Sleep Duration and Self-Rated Health: the Natiional Health Interview Survey 2008
Sleep Duration and Self-Rated Health: the Natiional Health Interview Survey 2008
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DOI：
10.5665/sleep.1232
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发表时间：
2011-09-01
期刊：
影响因子：
5.6
通讯作者：
Kalidindi, Sita
中科院分区：
文献类型：
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作者：
Shankar, Anoop;Charumathi, Sabanayagam;Kalidindi, Sita
背景：在世界各地的几项基于人群的研究中，自评健康（SRH）已被证明可以一致地预测总体死亡率和心血管死亡率。同样，睡眠时间也与心血管疾病（CVD）和死亡率有关。然而，相对较少的研究调查了睡眠时间和SRH之间的关系，结果也不一致。方法：我们对2008年全国健康访谈调查的n = 20,663名18岁的参与者（56.2%为女性）进行了横断面研究。睡眠时间被分类为= 9小时。主要结局是SRH一般/较差（n = 3043）。结果：我们发现短睡眠时间和长睡眠时间都与SRH的好坏独立相关，与年龄、性别、种族、吸烟、饮酒、体重指数、体力活动、抑郁症、糖尿病、高血压和心血管疾病无关。与7小时睡眠时间（参照）相比，睡眠时间= 9小时时，良好/不良SRH的多变量优势比（95%置信区间）为2.29（1.86-2.83）、1.68（1.42-2.00）、1.38（1.18-1.61）和1.98（1.63-2.40）。在按性别、种族、民族和体重指数分类的亚组分析中，这种关联持续存在。结论：与7小时的睡眠时间相比，在美国成年人的代表性样本中，较短和较长的睡眠时间与良好/不良的自我评价健康之间存在正相关。
Background: Self-rated health (SRH) has been shown to consistently predict overall mortality and cardiovascular mortality in several population-based studies across the world. Similarly sleep duration have been found to be associated with cardiovascular disease (CVD) and mortality. However, relatively few studies have examined the association between sleep duration and SRH, and the results have not been consistent.Methods: We conducted a cross-sectional study of n = 20,663 National Health Interview Survey 2008 participants >= 18 years of age (56.2% women). Sleep duration was categorized as = 9 h. The main outcome interest was fair/poor SRH ( n = 3043).Results: We found both short and long sleep duration to be independently associated with fair/poor SRH, independent of age, sex, race-ethnicity, smoking, alcohol intake, body mass index, physical activity, depression, diabetes mellitus, hypertension, and CVD. Compared with a sleep duration of 7 h (referent), the multivariate odds ratio (95% confidence interval) of fair/poor SRH was 2.29 (1.86-2.83), 1.68 (1.42-2.00), 1.38 (1.18-1.61), and 1.98 (1.63-2.40) for sleep duration = 9 h. This association persisted in subgroup analyses by gender, race-ethnicity, and body mass index categories.Conclusion: Compared with sleep duration of 7 h, there was a positive association between both shorter and longer sleep duration and fair/poor self-rated health in a representative sample of US adults.