Correlates of Short and Long Sleep Duration: A Cross-Cultural Comparison Between the United Kingdom and the United States The Whitehall II Study and the Western New York Health Study
Correlates of Short and Long Sleep Duration: A Cross-Cultural Comparison Between the United Kingdom and the United States The Whitehall II Study and the Western New York Health Study
复制标题
DOI：
10.1093/aje/kwn337
复制
发表时间：
2008-12-15
影响因子：
5
通讯作者：
Cappuccio, Francesco P.
中科院分区：
文献类型：
--
作者：
Stranges, Saverio;Dorn, Joan M.;Cappuccio, Francesco P.
作者对来自白厅11号研究（1997-1999）的6,472名英国成年人和来自西纽约健康研究（1996-2001）的3,027名美国成年人进行了社会人口统计学、生活方式和共病因素的研究，这些因素可能混淆或调节睡眠时间与健康之间的u型关系。短睡眠时间（< 6小时）和长睡眠时间（8小时）之间的横断面关联通过多个相关因素计算为多变量优势比。对于短睡眠时间，两个样本中未婚状态存在显著且一致的关联(英国：调整优势比(AOR) = 1.49, 95%置信区间（CI）： 1.15,1.94；美国：AOR - 1.49, 95% CI: 1.10, 2.02)，身体质量指数（AOR分别为1.04 （95% CI: 1.01, 1.07）和1.02 (95% CI: 1.00, 1.05)）， Short -36身体(AOR分别为0.96 （95% CI: 0.95, 0.98）和0.97 （95% CI: 0.96, 0.98）和精神（AOR分别为0.95 （95% CI: 0.94, 0.96）和0.98 (95% CI: 0.96, 0.99)）评分。对于长时间睡眠，有较少的显著关联：男性年龄（AORs分别为1.08 （95% CI: 1.01, 1.14）和1.05 (95% CI: 1.02,1.08)），低体力活动(AORs分别为1.75 （95% CI: 0.97, 3.14）和1.60 (95% CI: 1.09, 2.34)， Short -36身体评分（AORs分别为0.96 （95% CI: 0.93, 0.99）和0.97 (95% CI: 0.95, 0.99)）。未婚、超重和整体健康状况不佳与睡眠不足有关，并可能导致观察到的疾病关联。长时间睡眠可能是合并症的附带现象。
The authors examined sociodemographic, lifestyle, and comorbidity factors that could confound or mediate U-shaped associations between sleep duration and health in 6,472 United Kingdom adults from the Whitehall 11 Study (1997-1999) and 3,027 US adults from the Western New York Health Study (1996-2001). Cross-sectional associations between short (< 6 hours) and long (> 8 hours) durations of sleep across several correlates were calculated as multivariable odds ratios. For short sleep duration, there were significant, consistent associations in both samples for unmarried status (United Kingdom: adjusted odds ratio (AOR) = 1.49, 95% confidence interval (CI): 1.15,1.94; United States: AOR - 1.49, 95% CI: 1.10, 2.02), body mass index (AORs were 1.04 (95% CI: 1.01, 1.07) and 1.02 (95% CI: 1.00, 1.05)), and Short Form-36 physical (AORs were 0.96 (95% CI: 0.95, 0.98) and 0.97 (95% CI: 0.96, 0.98)) and mental (AORs were 0.95 (95% CI: 0.94, 0.96) and 0.98 (95% CI: 0.96, 0.99)) scores. For long sleep duration, there were fewer significant associations: age among men (AORs were 1.08 (95% CI: 1.01, 1.14) and 1.05 (95% CI: 1.02,1.08)), low physical activity (AORs were 1.75 (95% CI: 0.97, 3.14) and 1.60 (95% CI: 1.09, 2.34)), and Short Form-36 physical score (AORs were 0.96 (95% CI: 0.93, 0.99) and 0.97 (95% CI: 0.95, 0.99)). Being unmarried, being overweight, and having poor general health are associated with short sleep and may contribute to observed disease associations. Long sleep may represent an epiphenomenon of comorbidity.