Sleep Duration and Quality and Sensory Reactivity in School-Aged Children: The Spanish Cross-Sectional InProS Study

Background: The relationship between children's sleep and health has been widely examined; however, research focused on the link between sleep and sensory reactivity in children without medical conditions is relatively new and based on studies with small samples. Hence, we aimed at exploring the association between sleep duration and quality and prevalence of sensory reactivity in a population-based sample of children aged 3–7.Methods: We examined data on 579 school-age children from the InProS project, a cross-sectional population-based study. Children's sleep duration was classified as <10 vs. ≥10 h/day, and sleep quality was measured using the Pediatric Sleep Questionnaire, defining poor quality sleep as a score of ≥0.33. The Short Sensory Profile (SSP) was used to classify children with or without sensory reactivity using the cut-off points proposed by W. Dunn for SSP total score and each SSP subscale. Prevalence ratios (PR) using Poisson multiple regression models with robust variance were estimated to examine main associations.Results: Around a third (32.6%; n = 189) slept <10 h/day and 10.4% presented poor sleep quality. The prevalence of sensory reactivity was 29.5% for total SSP (<155), 11.4% for tactile sensitivity (<30), 15% for taste/smell sensitivity (<15), 22.5% for movement sensitivity (<13), 49.1% for under-responsive/seeks sensation (<27), 44.4% for auditory filtering (<23), 12.4% for low energy/weak (<26), and 25.4% for visual/auditory sensitivity (<19). Main findings indicated that poor sleep quality was significantly associated with a greater prevalence of sensory reactivity for SSP total score (PR = 1.27; IC 95%: 1.18; 1.38), tactile sensitivity (PR = 1.09, IC95%: 1.00–1.19), taste/smell sensitivity (PR = 1.18, IC95%: 1.08–1.30), under-responsive/seeks sensation (PR = 1.28, IC95%: 1.20–1.37), auditory filtering (PR = 1.31, IC95%: 1.23–1.39), low energy/weak (PR = 1.14, IC95%: 1.04–1.25) and audiovisual sensitivity (PR = 1.15, IC95%: 1.05–1.26) scores after adjusting for potential confounders.Conclusions: In this study, we observed that poor sleep quality was statistically significantly associated with a higher prevalence of sensory reactivity as measured by the total SSP and almost all SSP subscales. To our knowledge, this is the first time that this association has been explored and reported. Further research from prospective studies is required to confirm these findings.

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

Sustainability ◽

10.3390/su10113918 ◽

2018 ◽

Vol 10 (11) ◽

pp. 3918 ◽

Cited By ~ 1

Author(s):

Lovro Štefan ◽

Vlatko Vučetić ◽

Goran Vrgoč ◽

Goran Sporiš

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

The Elderly ◽

Cross Sectional Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Elderly Individuals ◽

Self Rated Health ◽

Study Participants

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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175 Household and Transnational Caregiving and Sleep in Latinx Adults: The modifying effects of employment status

SLEEP ◽

10.1093/sleep/zsab072.174 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A71-A71

Author(s):

Luciana Giorgio ◽

Carmela Alcantara

Keyword(s):

New York ◽

Sleep Quality ◽

Sleep Duration ◽

Employment Status ◽

Poor Sleep ◽

Moderating Effects ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Quality Sleep ◽

And Gender

Abstract Introduction Although caregiving is associated with shorter sleep durations and worse sleep quality, particularly among employed individuals, these studies have mostly examined household (i.e., child, adult) and domestic caregiving among majority non-Latinx White samples. Sending remittances, a form of transnational caregiving whereby financial support is provided to relatives in one’s country of origin, is associated with positive mental health among Latinxs, yet its association with sleep remains unexamined. We examined the association of household and transnational caregiving with sleep duration and quality, and explored the moderating effects of employment status on these relationships. Methods Using cross-sectional data of healthy Latinx adults in New York City (N=188), we conducted separate age and gender-adjusted linear regressions or logistic regressions to examine the association of caregiving and sleep duration, and poor sleep quality, respectively. Sleep duration (continuous) and sleep quality (fairly/very poor) were measured using two items from the PSQI. Household caregiving was defined as caregiving for children or adults in the household. Transnational caregiving was operationalized as sending remittances. Moderation was tested using employment status*caregiving cross-products in adjusted models. Results Participants were Mage=37.61(SD=14.07), 71.3% employed, 66.5% female, and 59.6% immigrants. Overall, 14.9% were household caregivers and 28.72% sent remittances. Household caregiving was not significantly associated with sleep duration or quality. Those who sent remittances reported on average sleeping 27.63 minutes less than non-remitters (b=-27.63,SE=13.93,p<0.05). Sending remittances was associated with 2.30 increased odds of reporting poor sleep quality (OR:2.30; 95%CI:1.03-5.14.) Employment status was a significant moderator (p<0.05). Among those who were employed, sending remittances was associated with 3 times higher odds of poor sleep quality (OR:3.00;95%CI:1.46-10.59) and 48.94 fewer minutes of sleep duration than non-remitters (b=-48.94,SE=15.72,p<0.05). These relationships were not observed among unemployed Latinxs. Conclusion Transnational caregivers were more likely to report shorter sleep duration and poorer sleep quality than their counterparts, and this was only observed among employed vs. unemployed Latinxs. Household caregiving was not significantly associated with sleep. Employed transnational caregivers may have multiple jobs that further constrain opportunities for longer and high-quality sleep. Future studies should examine potential upstream factors (e.g., working conditions) that may limit employed, transnational caregivers’ ability to obtain adequate sleep. Support (if any):

