Changes in Sleep Duration, Quality, and Medication Use Are Prospectively Associated With Health and Well- being: Analysis of the UK Household Longitudinal Study
Changes in Sleep Duration, Quality, and Medication Use Are Prospectively Associated With Health and Well- being: Analysis of the UK Household Longitudinal Study
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DOI：
10.1093/sleep/zsw079
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发表时间：
2017-03-01
期刊：
影响因子：
5.6
通讯作者：
Wolke, Dieter
中科院分区：
文献类型：
--
作者：
Tang, Nicole K. Y.;Fiecas, Mark;Wolke, Dieter
引言：睡眠是促进公共健康的一个合理目标。目的和方法：我们分析了英国家庭纵向调查的数据，涉及30 594人（年龄> 16岁），他们在第1波（2009-2011）和第4波（2012-2014）评估中提供了睡眠和健康以及幸福感的数据。预测变量是4年期间睡眠量、睡眠质量和睡眠药物使用的变化。结果变量为一般健康问卷（GHQ- 12）和12项简明健康调查（SF- 12）第4波的精神（MCS）和身体（PCS）分量评分。对每个结果的线性回归进行了充分调整，以考虑潜在的混杂因素和相关预测和结果变量的基线值。（GHQ：β = 1.031 [95%置信区间{CI}：-1.328，-0.734]; MCS：1.531 [1.006，2.055]; PCS：-0.071 [-0.419，0.56]），睡眠质量（GHQ：β = -2. 031 [95% CI：-2. 218，-1. 844]; MCS：3. 027 [2. 692，3. 361]; PCS：0. 924 [0. 604，1. 245]），睡眠药物使用减少（GHQ：β = -1.929 [95% CI：-2.400，-1.459]; MCS：3.106 [2.279，3.933]; PCS：2.633 [1.860，3.406]）。另一方面，潜在结果与睡眠时间减少、睡眠质量下降和睡眠药物使用增加有关。睡眠质量的变化对健康和幸福的结果产生了最大的影响。结论：睡眠的变化与随后的健康和幸福有时间上的联系。旨在保护临界睡眠量、提高睡眠质量和减少睡眠药物使用的举措可能具有公共卫生价值。
Introduction: Sleep is a plausible target for public health promotion. We examined the association of changes in sleep with subsequent health and well-being in the general population.Aims and Methods: We analyzed data from the UK Household Longitudinal Survey, involving 30 594 people (aged > 16) who provided data on sleep and health and well- being at both Wave 1 (2009-2011) and Wave 4 (2012-2014) assessments. Predicting variables were changes in sleep quantity, sleep quality, and sleep medication use over the 4- year period. Outcome variables were the General Health Questionnaire (GHQ- 12) and the 12- Item Short- Form Health Survey (SF- 12) mental (MCS) and physical (PCS) component scores at Wave 4. Linear regression on each outcome was fully adjusted for potential confounders and baseline values of the relevant predicting and outcome variables.Results: Better outcomes were associated with an increase in sleep duration (GHQ: beta = 1.031 [95% confidence interval {CI}: - 1.328, -0.734]; MCS: 1.531 [1.006, 2.055]; PCS: - 0.071 [-0.419, 0.56]), sleep quality (GHQ: beta = - 2.031 [95% CI: -2.218, -1.844]; MCS: 3.027 [2.692, 3.361]; PCS: 0.924 [0.604, 1.245]), and a reduction in sleep medication use (GHQ: beta = -1.929 [95% CI: -2.400, -1.459]; MCS: 3.106 [2.279, 3.933]; PCS: 2.633 [1.860, 3.406]). Poorer outcomes were on the other hand associated with a reduction in sleep duration, a decrease in sleep quality, and an increase in sleep medication use. Changes in sleep quality yielded the largest effects on the health and well- being outcomes.Conclusions: Changes in sleep were temporally associated with subsequent health and well- being. Initiatives that aim to protect a critical amount of sleep, promote sleep quality, and reduce sleep medication use may have public health values.