Sleep characteristics across the lifespan in 1.1 million people from the Netherlands, United Kingdom and United States: a systematic review and meta-analysis
Sleep characteristics across the lifespan in 1.1 million people from the Netherlands, United Kingdom and United States: a systematic review and meta-analysis
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DOI：
10.1038/s41562-020-00965-x
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发表时间：
2020-11-16
影响因子：
29.9
通讯作者：
Tiemeier, Henning
中科院分区：
文献类型：
--
作者：
Kocevska, Desana;Lysen, Thom S.;Tiemeier, Henning
一般人睡多久？Kocevska等人进行了一项荟萃分析，包括超过110万人，以制作睡眠持续时间和效率的年龄和性别特定人群参考图表。我们的目标是获得可靠的睡眠持续时间参考图表，估计整个生命周期中睡眠投诉的患病率，并确定睡眠不良的风险指标。通过Embase、Medline和Web of Science（2019年8月9日）中的系统性文献检索和个人联系识别研究。符合条件的研究必须在2000年至2017年之间发表，并通过问卷调查评估睡眠数据，其中包括来自普通人群的≥ 100名参与者。我们收集了来自荷兰36项研究的200，358人（1-100岁，55%女性），来自英国的471，759人（40-69岁，55.5%女性）和来自美国的409，617人（>= 18岁，55.8%女性）的个体参与者数据。四分之一的人睡眠时间少于针对特定年龄的建议，但只有5.8%的人睡眠时间超出了“可接受”的睡眠时间。在青少年中，51.5%的人报告总睡眠时间（TST）少于建议的8-10小时，18%的人报告白天嗜睡。在成人（≥ 18岁）中，睡眠质量差（13.3%）和失眠症状（9.6-19.4%）比睡眠时间短（6.5%，TST < 6小时）更普遍。失眠症状在卧床时间≥ 9小时的人群中最为常见，而睡眠质量差的人群在睡眠时间较短或睡眠效率略低于男性的人群中更为常见，然而，通过活动记录仪，他们的睡眠时间估计比男性更长，更有效率。这项研究提供了年龄和性别，特定人群的睡眠持续时间和效率参考图表，可以帮助指导关于睡眠长度和预防措施的个性化建议。
How long does the average person sleep? Here, Kocevska et al. conducted a meta-analysis including over 1.1 million people to produce age- and sex-specific population reference charts for sleep duration and efficiency.We aimed to obtain reliable reference charts for sleep duration, estimate the prevalence of sleep complaints across the lifespan and identify risk indicators of poor sleep. Studies were identified through systematic literature search in Embase, Medline and Web of Science (9 August 2019) and through personal contacts. Eligible studies had to be published between 2000 and 2017 with data on sleep assessed with questionnaires including >= 100 participants from the general population. We assembled individual participant data from 200,358 people (aged 1-100 years, 55% female) from 36 studies from the Netherlands, 471,759 people (40-69 years, 55.5% female) from the United Kingdom and 409,617 people (>= 18 years, 55.8% female) from the United States. One in four people slept less than age-specific recommendations, but only 5.8% slept outside of the 'acceptable' sleep duration. Among teenagers, 51.5% reported total sleep times (TST) of less than the recommended 8-10 h and 18% report daytime sleepiness. In adults (>= 18 years), poor sleep quality (13.3%) and insomnia symptoms (9.6-19.4%) were more prevalent than short sleep duration (6.5% with TST < 6 h). Insomnia symptoms were most frequent in people spending >= 9 h in bed, whereas poor sleep quality was more frequent in those spending = 41 years) reported sleeping shorter times or slightly less efficiently than men, whereas with actigraphy they were estimated to sleep longer and more efficiently than man. This study provides age- and sex-specific population reference charts for sleep duration and efficiency which can help guide personalized advice on sleep length and preventive practices.