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Influence of SARS-CoV-2 pandemic on sleep habits in a pediatric population SARS-CoV-2大流行对儿童睡眠习惯的影响
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-06-01 DOI: 10.5935/1984-0063.20210021
Sara Completo, Andreia Fiúza Ribeiro, A. R. Manuel, H. Loureiro
ABSTRACT Objective: Assessment of changes in sleep habits at home in children during COVID-19 lockdown. Methods: Retrospective, transversal study in a pediatric ward of a level II hospital. Questionnaires concerning sleep quality, patterns and its modifications during lockdown were distributed from June to August 2020. Comparison with a control sample from previous study (2019). Statistical analysis on SPSS Statistics23. Results: Two groups were compared: during lockdown (n=36, mean age 9.3 years-old) and before lockdown (n=48, mean age 8.8 years-old). 55.6% stated changes in sleep patterns. There was an increase in sleep hours, specifically in school-aged children (p=0.05) and adolescents (p=0.03), with no impact in global subjective sleep quality. Significative increase in screen hours (p=0.02) and its use after dinner (p=0.04). Discussion: Changes in sleep patterns during lockdown were frequent, alongside a higher use of screens. However, these did not affect the subjective sleep quality nor increased the occurrence of sleep disturbances.
目的评估COVID-19封锁期间儿童在家睡眠习惯的变化。方法对某二级医院儿科病房进行回顾性、横向研究。2020年6月至8月分发了关于封锁期间睡眠质量、模式及其变化的问卷。与先前研究(2019年)的对照样本比较。SPSS统计软件的统计分析结果两组患者比较:封城期间(36例,平均年龄9.3岁)和封城前(48例,平均年龄8.8岁)。55.6%的人表示睡眠模式发生了变化。睡眠时间有所增加,尤其是学龄儿童(p=0.05)和青少年(p=0.03),但对整体主观睡眠质量没有影响。显着增加屏幕时间(p=0.02)和晚餐后使用(p=0.04)。禁闭期间,睡眠模式的改变很频繁,同时使用屏幕的时间也更长。然而,这些并没有影响主观睡眠质量,也没有增加睡眠障碍的发生。
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引用次数: 0
Possible influences of vitamin D levels on sleep quality, depression, anxiety and physiological stress in patients with chronic obstructive pulmonary disease: a case control study 维生素D水平对慢性阻塞性肺疾病患者睡眠质量、抑郁、焦虑和生理应激的可能影响:一项病例对照研究
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-06-01 DOI: 10.5935/1984-0063.20210019
C. Dias, R. Barroso, C. A. A. Dias-Filho, A. Ferreira, C. E. Cabido, C. Crestani, Mayra S Silva, A. N. Pinheiro, B. Rodrigues, C. Mostarda
ABSTRACT This study aimed to evaluate the effect of vitamin D deficiency on sleep quality, depression, anxiety, and physiological stress in patients with chronic obstructive pulmonary disease (COPD). We screened for COPD patients with normal (NorVD) (n=24) and insufficient (InsVD) (n=7) vitamin D levels. The Pittsburgh sleep quality index (PSQI), the Beck anxiety inventory (BAI), the Beck depression inventory (BDI) and the Baevsky’s stress index were used for the sleep and psychometric evaluation. The evaluation of sleep quality by PSQI showed that NorVD individuals had higher duration and quality of sleep when compared with the InsVD group. Additionally, the group InsVD presented higher risk of developing sleep quality (OR=6.20; 95% CI=1.334, 29.013; p=0.009). BDI was higher in the InsVD, and this group had a higher risk of developing moderate and severe depression (OR=3.37; 95% CI=0.895, 12.722; p=0.03). The stress index indicated higher values in the InsVD in relation to the NorVD group (InsVD=24±0.8 vs. NorVD=16±0.9), and the group InsVD showed higher risk of developing high and very high physiological stress (OR=7.70; 95% CI=1.351, 43.878; p=0.01). The stress and sleep quality effects were negatively correlated with vitamin D levels. Insufficient levels of vitamin D negatively affect sleep quality and psychometric variables.
