on the rise in the US, and while the cannabis plant and related compounds are considered to have low toxicity, the impact on physiology including sleep remains unclear. Further, the bulk of cannabis research has focused on adolescents and young adults despite growing use among the elderly. Thus, this analysis sought to determine the impact of the frequency of cannabis use on sleep duration and determine if this relationship varies by age.
Methods
This cross-sectional study used data from the 2016-2018 Behavioral Risk Factor Surveillance System surveys. Multinomial logistic regression was used to evaluate the association between the frequency of cannabis use, 0-30 times over the prior 30 days; and average sleep duration, short (<7 hours); recommended (7-9 hours); and long (>9 hours) sleep.
Results
The study sample included 235,667 participants (48% male, 43% 18-44 years old and 35% 44-64 years old) of which 14,122 consumed cannabis. The weighted proportion who reported using cannabis 1-4x, 5-15x, or more than 16x/month were 3.1% (95% CI, 3.0%-3.3%), 2.1% (2.0%-2.2%), and 4.4% (4.2%-4.6%) respectively. In an age stratified model adjusted for sociodemographic and clinical characteristics, there were no associations between sleep and cannabis use up to 15x/month. Among those adults who consumed cannabis more than 16x/month: (1) 18-44 year olds were more likely to report either short sleep (risk ratio (RR), 1.21; 95% CI, 1.05-1.39) or long sleep (RR, 1.57; 95% CI, 1.11-2.22) as opposed to the recommended amount of sleep; whereas (2) 44-64 year olds demonstrated an increased risk for long sleep (RR, 1.77; 95% CI, 1.09-2.89); and (3) participants 65 years and older demonstrated an increased risk for short sleep (RR, 1.61; 95% CI, 1.04-2.49).
Conclusion
We demonstrate that modest cannabis use was not associated with sleep, whereas daily cannabis use is associated with age-dependent sleep duration above and below the recommended amount.
Support
KL2TR002370, 2R25HL105444-09.