Increase in eveningness and insufficient sleep among adults in population-based cross-sections from 2007 to 2017
Increase in eveningness and insufficient sleep among adults in population-based cross-sections from 2007 to 2017
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DOI：
10.1016/j.sleep.2020.07.046
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发表时间：
2020-11-01
期刊：
影响因子：
4.8
通讯作者：
Partonen, Timo
中科院分区：
文献类型：
--
作者：
Merikanto, Ilona;Partonen, Timo
目的：睡眠时间短或长、睡眠不足和夜间睡眠与许多健康问题和死亡风险增加有关。了解睡眠和时钟频率的人口水平变化对于评估社会的未来健康状况和国家层面的医疗保健未来挑战非常重要。这项研究检查了2007- 2017年10年间生活在芬兰的成年人在睡眠时间、睡眠不足和昼夜节律偏好和习惯性睡眠-觉醒节律所指示的时钟类型频率方面的横截面差异。研究样本（N = 18 039）来自2007年和2012年的国家FINRISK研究以及2017年的FinHealth研究，每项研究都由随机的成年人样本组成，年龄在25-74岁之间，按年龄和性别分层，并提供他们关于昼夜节律偏好、习惯性每日睡眠持续时间、睡眠不足和就寝时间的自我报告数据。在这10年里，睡眠时间减少了，在每个10岁年龄组和两种性别中，睡眠不足增加，昼夜节律倾向于晚上活动显著增加。总体而言，在所有研究年份中，晚睡在年轻人中更为常见，但与2012年相比，2017年该年龄组的就寝时间和睡眠中点更为提前，而老年人的睡眠觉醒节律变得更加延迟。在睡眠时间的减少和睡眠不足的增加强调在年轻人，特别是在妇女，而在老年人和男性的eveningness增加。结论：从2007年到2017年的睡眠和时钟型频率的演变是惊人的，因为这些可能会导致健康状况较差的成年人，从而造成更多的压力，以公共卫生。在年轻人中强调了睡眠-觉醒行为和昼夜节律偏好之间的不匹配，这表明如果不采取任何干预措施来纠正这种不匹配，芬兰成年人群未来的昼夜节律失调风险更大。(C)2020爱思唯尔B. V.保留所有权利。
Objectives: Short or long sleep duration, insufficient sleep, and Evening chronotype associate with many health issues and increased risk for mortality. Understanding population-level changes in sleep and chronotype frequencies is important for assessing the prospective health status of the society and future challenges on health care at a national level. This study examines the cross-sectional differences in sleep duration, insufficient sleep, and chronotype frequencies indicated by both circadian preference and habitual sleep-wake rhythm among adults living in Finland during a 10-year period of 2007-2017.Methods: The study sample (N = 18 039) was derived from he National FINRISK 2007 and 2012 Studies, and The FinHealth 2017 Study, each consisting of a random sample of adults, aged 25-74 years and as stratified by age and sex, and providing the self-reported data on their circadian preference, habitual daily sleep duration, insufficient sleep and bedtimes.TResults: During the 10 years, sleep duration decreased, insufficient sleep increased and circadian pref-erence towards eveningness increased significantly in each 10-year age group and among both sexes. In general, eveningness was more common among younger adults in all the study years but, as compared to 2012, in 2017 bedtimes and midpoint of sleep were more advanced among this age group while sleep wake rhythm became more delayed in older adults. The decrease in sleep duration and the increase in insufficient sleep were emphasized in younger adults and especially in women, whereas the increase in eveningness in older adults and in men.Conclusions: The evolution of sleep and chronotype frequencies from 2007 to 2017 is alarming, as these might lead to a poorer health status in the adult population and thus cause more strain to the public health. The mismatch between sleep-wake behavior and circadian preference was emphasized in young adults, indicating a greater risk for circadian misalignment in the Finnish adult population in the future, if there will not be any interventions to correct this mismatch. (C) 2020 Elsevier B.V. All rights reserved.