本研究旨在评估维生素D缺乏对慢性阻塞性肺疾病(COPD)患者睡眠质量、抑郁、焦虑和生理应激的影响。我们筛选了维生素D水平正常(NorVD) (n=24)和维生素D水平不足(InsVD) (n=7)的COPD患者。采用匹兹堡睡眠质量指数(PSQI)、贝克焦虑量表(BAI)、贝克抑郁量表(BDI)和Baevsky应激指数进行睡眠和心理测量。PSQI对睡眠质量的评估显示,与InsVD组相比,NorVD组的睡眠持续时间和睡眠质量更高。此外,InsVD组睡眠质量恶化的风险更高(OR=6.20;95% ci =1.334, 29.013;p = 0.009)。InsVD组BDI较高,且该组发展为中度和重度抑郁症的风险较高(OR=3.37;95% ci =0.895, 12.722;p = 0.03)。InsVD组的应激指数高于NorVD组(InsVD=24±0.8 vs. NorVD=16±0.9),InsVD组出现高生理应激和极高生理应激的风险更高(OR=7.70;95% ci =1.351, 43.878;p = 0.01)。压力和睡眠质量影响与维生素D水平呈负相关。维生素D水平不足会对睡眠质量和心理测量变量产生负面影响。
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引用次数: 2
Social outbreak and its association with insomnia and daytime sleepiness in Chile 智利的社会爆发及其与失眠和日间嗜睡的关系
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-01 DOI: 10.5935/1984-0063.20210023
Rafael Pizarro-Mena, S. Durán-Aguero, Andrés Silva
ABSTRACT Objectives: To associate the effects of the social outbreak with insomnia and daytime sleepiness according to the distance from the riots. Material and Methods: Cross-sectional analytical study; a non-probabilistic sampling was carried out at a national level. The Google Forms tool was used; a document was submitted using a national database. The instrument consisted of four sections: socio-demographic data, biopsychosocial symptoms, insomnia severity index (ISI), and the Epworth sleepiness scale (ESS). The data were analyzed using descriptive statistics and the zero-inflated negative binomial model. Results: Of a total of 2,532 surveyed people, 29% were male; 43% was younger than 30 years old. The 50% of the sample suffers from sleepiness and 71% shows some type of insomnia. The marginal effects of the zero-inflated negative binomial model show that women, people aged 51 or older, who are neither studying a healthcare degree nor working in the healthcare sector, that are exposed to 4 or more hours per day to the news and that live in areas near or very near the riots, have significantly higher ISI (marginal effect 1.356, SE 0.381, p-value 0.000) and ESS scores (marginal effect 0.693, SE 0.320, p-value 0.030). To live/work in rioting areas has the greater marginal effect compared to other determinants. Finally, neither employment status nor educational level are associated with significant effects in the aforementioned scales. Conclusion: The riots occurred during the social outbreak of October 2019 in Chile had an effect on insomnia and daytime sleepiness. Particularly, to live/work in rioting areas has the greater marginal effect compared to other determinants.
