COVID-19 Infection, the COVID-19 Pandemic, and Changes in Sleep.
COVID-19 Infection, the COVID-19 Pandemic, and Changes in Sleep.
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DOI：
10.3389/fpubh.2021.795320
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发表时间：
2021
影响因子：
5.2
通讯作者：
Farland LV
中科院分区：
文献类型：
--
作者：
Donzella SM;Kohler LN;Crane TE;Jacobs ET;Ernst KC;Bell ML;Catalfamo CJ;Begay R;Pogreba-Brown K;Farland LV
这项研究的目的是调查患有和没有实验室确认的SARS-CoV-2感染的个体在睡眠模式上的差异。亚利桑那州CoVHORT研究中的1848人于2020年5月至2021年3月收集了实验室确认的SARS-CoV-2检测结果和回忆大流行前和大流行期间睡眠习惯的自我报告措施。我们使用线性回归和Logistic回归分别对测试状态、症状表现和测试结果开始时间与睡眠持续时间和睡眠障碍之间的关系进行建模。混合模型被用来调查大流行前与大流行期间相比的睡眠持续时间的变化。总体而言，16.2%的样本SARS-CoV-2呈阳性，64.3%的样本为SARS-CoV-2阴性，19.5%的样本未检测到SARS-CoV-2。与SARS-CoV-2感染状态无关，所有参与者在大流行期间的睡眠时间均长于大流行前(ΔSARS-CoV-2阳性：77.7min，95%可信区间67.9，87.5；ΔSARS-CoV-2阴性：13.4min，95%CI 8.4，18.3)。然而，在多变量调整模型中，SARS-CoV-2阳性参与者的睡眠时间比SARS-CoV-2阴性参与者多60.9分钟(95%CI 49.1，72.8)，而且自SARS-CoV-2大流行开始以来，每周睡眠困难三次或更多的几率更大(OR：1.34，95%CI 1.02，1.77)。在SARS-CoV-2阳性后30天报告睡眠习惯的参与者，睡眠困难的几率持续存在(OR：2.11，95%CI 1.47，3.03)。未住院的新冠肺炎患者的睡眠模式在感染后发生了改变，与症状的出现和感染以来的时间无关。
The objective of this study was to investigate the differences in sleep patterns among individuals with and without laboratory-confirmed SARS-CoV-2 infection. Laboratory-confirmed SARS-CoV-2 test results and self-reported measures recalling sleep habits prior to and during the pandemic were collected from May 2020 to March 2021 among 1,848 individuals in The Arizona CoVHORT Study. We used linear and logistic regression to model the association between test status, presentation of symptoms, and time since test result with sleep duration and trouble sleeping, respectively. Mixed models were used to investigate change in sleep duration prior to the pandemic compared to during the pandemic. Overall, 16.2% of the sample were SARS-CoV-2 positive, 64.3% were SARS-CoV-2 negative, and 19.5% were untested for SARS-CoV-2. Independent of SARS-CoV-2 infection status, all participants slept longer during the pandemic compared to pre-pandemic (Δ SARS-CoV-2 positive: 77.7 min, 95% CI 67.9, 87.5; Δ SARS-CoV-2 negative: 13.4 min, 95% CI 8.4, 18.3). However, SARS-CoV-2 positive participants slept 60.9 min longer (95% CI 49.1, 72.8) than SARS-CoV-2 negative participants in multivariable-adjusted models and had greater odds of trouble sleeping three or more times per week since the start of the pandemic (OR: 1.34 95% CI 1.02, 1.77) This greater odds of trouble sleeping persisted for participants who reported sleep habits > 30 days after their positive SARS-CoV-2 (OR: 2.11 95% CI 1.47, 3.03). Sleep patterns among non-hospitalized individuals with COVID-19 were altered following infection, regardless of the presentation of symptoms and time since infection.
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