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Association between Chewing Problems and Sleep among Japanese Adults

International Journal of Dentistry ◽

10.1155/2019/8196410 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Tetsuji Azuma ◽

Koichiro Irie ◽

Kazutoshi Watanabe ◽

Fumiko Deguchi ◽

Takao Kojima ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Physical Factor ◽

Cross Sectional Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Short Sleep Duration ◽

Cross Sectional ◽

Short Sleep ◽

Japanese Adults

An association between physical illness and sleep has been suggested. Disordered chewing might be a physical factor that is associated with sleep issues. This cross-sectional study aimed to determine whether chewing problems are associated with sleep in Japanese adults. Sleep and chewing issues were evaluated in 6,025 community residents using a self-reported questionnaire. The prevalence of poor sleep quality and sleeping for <6 h/day (short duration) were 15.6% and 29.4%, respectively. Multivariate logistic regression analyses showed that prevalence of poor sleep quality was significantly associated with self-reported medical history (odds ratio (OR), 1.30; p<0.001), self-reported symptoms (OR, 4.59; p<0.001), chewing problems (OR, 1.65; p<0.001), and poor glycemic control (OR, 1.43; p=0.035). The prevalence of short sleep duration was also significantly associated with female sex (OR, 1.23; p=0.001), self-reported symptoms (OR, 1.60; p<0.001), chewing problems (OR, 1.30; p=0.001), and being overweight (OR, 1.41; p<0.001). In conclusion, chewing problems were associated with poor sleep quality and short sleep duration among Japanese adults.

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Associations of Diet Quality and Sleep Quality with Obesity

Nutrients ◽

10.3390/nu13093181 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3181

Author(s):

Soohee Hur ◽

Bumjo Oh ◽

Hyesook Kim ◽

Oran Kwon

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Diet Quality ◽

Underlying Mechanism ◽

Dietary Quality ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Short Sleep Duration ◽

Cross Sectional ◽

Increased Risk

Short sleep duration or poor sleep quality has been associated with an increased risk of obesity. Although the underlying mechanism remains unclear, one proposed pathway is poor diet quality. This cross-sectional study investigated whether diet quality modifies the association between sleep status and obesity in Korean adults. We used the baseline data and samples of 737 men and 428 women (n = 1165) aged 19–64, who participated in the prospective Ewha–Boramae cohort study. Sleep duration was dichotomized into ≥7 h (adequate) and <7 h (insufficient). Pittsburgh Sleep Quality Index (PSQI) values, reflecting sleep quality, were dichotomized into >5 (poor quality) and ≤5 (good quality). Diet quality was evaluated by the Recommended Food Score (RFS). Obesity was associated with higher rates of insufficient sleep and poor sleep quality in women, but not in men. After adjustment for covariates, women with poor sleep quality had a higher risk of obesity than women with good sleep quality (OR = 2.198; 95% CI = 1.027–4.704); this association occurred only in the group with RFS ≤ median score. Our findings support a significant association between sleep quality and obesity, and this association has been potentially modified by dietary quality in women.