目的根据离骚乱发生地的距离,将社会骚乱与失眠症和白天嗜睡的影响联系起来。材料与方法;横断面分析研究;在全国范围内进行了非概率抽样。使用谷歌Forms工具;利用国家数据库提交了一份文件。该工具由四个部分组成:社会人口统计数据、生物心理社会症状、失眠严重程度指数(ISI)和Epworth嗜睡量表(ESS)。采用描述性统计和零膨胀负二项模型对数据进行分析。结果在2532名被调查者中,29%为男性;年龄在30岁以下的占43%。50%的人患有嗜睡,71%的人表现出某种类型的失眠。零膨胀负二项模型的边际效应表明,51岁及以上的女性,既没有攻读医疗保健学位,也没有在医疗保健部门工作,每天接触新闻4小时或更长时间,居住在离骚乱地区很近或很近的地区,其ISI(边际效应1.356,SE 0.381, p值0.000)和ESS得分(边际效应0.693,SE 0.320, p值0.030)显著较高。与其他决定因素相比,在暴乱地区生活/工作具有更大的边际效应。最后,在上述量表中,就业状况和教育水平都与显著影响无关。结论2019年10月智利社会爆发期间发生的骚乱对失眠和白天嗜睡有影响。特别是,与其他决定因素相比,在骚乱地区生活/工作具有更大的边际效应。
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引用次数: 1
Sleep quality and anxiety among Egyptian population during covid-19 pandemic covid-19大流行期间埃及人群的睡眠质量和焦虑
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-01 DOI: 10.5935/1984-0063.20210020
S. ElHafeez, M. Meira e Cruz, Salma Gouda, Marwa Nofal, Abdalrahman Fayed, R. Ghazy, J. Mekky
ABSTRACT Objectives: COVID-19 pandemic imposed a relevant number of stressful factors potentially impacting either daytime function or sleep quality. This study aimed to assess the sleep quality and anxiety among the general population living in Egypt. Material and Methods: A cross-sectional survey was conducted among 1,000 individuals who have been recruited via a convenience sample. A predesigned questionnaire was distributed online to collect data on sleep quality using the validated Arabic version of the Pittsburgh sleep quality index, anxiety disorders by the generalized anxiety disorder (GAD-7) scale, demographic characteristics, and clinical history. Results: Among the study participants (33.8% males, 46.2% healthcare workers, 25% had chronic diseases, 30.1% were physically active during lockdown, and 70.3% reported work termination due to COVID-19 infection, 68.4% complained of bad sleep and 70.3% showed clinically significant levels of anxiety). In multiple logistic regression analysis, bad sleep quality was significantly associated with moderate anxiety (OR: 1.88; [95% CI: 1.37-2.60]), severe anxiety (OR: 3.15; [95% CI: 2.18-4.55]), being physically active (OR: 0.53; [95% CI: 0.39-0.71]), received higher education as being postgraduate (OR: 0.56; [95% CI: 0.35-0.92]), or living with family (OR: 0.74; [95% CI :0.56-0.98]).The GAD-7 scale added 8% discrimination power for prediction of bad sleep quality compared to the model based on demographic and clinical data [with GAD: AUC=0.70, p<0.001; without GAD: AUC=0.62, p<0.001]. Conclusion: COVID-19 had a significant impact on sleep quality and anxiety among Egyptians. Since both the conditions may overlap and potentiate each other leading to chronic dysfunctional outcomes, an accurate assessment and clinical approach may favor a better prognosis.
2019冠状病毒病大流行带来了一定数量的压力因素,可能影响白天功能或睡眠质量。本研究旨在评估生活在埃及的普通人群的睡眠质量和焦虑。材料与方法通过方便抽样的方式对1000人进行了横断面调查。在线分发预先设计的问卷,使用经过验证的阿拉伯语版匹兹堡睡眠质量指数、广泛性焦虑障碍(GAD-7)量表、人口统计学特征和临床病史收集睡眠质量数据。结果在研究参与者中(33.8%的男性,46.2%的医护人员,25%的慢性疾病患者,30.1%的人在封锁期间进行体力活动,70.3%的人报告因COVID-19感染而终止工作,68.4%的人抱怨睡眠不好,70.3%的人表现出临床显著的焦虑水平)。多元logistic回归分析显示,睡眠质量差与中度焦虑显著相关(OR: 1.88;[95% CI: 1.37-2.60]),严重焦虑(OR: 3.15;[95% CI: 2.18-4.55]),体育锻炼(OR: 0.53;[95% CI: 0.39-0.71]),在研究生阶段接受过高等教育(OR: 0.56;[95% CI: 0.35-0.92]),或与家人同住(or: 0.74;[95% ci:0.56-0.98])。与基于人口学和临床数据的模型相比,GAD-7量表在预测不良睡眠质量方面增加了8%的辨别能力[其中GAD: AUC=0.70, p<0.001;无GAD: AUC=0.62, p<0.001]。结论新冠肺炎对埃及人睡眠质量和焦虑有显著影响。由于这两种情况可能重叠并相互增强,导致慢性功能障碍的结果,准确的评估和临床方法可能有利于更好的预后。
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引用次数: 10
Sex differences in the cognitive performance in adults: role of impaired sleep 成人认知表现的性别差异:睡眠受损的作用
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-01 DOI: 10.5935/1984-0063.20210022
