Insufficient sleep - A population-based study in adults
Insufficient sleep - A population-based study in adults
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DOI：
10.1093/sleep/24.4.392
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发表时间：
2001-06-15
期刊：
影响因子：
5.6
通讯作者：
Koskenvuo, M
中科院分区：
文献类型：
--
作者：
Hublin, C;Kaprio, J;Koskenvuo, M
研究目的：睡眠不足（睡眠剥夺）是一个常见的问题，对健康、社会和经济都有相当大的影响。我们评估了其患病率和相关性，以及遗传影响的作用。设计：基于1981年和1990年问卷调查的小组研究。设置/患者：12.423名年龄33-60岁的受试者，包括在芬兰双胞胎队列中，代表芬兰人口。干预措施：N/A测量：自我报告的睡眠需求和睡眠时间相差1小时被认为是睡眠不足。评估了与教育、生活方式、工作、心理特征和睡眠-觉醒变量的关系。结果：1990年，睡眠不足的患病率为20.4%（男性为16.2%，女性为23.9%）。在1981年睡眠不足的人中，有44%的人在9年后仍然存在睡眠不足（持续性的斯皮尔曼相关系数为0.334）。在多变量分析中，最强的正相关因素是白天嗜睡（女性：比值比3.87，95%置信限3.24-4.63/男性：3.77，2.98 -4.75）、失眠（2.48，1.92-3.1912.91，2.17 -3.90）、不能无干扰地入睡（1.95，1.47 -2.60/2.54，1.66 -3.89）和夜间类型（2.10，1.65 -2.69/1.73，1.25 -2.41）。在男性中，每周工作时间大于或等于75小时也与此密切相关（3.23，1.54 -6.78）。“不工作”在两性中均呈负相关（0.68，0.51 -0.89/0.59，0.42 -0.83）。三分之二的个体间差异的责任睡眠不足是由于非遗传factors.Conclusions：睡眠不足是一种常见的和长期的条件，最强烈的睡眠/清醒变量。三分之一的责任归因于遗传影响。睡眠充足度应在工作的成年人的健康检查中进行评估。
Study objectives: Insufficient sleep (sleep deprivation) is a common problem of considerable health, social, and economical impact. We assessed its prevalence and associations, and the role of genetic influences.Design: Panel study based on questionnaires administered in 1981 and 1990.Setting/Patients: 12.423 subjects aged 33-60 years included in the Finnish Twin Cohort, representative of the Finnish population.Interventions: N/AMeasurements: A difference of 1 hour between the self-reports of the sleep need and the sleep length was considered insufficient sleep. Associations with education, life style, work, psychological characteristics and sleep-wake variables were assessed. Structural equation modelling techniques were used to compare genetic models among monozygotic and dizygotic twin pairs.Results: In 1990, the prevalence of insufficient sleep was 20.4% (16.2% in men and 23.9% in women). 44% of those with insufficient sleep in 1981 also had it 9 years later (Spearman correlation for persistence 0.334). In multivariate analyses, the strongest positively associated factors were daytime sleepiness (women: odds ratio 3.87, 95% confidence limits 3.24-4.63/men: 3.77,2.98-4.75), insomnia (2.48,1.92-3.1912.91,2.17-3.90), not able to sleep without disturbance (1.95,1.47-2.60/2.54,1.66-3.89), and evening type (2.10,1.65-2.69/1.73,1.25-2.41). Among men, also weekly working hours greater than or equal to 75 was strongly associated (3.23,1.54-6.78). "Not working" was negatively associated in both genders (0.68,0.51-0.89/0.59,0.42-0.83). Two thirds of the interindividual variability in the liability to insufficient sleep was attributed to non-genetic factors.Conclusions: Insufficient sleep is a common and long-standing condition, most strongly associated with sleep/wake variables. One third of the liability to it is attributed to genetic influences. Sleep sufficiency should be assesssed in health examinations of working adults.