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Elhízással összefüggő csökkent alvásminőség és nem megfelelő alvásidőtartam két erdélyi roma alcsoportban

Orvosi Hetilap ◽

10.1556/650.2019.31469 ◽

2019 ◽

Vol 160 (32) ◽

pp. 1279-1283

Author(s):

Monica Iudita Maria Szabo ◽

Beáta Máté ◽

Attila Frigy

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Population Based ◽

Poor Quality ◽

Poor Sleep ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Cross Sectional ◽

Roma Population ◽

Quality Sleep

Abstract: Introduction: Short sleep duration and poor sleep quality may be associated with weight gain; this association has not yet been studied in Roma (Gipsy) population. Aim: Our aim was to study sleep patterns in two adult Roma subgroups (the wealthy Gabor and the poor Lovari Roma), compared to the majority of Hungarian population, in relation to obesity, knowing that Roma population has specific socio-cultural characteristics, with a rapidly changing lifestyle. Method: A population-based cross-sectional survey was conducted in a rural region in Transylvania, where the above groups are cohabiting. The groups were age- and gender-matched. Results: Sleep duration was 7.18 ± 1.6 hours in the Gabor Roma, 7.67 ± 1.5 hours in the Lovari Roma and 7.37 ± 1.5 hours in the non-Roma group. In average, 70% of them had enough sleep (≥7 hours). 38.6% of Gabor Roma, 27.1% of Lovari Roma and 23.5% of non-Roma had poor-quality sleep (p = 0.05). Gabor Roma had significantly higher body mass index (31.1 ± 4.6 versus 27.4 ± 5.2 and 28.66 ± 5.7 kg/m2, p = 0.004), and this correlated inversely with sleep duration (F = 14.85, p<0.000). Conclusion: Gabor Roma had significantly higher percentage of poor-quality sleep. Sleep duration and sleep quality were linked with obesity, mainly in the Roma population. Orv Hetil. 2019; 160(32): 1279–1283.

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Sleep Disturbance is Associated With Higher Plasma Aβ Levels in Cognitively Normal Adults—A Population-Based Cross-Sectional Study

Frontiers in Aging Neuroscience ◽

10.3389/fnagi.2020.615838 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yao Gao ◽

Shan Wei ◽

Fan Gao ◽

Ling Gao ◽

Liangjun Dang ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Disturbance ◽

Amyloid Β ◽

Population Based ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Poor Sleep ◽

Sectional Study ◽

Poor Sleep Quality ◽

Cross Sectional

Objective: Growing evidence suggests that sleep disturbance is a risk factor for Alzheimer's disease (AD). Amyloid-β (Aβ) deposition in the brain is a main pathophysiology of AD. Considering that peripheral Aβ level is associated with brain Aβ deposition, the present study investigated the relationship between sleep disturbance and plasma Aβ levels.Methods: This is a population-based cross-sectional study. A total of 1,459 participants from a village in the suburbs of Xi'an, China, were enrolled from January 3, 2017 to March 26, 2017. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and a PSQI score of <5 points was considered as good sleep quality and a PSQI score of >10 points as poor sleep quality. Cognitive function was assessed with the Mini-Mental State Examination (MMSE). Fasting venous blood was taken in the morning, and the plasma Aβ levels were measured using ELISA. The relationships between plasma Aβ levels and sleep quality were analyzed using multiple linear regression.Results: Among the participants, 231 had poor sleep quality (15.83%). The log-transformed Aβ40 level had significant differences among the different sleep groups (F = 3.216, p = 0.040). The log-transformed Aβ40 level was higher in the poor sleep quality group than that in the general sleep quality group [87.17 (73.42, 107.34) vs. 89.69 (74.81, 125.79) pg/ml, p = 0.016]. In bivariate analysis, sleep quality was negatively associated with the log-transformed plasma Aβ40 level (β = −0.025, p = 0.011).Conclusion: In the community population, poorer sleep quality is associated with a higher plasma Aβ40 level. This indicated that sleep disturbance might also involve in dysfunction of peripheral Aβ clearance.

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Abstract P109: The Cross-sectional and Longitudinal Association of Dispositional Optimism with Sleep Duration and Quality: Findings form the Coronary Artery Risk Development in Young Adults (CARDIA) Study

Circulation ◽

10.1161/circ.129.suppl_1.p109 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Rosalba Hernandez ◽

Thanh-Huyen T Vu ◽

Kiarri N Kershaw ◽

Mercedes Carnethon ◽

Kristen L Knutson ◽

...