Luciane de Souza Medeiros, Flávia H. Santos, Alana Peixoto Almeida, Davyd M.O. Alves, Renan Remaeh Rocca, S. Tufik, A. Ximenes-da-Silva
ABSTRACT Objectives: Poor sleep quality negatively affects cognitive performance. However, there are limited data on sex differences in functional outcomes of impaired sleep on cognition. Therefore, the aim of this study was to evaluate the association between sleep quality and performance of men and women in cognitive tests. Material and Methods: After screening, 97 individuals with and without insomnia complaints participated of this study. Behavioral scales were evaluated using a number of instruments and the sleep pattern was recorded by actigraph. Subsequently, the participants were submitted to visuospatial/verbal working memory (WM), visual attention, and psychomotor vigilance tests (PVT). Results: The actigraphic recordings indicated that men sleep later (d=-0.56, p<0.05), fall asleep faster (d=0.42, p<0.05), showed shorter sleep duration (d=0.53, p<0.05), and more sleep fragmentation than women (d=-0.41, p<0.05). The performance in the cognitive tasks also showed sex differences: the men showed better performance in the visuospatial short-term memory (d=-0.78, p<0.05); verbal (d=-0.61, p<0.05), and visuospatial-WM tests (d=-0.84, p<0.05); they also responded faster in the PVT (d=0.69, p<0.05), although made more mistakes (d=-0.85, p<0.01). Longer sleep latency was associated with poor performance in visual attention (r=0.52, p<0.05) and verbal memory tasks (r=-0.30, p<0.05) in men. Conclusion: Our results suggest that difficulty in falling asleep was associated with cognitive impairment, especially in men. Sex differences in sleep quality and cognitive skills should be taken into account in future research in this field.
睡眠质量差会对认知能力产生负面影响。然而,关于睡眠受损对认知功能结果的性别差异的数据有限。因此,本研究的目的是评估睡眠质量与男性和女性在认知测试中的表现之间的关系。材料与方法经筛选,97名有或无失眠症状的人参加了本研究。使用多种仪器评估行为量表,并通过活动记录仪记录睡眠模式。随后,参与者进行了视觉空间/语言工作记忆(WM)、视觉注意和精神运动警觉性(PVT)测试。结果与女性相比,男性睡眠时间较晚(d=-0.56, p<0.05),入睡速度较快(d=0.42, p<0.05),睡眠时间较短(d=0.53, p<0.05),睡眠碎片化程度较高(d=-0.41, p<0.05)。在认知任务中的表现也存在性别差异:男性在视觉空间短期记忆方面表现更好(d=-0.78, p<0.05);语言测试(d=-0.61, p<0.05)和视觉空间- wm测试(d=-0.84, p<0.05);他们在PVT中反应更快(d=0.69, p<0.05),尽管犯了更多的错误(d=-0.85, p<0.01)。男性较长的睡眠潜伏期与视觉注意力(r=0.52, p<0.05)和言语记忆任务(r=-0.30, p<0.05)的表现较差有关。结论入睡困难与认知障碍有关,尤其是男性。在这一领域的未来研究中,应该考虑到睡眠质量和认知技能的性别差异。
{"title":"Sex differences in the cognitive performance in adults: role of impaired sleep","authors":"Luciane de Souza Medeiros, Flávia H. Santos, Alana Peixoto Almeida, Davyd M.O. Alves, Renan Remaeh Rocca, S. Tufik, A. Ximenes-da-Silva","doi":"10.5935/1984-0063.20210022","DOIUrl":"https://doi.org/10.5935/1984-0063.20210022","url":null,"abstract":"ABSTRACT Objectives: Poor sleep quality negatively affects cognitive performance. However, there are limited data on sex differences in functional outcomes of impaired sleep on cognition. Therefore, the aim of this study was to evaluate the association between sleep quality and performance of men and women in cognitive tests. Material and Methods: After screening, 97 individuals with and without insomnia complaints participated of this study. Behavioral scales were evaluated using a number of instruments and the sleep pattern was recorded by actigraph. Subsequently, the participants were submitted to visuospatial/verbal working memory (WM), visual attention, and psychomotor vigilance tests (PVT). Results: The actigraphic recordings indicated that men sleep later (d=-0.56, p<0.05), fall asleep faster (d=0.42, p<0.05), showed shorter sleep duration (d=0.53, p<0.05), and more sleep fragmentation than women (d=-0.41, p<0.05). The performance in the cognitive