A prospective study of the association of weekend catch-up sleep and sleep duration with mortality in middle-aged adults
A prospective study of the association of weekend catch-up sleep and sleep duration with mortality in middle-aged adults
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周末补觉和睡眠时间与中年人死亡率关系的前瞻性研究
DOI：
10.1007/s41105-023-00460-6
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发表时间：
2023
影响因子：
1.1
通讯作者：
Kuriyama Kenichi
中科院分区：
文献类型：
--
作者：
Yoshiike Takuya;Kawamura Aoi;Utsumi Tomohiro;Matsui Kentaro;Kuriyama Kenichi
周末补觉（CUS）对健康的影响可能会有所不同，这取决于在工作日获得充足睡眠的能力和补偿一周中睡眠损失所需的周末CUS量。 使用来自3128名中年（40-64岁）睡眠心脏健康研究参与者的数据，我们研究了睡眠的这两个方面与全因死亡率的纵向关联。CUS计算为周末和工作日之间自我报告的习惯性睡眠持续时间的差异，并分为无、短（1小时）和长（2小时或以上）CUS。多导睡眠图测量的总睡眠时间，代表获得充足睡眠的能力，分为短（< 360分钟）或正常（≥ 360分钟）睡眠持续时间。我们估计了按CUS程度和睡眠时间划分的六组的多变量调整死亡率风险比（HR）和95%置信区间（CI）。参与者随访的中位数（四分位数间距）为12.3（11.3-13.5）年。与睡眠时间正常的无CUS患者相比，睡眠时间正常的短周末CUS患者的死亡率较低（HR，0.48; 95% CI 0.27-0.83）。当对睡眠时间应用更严格的临界值时，正常睡眠时间（≥ 390 min）的短CUS的保护作用增强（HR，0.36; 95% CI 0.17-0.78），而睡眠时间短（< 330 min）的短CUS的有害作用显现（HR，1.84; 95% CI 1.08-3.14）。结果强调了平衡睡眠能力和CUS的重要性。充足的睡眠可以减少工作日的睡眠债务，周末只需要很短的CUS，从而提高中年人的死亡率。
Health effects of weekend catch-up sleep (CUS) could differ depending on both the ability to obtain sufficient sleep during weekdays and amount of weekend CUS required to compensate for sleep lost during the week. Using data from 3128 middle-aged (40–64 years) participants of the Sleep Heart Health Study, we examined the longitudinal association of these two aspects of sleep with all-cause mortality. CUS was calculated as the difference in self-reported habitual sleep duration between weekends and weekdays, and classified into no, short (1 h), and long (2 h or more) CUS. Polysomnography-measured total sleep time, representing the ability to obtain sufficient sleep, was classified into short (< 360 min) or normal (≥ 360 min) sleep durations. We estimated multivariable-adjusted mortality hazard ratios (HRs) and 95% confidence intervals (CIs) for six groups divided by the extent of CUS and sleep duration. Participants were followed up for a median (interquartile range) of 12.3 (11.3–13.5) years. Short weekend CUS with normal sleep duration was associated with lower mortality compared to no CUS with normal sleep duration (HR, 0.48; 95% CI 0.27–0.83). When stricter cutoffs were applied for sleep durations, while the protective effect of short CUS with normal sleep duration (≥ 390 min) was strengthened (HR, 0.36; 95% CI 0.17–0.78), the harmful effect of short CUS with short sleep duration (< 330 min) emerged (HR, 1.84; 95% CI 1.08–3.14). Results highlight the importance of balancing sleep ability and CUS. Sufficient sleep may reduce weekday sleep debt and only a short CUS would be required on weekends, improving mortality in middle-aged adults.
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影响因子：
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