Keyword(s):

Coronary Artery ◽

Sleep Quality ◽

Sleep Duration ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Lower Odds ◽

Short Sleep ◽

Long Sleep

Background: Sleep disturbance is associated with multiple adverse cardiovascular-related health outcomes. Little is known about the relationship between psychological well-being, an independent modifiable risk factor for cardiovascular disease, and sleep disruptions. This study examines cross-sectional and longitudinal associations of optimism with sleep duration and quality. Methods: Data were collected from 3,549 Black and White adults aged 33-45 years who participated in the Coronary Artery Risk Development in Young Adults (CARDIA) study during follow-up years 15 (2000-2001) and 20 (2005-2006). Optimism was assessed in 2000-2001 using the Life-Orientation Test—Revised, with possible scores ranging from 6 (least optimistic) to 30 (most optimistic). Single-item questions on sleep quality and duration in the past month were assessed during 2000-2001 and 2005-2006. Cross-sectional analyses considered optimism and sleep measures at follow-up year 15. Longitudinal analyses considered 5-year incidence of poor sleep quality (fairly/very bad) and duration (short/long sleep) in 2005-2006 by optimism in 2000-2001 (participants with poor sleep quality and duration in 2000-2001 were excluded). Results: Among 3,549 participants (56% female, 46% Black) with complete data on optimism in 2000-2001, 15.9% reported fairly/very bad sleep quality. Sleep duration was distributed as follows: short-sleep (47.9%), sufficient sleep (31.6%), and long-sleep (20.5%). In unadjusted and fully adjusted models, a 1-unit higher optimism score was cross-sectionally associated with 11% lower odds of having fairly/very bad sleep quality and 3-5% lower odds of having short-sleep duration (Table 1). Cross-sectional associations were attenuated after adjustment for depressive symptoms (not shown). Incidence of poor sleep quality in 2005-2006 was 7% lower with each unit higher optimism score, after full adjustment. Conclusion: Optimism is associated with lower incidence of poor self-reported sleep quality over a 5-year period.

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Association of self-reported sleep duration and quality with BaPWV levels in hypertensive patients

Hypertension Research ◽

10.1038/s41440-020-0509-y ◽

2020 ◽

Vol 43 (12) ◽

pp. 1392-1402

Author(s):

Huan Hu ◽

Huan Li ◽

Xiao Huang ◽

Huihui Bao ◽

Yun Song ◽

...

Keyword(s):

Arterial Stiffness ◽

Sleep Quality ◽

Sleep Duration ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Hypertensive Patients ◽

Sectional Analysis ◽

Relationship Of ◽

The Relationship

AbstractThe association between sleep conditions and arterial stiffness remains inconclusive. We aimed to investigate the relationship of sleep duration and quality with brachial-ankle pulse-wave velocity (baPWV) in hypertensive patients. A total of 14,485 hypertensive adults were included in this cross-sectional analysis. Information about sleep duration and quality was obtained via questionnaire. A baPWV level ≥1800 cm/s was defined as indicative of arterial stiffness. Compared with participants with a sleep duration <8 h per day, participants with a sleep duration ≥8 h per day had a significantly higher baPWV level (β = 13.7 cm/s; 95% CI: 3.9, 23.5) and a nonsignificantly higher prevalence of arterial stiffness (39.7% vs. 33.0%; OR, 1.08; 95% CI: 0.99–1.19). Similarly, compared with participants with good or medium sleep quality, participants with poor sleep quality had a significantly higher baPWV level (β = 16.3 cm/s; 95% CI: 0.1, 32.6) and a nonsignificantly greater prevalence of arterial stiffness (36.6% vs. 35.3%; OR, 1.13; 95% CI: 0.97–1.32). When sleep duration and quality were examined jointly, participants with a sleep duration ≥8 h and/or poor sleep quality had a significantly higher baPWV level (β = 14.4 cm/s; 95% CI: 5.3, 23.4) and a greater prevalence of arterial stiffness (38.8% vs. 32.7%; OR, 1.10; 95% CI: 1.01–1.20) than those with a sleep duration <8 h and good/medium sleep quality. In summary, among hypertensive patients, a longer sleep duration (≥8 h per day) and poor sleep quality were associated with higher baPWV levels and a higher prevalence of arterial stiffness.