tasks also showed sex differences: the men showed better performance in the visuospatial short-term memory (d=-0.78, p<0.05); verbal (d=-0.61, p<0.05), and visuospatial-WM tests (d=-0.84, p<0.05); they also responded faster in the PVT (d=0.69, p<0.05), although made more mistakes (d=-0.85, p<0.01). Longer sleep latency was associated with poor performance in visual attention (r=0.52, p<0.05) and verbal memory tasks (r=-0.30, p<0.05) in men. Conclusion: Our results suggest that difficulty in falling asleep was associated with cognitive impairment, especially in men. Sex differences in sleep quality and cognitive skills should be taken into account in future research in this field.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"1996 1","pages":"17 - 25"},"PeriodicalIF":1.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82477287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Sleep disorders in correctional officers: cross-sectional study 惩教人员睡眠障碍:横断面研究
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-01 DOI: 10.5935/1984-0063.20210027
Glécia Lemos Bezerra, F. Carvalho, R. D. C. P. Fernandes, K. Santos
ABSTRACT Introduction: Within the prison environment, where strict surveillance and prompt decision-taking are essential to maintain security, poor sleep may be hazardous to correctional officers. This study aims to estimate the prevalence of and identify factors associated with severe sleep disorders in correctional officers. Material and Methods: An exploratory cross-sectional study comprised all correctional officers in a prison complex in Salvador city, Brazil. Information about sleep quality, sociodemographic and occupational aspects, lifestyle habits, and common mental disorders (self-reporting questionnaire-20 score ≥7 points) were collected via a self-administered questionnaire. Severe sleep disorder was defined as a score ≥31 points according to the mini sleep questionnaire. The measure of association used was the prevalence ratio (PR). Prevalence ratios were estimated by using a Cox multivariate regression model. The final adjusted model only included the variables that presented a prevalence ratio ≥1.20. Results: The prevalence of severe sleep disorders in the 374 correctional officers was 55.3%, and was strongly (prevalence ratio ≥1.20) associated with number of stressful activities at work (RPs=1.24, 1.19, and 1.17), number of attack and threat events against the correctional officers over the last 12 months (RPs showing gradient, 1.11, 1.24, and 1.41), common mental disorders (RP=2,24), and non-White skin color (RP=1,37). Conclusion: This study found high prevalence of severe sleep disorders in correctional officers, associated with impairment of their mental health, skin color, and, particularly, with situations of stress and violence at work. These factors must be taken into account when planning and providing health care to these workers.
在监狱环境中,严格的监视和迅速的决策对维持安全至关重要,睡眠不好可能对惩教人员有害。本研究旨在估计惩教人员严重睡眠障碍的患病率并确定与之相关的因素。材料与方法一项探索性横断面研究包括巴西萨尔瓦多市一所监狱的所有狱警。通过自填问卷收集睡眠质量、社会人口学和职业方面、生活习惯和常见精神障碍的信息(自我报告问卷-20分≥7分)。重度睡眠障碍定义为根据迷你睡眠问卷得分≥31分。使用的关联度量是患病率(PR)。采用Cox多元回归模型估计患病率。最终调整模型仅包括患病率≥1.20的变量。结果374名狱警中严重睡眠障碍的患病率为55.3%,患病率≥1.20与工作压力活动次数(RPs=1.24, 1.19, 1.17)、过去12个月内针对狱警的攻击和威胁事件次数(RPs呈梯度,1.11,1.24,1.41)、常见精神障碍(RP=2,24)和非白人肤色(RP=1,37)密切相关。本研究发现,惩教人员中严重睡眠障碍的发生率很高,这与他们的心理健康、肤色受损有关,特别是与工作中的压力和暴力情况有关。在为这些工人规划和提供保健服务时,必须考虑到这些因素。
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引用次数: 0
COVID-19 pandemic is associated with increased sleep disturbances and mental health symptoms but not help-seeking: a cross-sectional nation-wide study COVID-19大流行与睡眠障碍和精神健康症状增加有关,但与寻求帮助无关:一项全国性的横断面研究
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-03 DOI: 10.5935/1984-0063.20220027
C. Moreno, S. G. Conway, M. Assis, P. Genta, D. Pachito, A. Tavares, D. Sguillar, G. Moreira, L. Drager, A. Bacelar
ABSTRACT Objective: This study aimed firstly to describe sleep-related and mental health symptoms before and during the COVID-19 pandemic in a national-wide sample and, secondly, to verify attitudes towards help-seeking to treat these symptoms. Material and Methods: Data were collected through an online questionnaire sent through the Brazilian Sleep Association’s social media. The questionnaire included sociodemographic and sleep aspects questions currently and before the pandemic period. In addition, the survey addressed current and previous anxiety, depression, and burnout symptoms. The outcome help-seeking was addressed in the questionnaire as well by a single question asked when the participant reported mental or sleep problems. Results: The study covered 6,360 participants, mean age 43.5 years (SD=14.3), 76.7% female and 63.7% with undergraduate or higher degree filled out the survey. Seventy percent of participants reported sleep disturbances and 80% reported symptoms of anxiety during the pandemic. Help-seeking behavior was found only in one third of them. Hours of sleep reduced from 7.12 to 6.2h, which can be related with the increase in 28.2% of dissatisfaction with sleep duration during the pandemic. The highest frequency of complaints related to sleep was difficulty to fall asleep three or more times a week (going from 27.6% before the pandemic to 58.9% during the pandemic; p<0.001). Moreover, it was observed that help-seeking was more prevalent in men than women, and more in younger participants than in older ones. Conclusion: There was an increase of sleep and mental self-reported problems during the pandemic, which was not followed by help-seeking.
目的本研究旨在首先在全国范围内描述COVID-19大流行之前和期间的睡眠相关和心理健康症状,其次验证对寻求帮助治疗这些症状的态度。数据是通过巴西睡眠协会的社交媒体发送的在线问卷收集的。问卷包括当前和大流行时期之前的社会人口学和睡眠方面的问题。此外,调查还涉及当前和以前的焦虑、抑郁和倦怠症状。当参与者报告精神或睡眠问题时,结果求助在问卷中也通过一个单一的问题来解决。结果共纳入6360人,平均年龄43.5岁(SD=14.3),女性占76.7%,本科及以上学历占63.7%。70%的参与者报告了大流行期间的睡眠障碍,80%的参与者报告了焦虑症状。其中只有三分之一的人有寻求帮助的行为。睡眠时间从7.12小时减少到6.2小时,这可能与大流行期间对睡眠时间不满意的人数增加28.2%有关。与睡眠有关的抱怨频率最高的是每周三次或三次以上难以入睡(从大流行前的27.6%上升到大流行期间的58.9%;p < 0.001)。此外,研究还发现,男性比女性更倾向于寻求帮助,年轻参与者比年长参与者更倾向于寻求帮助。结论疫情期间,睡眠和心理自述问题有所增加,但没有出现寻求帮助的情况。
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引用次数: 4
Congresso Brasileiro do sono 2021 巴西国会是2021年
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.5935/1984-0063.20210100
The proceedings contain 178 papers. The topics discussed include: polysomnography analysis in Moebius sequence syndrome: new insights on REM Sleep;the association of social jet lag and overweight/obesity considering the presence of binge eating: a cross-sectional study with Brazilian young adults;sleep irregularity and the association with hypertension and blood pressure levels: the ELSA-Brazil study;sleep quality and daytime sleepiness of high schoolers;results of digital treatment of cognitive behavioral therapy in patients with chronic insomnia at a referral hospital in Curitiba;sleep quality and excessive daytime sleepiness in patients treated in the intensive care unit for acute myocardial infarction;negative changes in sleep patterns are observed in patients admitted by COVID 19;sleep quality of cancer patients in a hospital in Northeastern Brazil;sleep quality and sleep duration in university students: a transcultural study;and sleep quality among Brazilian elderly practitioners and non-practitioners of physical exercise: a cross-sectional study.