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The association between sleep duration, sleep quality, and food consumption in adolescents: A cross-sectional study using the Korea Youth Risk Behavior Web-based Survey

BMJ Open ◽

10.1136/bmjopen-2018-022848 ◽

2018 ◽

Vol 8 (7) ◽

pp. e022848 ◽

Cited By ~ 4

Author(s):

Chanyang Min ◽

Hyung-Jong Kim ◽

Il-Seok Park ◽

Bumjung Park ◽

Jin-Hwan Kim ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Fast Food ◽

Cross Sectional Study ◽

Soft Drinks ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Web Based ◽

Instant Noodle

ObjectiveThis study examined the relationship between sleep duration, sleep quality and food consumption among adolescents.DesignCross-sectional study.SettingData from the 2014 and 2015 Korea Youth Risk Behavior Web-based Survey were used.ParticipantsParticipants aged 12–18 years (n=118 462 (59 431 males and 59 031 females)) were selected.Primary and secondary outcome measuresSleep duration, sleep quality and the frequencies of fruits, soda, soft drinks, fast food, instant noodle, confectionaries, vegetables and milk consumption.ResultsShort sleep durations (<6 hours) were associated with higher soft drinks and confectionaries intake than longer sleep durations (9+ hours) (adjusted ORs (AORs) (95% CIs) for ≥5 times a week for soft drinks: 1.73 (1.57 to 1.91) and confectionaries: 1.32 (1.20 to 1.46); p<0.001). Poor sleep quality, with 7–8 hours of sleep, was associated with a lower intake of fruits, vegetables and milk (AORs (95% CIs) for ≥5 times a week for fruits: 0.71 (0.65 to 0.77); vegetables: 0.66 (0.58 to 0.75); and milk: 0.80 (0.74 to 0.86); each p<0.001), and higher intake of soda, soft drinks, fast food, instant noodle and confectionaries (AORs (95% CIs) for ≥5 times a week for soda: 1.55 (1.40 to 1.70); soft drinks: 1.58 (1.43 to 1.73); fast food: 1.97 (1.65 to 2.35); instant noodle: 1.55 (1.37 to 1.76); and confectionaries: 1.30 (1.18 to 1.43); each p<0.001) than good sleep quality of the same duration.ConclusionShort sleep durations and poor sleep quality might be associated with higher consumption of unhealthier foods, such as sugar-sweetened beverages, fast food, instant noodle and confectionaries, and associated with lower consumption of fruits, vegetables and milk.

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Electronic media use and sleep in children and adolescents in western countries: a systematic review

BMC Public Health ◽

10.1186/s12889-021-11640-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lisbeth Lund ◽

Ida Nielsen Sølvhøj ◽

Dina Danielsen ◽

Susan Andersen

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Methodological Quality ◽

Media Use ◽

Electronic Media ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Cross Sectional Studies ◽

Electronic Media Use

Abstract Background Sleep is essential for child and adolescent health and well-being. There is an increasing interest in whether electronic media use affects children and young adolescents’ sleep. Prior reviews have focused on a school-aged population. Moreover, it is crucial that research continuously addresses the processes of technology and media use and the implication on sleep. This systematic review examines the evidence of electronic media use related to sleep among 0–15-year-olds. Methods Searches were carried out in four databases (CINAHL, Web of Science, EMBASE, and Medline). Inclusion criteria included age ≤ 15 years, and intervention, cohort, or cross-sectional studies from western countries. Methodological quality was rated using the Quality Assessment Tool for Quantitative Studies by two independent reviewers. Data was extracted using a standardized data extraction form. Synthesis was done by summarizing results across studies by age groups of 0–5, 6–12, and 13–15 years within four sleep domains: Bedtime and sleep onset; Sleep quality; Sleep duration; Daytime tiredness. Results The search identified 10,719 unique studies, of which 109 fulfilled inclusion and exclusion criteria and were assessed for methodological quality. In total, 49 studies were included in the review. The study designs were randomized controlled trials (n = 3), quasi-experimental studies (n = 2), prospective cohort studies (n = 15), and cross-sectional studies (n = 29). Evidence for an association between electronic media use and sleep duration was identified, with stronger evidence for 6–15-years-olds than 0–5-year-olds. The evidence for a relationship between electronic media use and other sleep outcomes was more inconclusive. However, for 6–12-year-old children, there was evidence for associations of electronic media use with delayed bedtime and poor sleep quality. For 13–15-year-olds, there was evidence for associations between screen time and problems falling asleep, and between social media use and poor sleep quality. Conclusions Overall, electronic media use was generally associated with shorter sleep duration in children and adolescents. Studies with stronger research design and of higher quality are needed to draw solid conclusions about electronic media’s impact on other sleep outcomes. Public awareness and interventions could be promoted about the potential negative impact on children’s sleep of electronic media devices that are used excessively and close to bedtime.

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