会议记录包含178篇论文。讨论的主题包括:莫比斯序列综合征的多导睡眠分析;快速眼动睡眠的新见解;考虑到暴饮暴食的存在,社交时差与超重/肥胖的关系;巴西年轻人的横断面研究;睡眠不规律与高血压和血压水平的关系;ELSA-Brazil研究;高中生睡眠质量与日间嗜睡;库里提巴某转诊医院慢性失眠症患者认知行为疗法数字化治疗结果;急性心肌梗死重症监护病房患者睡眠质量与日间过度嗜睡;新冠肺炎入院患者睡眠模式的负面变化;巴西东北部某医院癌症患者的睡眠质量大学生的睡眠时间:一项跨文化研究;巴西老年体育锻炼者和非体育锻炼者的睡眠质量:一项横向研究。
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引用次数: 0
Sleep-wake circadian rhythm pattern in young adults by actigraphy during social isolation 社会隔离期间年轻人的睡眠-觉醒昼夜节律模式
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2021-07-24 DOI: 10.5935/1984-0063.20220017
Dora Díaz, M. B. Gavião
Study objectives This study investigated, through wrist actigraphy, the activity-rest pattern, estimate nocturnal sleep parameters, and quantify the exposure of light (daylight and blue light) during social isolation due to COVID-19. Methods The participants (n = 19, aged 19 - 33 years-old) wore the actigraph in nondominant wrist for 7 days. Derivation of 25 nocturnal sleep parameters was inferred from PIM mode raw data including sleep, wake, activity, and fragmentation statistics. A hierarchical cluster analysis determined the participants profiles. Mann-Whitney and independent Student t tests, linear stepwise regression and Kendalls test were applied. The significant level was a = 0.05. Results Two clusters were formed, normal sleepers (n = 13) and short sleepers (n = 6). The participants of both clusters went to sleep after midnight, spent approximately 1 h of being awake during time in bed, their latency to persistent sleep was normal, though true sleep minutes was less than 7 h, showed a normal sleep efficiency. Daytime activity was moderate, and a circadian rhythm was irregular. The regressions showed that bedtime and nocturnal activity contributed to the variance of daytime activity and the beginning of it (p< 0.001). The midpoint during the time in bed was the most significant predictor for the start of less period activity at night (p< 0.001). Conclusions Actigraphy inferred that during social isolation the individuals presented, despite normal sleep latency and efficiency, inconsistent sleep parameters and irregular circadian rhythm. Moreover, decreased exposure to daylight during the morning was observed.
本研究通过手腕活动记录仪调查活动-休息模式,估计夜间睡眠参数,并量化因COVID-19导致的社会隔离期间的光暴露(日光和蓝光)。方法19例患者,年龄19 ~ 33岁,在非优势腕部佩戴活动记录仪7 d。从PIM模式的原始数据推导出25个夜间睡眠参数,包括睡眠、清醒、活动和碎片统计。分层聚类分析确定了参与者的概况。采用Mann-Whitney检验、独立学生t检验、线性逐步回归和Kendalls检验。显著性水平为a = 0.05。结果正常睡眠者(n = 13)和短睡眠者(n = 6)分为两组。两组受试者均在午夜后入睡,在床上保持清醒时间约为1小时,进入持续睡眠潜伏期正常,但实际睡眠时间不足7小时,睡眠效率正常。白天活动适度,昼夜节律不规则。回归显示,就寝时间和夜间活动对白天活动的方差及其开始有贡献(p< 0.001)。床上时间的中点是夜间活动减少开始的最显著预测因子(p< 0.001)。结论社交隔离期间,尽管睡眠潜伏期和睡眠效率正常,但睡眠参数不一致,昼夜节律不规律。此外,观察到早晨暴露在日光下的时间减少。
{"title":"Sleep-wake circadian rhythm pattern in young adults by actigraphy during social isolation","authors":"Dora Díaz, M. B. Gavião","doi":"10.5935/1984-0063.20220017","DOIUrl":"https://doi.org/10.5935/1984-0063.20220017","url":null,"abstract":"Study objectives This study investigated, through wrist actigraphy, the activity-rest pattern, estimate nocturnal sleep parameters, and quantify the exposure of light (daylight and blue light) during social isolation due to COVID-19. Methods The participants (n = 19, aged 19 - 33 years-old) wore the actigraph in nondominant wrist for 7 days. Derivation of 25 nocturnal sleep parameters was inferred from PIM mode raw data including sleep, wake, activity, and fragmentation statistics. A hierarchical cluster analysis determined the participants profiles. Mann-Whitney and independent Student t tests, linear stepwise regression and Kendalls test were applied. The significant level was a = 0.05. Results Two clusters were formed, normal sleepers (n = 13) and short sleepers (n = 6). The participants of both clusters went to sleep after midnight, spent approximately 1 h of being awake during time in bed, their latency to persistent sleep was normal, though true sleep minutes was less than 7 h, showed a normal sleep efficiency. Daytime activity was moderate, and a circadian rhythm was irregular. The regressions showed that bedtime and nocturnal activity contributed to the variance of daytime activity and the beginning of it (p< 0.001). The midpoint during the time in bed was the most significant predictor for the start of less period activity at night (p< 0.001). Conclusions Actigraphy inferred that during social isolation the individuals presented, despite normal sleep latency and efficiency, inconsistent sleep parameters and irregular circadian rhythm. Moreover, decreased exposure to daylight during the morning was observed.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"29 1","pages":"172 - 183"},"PeriodicalIF":1.6,"publicationDate":"2021-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84372053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Quality of sleep in women with menopause and its related factors 绝经期妇女睡眠质量及其相关因素
IF 1.6 Q4 CLINICAL NEUROLOGY Pub Date : 2021-07-15 DOI: 10.5935/1984-0063.20220021
Fatemeh Ahmady, M. Niknami, Z. Khalesi
BACKGROUND Menopausal period is one of the most critical stages of a womans life. Complications of the menopausal period including sleep disorders can affect the physical and mental state of women. As sleep disorder has a determinant role in the quality of life, this study was conducted to evaluate postmenopausal womens quality of sleep and its related factors. Material and Methods This cross-sectional-analytical study was conducted on 323 postmenopausal women based on convenience and consecutive sampling. The data-gathering tool consisted of two parts; sociodemographic characteristics and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using descriptive and inferential statistical tests at a significance level of p<0.05. Results Sleep disorder was determined in 49.9% of participants. The mean PSQI score was 5.32 ± 3.881. There was a significant correlation between PSQI and age (ß = 0.29, p < 0.001) indicating that sleep disorder increased with an increase in age. There was a significant correlation between body mass index (ß = 0.599, p < 0.001) and undesired sleep quality. Conclusions Regarding the presence of sleep disorder in almost half of the study participants, and the relationship between sleep quality and body mass index and age, it is recommended that decision and policymakers design educational consultation interventions to improve the quality and quantity of sleep in menopause women.
绝经期是女性一生中最关键的阶段之一。包括睡眠障碍在内的更年期并发症会影响女性的身心状态。由于睡眠障碍对生活质量具有决定性作用,本研究旨在评估绝经后妇女的睡眠质量及其相关因素。材料与方法采用方便、连续抽样的方法,对323名绝经后妇女进行横断面分析研究。数据收集工具由两部分组成;社会人口学特征和匹兹堡睡眠质量指数(PSQI)。数据分析采用描述性和推断性统计检验,p<0.05。结果49.9%的参与者存在睡眠障碍。PSQI平均评分为5.32±3.881。PSQI与年龄有显著的相关性(ß = 0.29, p < 0.001),表明睡眠障碍随着年龄的增加而增加。体重指数与不良睡眠质量之间存在显著相关性(ß = 0.599, p < 0.001)。结论针对近一半的研究参与者存在睡眠障碍,以及睡眠质量与体重指数和年龄之间的关系,建议决策者设计教育咨询干预措施,以改善更年期妇女的睡眠质量和数量。
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引用次数: 6
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Sleep Science
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